With a score of 83/100 and a B grade, Baldwin Healthcare & Rehab Center, Llc is a well-regarded option in Baldwin City, Kansas. The facility performs above average in most CMS categories, placing it in the 84th percentile statewide.
Staffing at Baldwin Healthcare & Rehab Center, Llc is near the national average, with 3.56 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 22 deficiencies at Baldwin Healthcare & Rehab Center, Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.56 | 3.8 | Average |
| Registered Nurses (RN) | 0.54 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.52 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.50 | 2.4 | Average |
| Weekend Total Nursing | 3.35 | 3.8 | Below Average |
| Weekend RN Hours | 0.51 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Sep 23, 2024 · Resident Rights Deficiencies
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jun 11, 2024 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jun 11, 2024 · Infection Control Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jun 11, 2024 · Resident Rights Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Jun 11, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.7% | 4.5% | Worse |
| Falls with major injury | 0.5% | 3.0% | Better |
| On antipsychotic medication | 3.6% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 13.7% | 14.0% | Average |
| Excessive weight loss | 5.7% | 7.5% | Better |
| New/worsened incontinence | 25.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 83 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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