CMS data shows Complete Care At Jefferson Meadows Llc earning a D grade with a score of 48/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels at Complete Care At Jefferson Meadows Llc exceed national averages, with 4.20 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.06 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 22 deficiencies at Complete Care At Jefferson Meadows Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide enough food/fluids to maintain a resident's health..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.20 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.06 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.42 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.71 | 2.4 | Above Average |
| Weekend Total Nursing | 3.65 | 3.8 | Average |
| Weekend RN Hours | 0.75 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0692 Severity GProvide enough food/fluids to maintain a resident's health.May 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 12, 2025 · Nutrition and Dietary Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiMay 12, 2025 · Pharmacy Service Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarMay 12, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0881 Severity EImplement a program that monitors antibiotic use.May 12, 2025 · Infection Control 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 | 1.6% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 9.5% | 14.5% | Better |
| Urinary tract infections | 2.6% | 2.5% | Average |
| ADL decline (daily activities) | 19.3% | 14.0% | Worse |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 37.5% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $73,275
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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