Skip to main content
Health Inspection

Complete Care At Jefferson Meadows Llc

May 13, 2025 · Baraboo, WI · 1414 Jefferson St.
Citations 1
CMS Rating 2/5
Beds 102
Provider ID 525317
Healthcare Facility
Complete Care At Jefferson Meadows Llc
Baraboo, WI  ·  View full profile →
Inspection Summary

Complete Care at Jefferson Meadows LLC in Baraboo, WI — inspection on May 13, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Advertisement

Inspection Findings

FF880
Potential for o An assessment to identify where Legionella and other opportunistic waterborne Many affected

According to the CDC Water Management Toolkit . monitor to ensure control measures are performing as designed.

Control limits, in which a chemical or physical parameter must be maintained, should include a minimum and a maximum value.

Per Centers for Disease Control and Prevention (CDC), 3/15/24 documents, in part: .Cold water guidance: Store and circulate cold water at temperatures below 77 F, although Legionella may grow at temperatures as low as 68 F (20 C).

Hot water guidance: Store hot water at temperatures above 140 F (60 C).

Ensure hot water in circulation doesn't fall below 120 F (49 C) and recirculate hot water continuously, if possible .

Example 1

On 5/13/25 at 7:32 AM, Surveyor interviewed MDir M (Maintenance Director) and MntT N (Maintenance Tech) and asked about how the facility monitors the WH and HWT outlet temperatures.

MntT N stated the last maintenance director had done some form of temperature testing, prior to leaving employment about a month ago, but no record logs had been found. MDir M stated there is a work order in the maintenance management computer system assigned for the 15th day of each month which states to check multiple locations for water temperature readings (must be between 110-115 degrees, document finding.). MDir M stated that MDir M has been unable to locate a report of any documented temperature readings.

Surveyor asked if there was monitoring of the water temperature at the WH or HWT. MDir M stated no, there are no documented temperatures.

Of note, 140 degrees is the temperature required to prevent Legionella.

On 5/13/25 at 8:24 AM, Surveyor interviewed NHA A (Nursing Home Administrator) and asked about temperature testing of the water heater outlet. NHA A stated that the past maintenance director had put a robust plan into place and NHA A believed that there had been testing at the boiler.

Surveyor asked NHA A if documentation of temperature testing would be expected. NHA stated yes.

The facility was not able to provide documentation of monitoring the temperature of the water heater or hot water storage tank to show they're monitoring their control measures per their water management plan.

525317

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 525317 B.

Wing 05/13/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

St Clare Care and Rehab Center 1414 Jefferson St Baraboo, WI 53913

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Baraboo, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Complete Care at Jefferson Meadows LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement