PlainNursing
CMS Nursing Home Compare · August 2026

Baldwin Healthcare & Rehab Center, LLC

1223 Orchard Lane, Baldwin City, KS 66006

Baldwin Healthcare & Rehab Center, LLC, a 60-bed for profit - corporation nursing facility in Baldwin City, KS, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #27 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7855946492

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5 / 5
Much above average · CMS overall · nat'l 3.0
#27 of 294
In-state rank among rated KS homes
3.43
Below average · nurse hrs/day · nat'l 3.86
20
Inspection findings

The verdict

Baldwin Healthcare & Rehab Center, LLC, a 60-bed for profit - corporation nursing facility in Baldwin City, KS, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #27 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

5 / 5
CMS overall · national 3.0
#27 of 294
In-state rank among rated KS homes
3.43
Nurse hrs/resident-day · national 3.86
20
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 296 KS nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

5/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
175338
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
60
Residents
53
In Hospital
No
County
Douglas
Last Inspection
Apr 15, 2026

Staffing Data

How the 3.43 total nursing hours per resident-day are staffed:

RN Hours
0.56 (nat'l avg: 0.69)
LPN Hours
0.59
CNA Hours
2.28
Total Nursing Hours
3.43 (nat'l avg: 3.86)
PT Hours
0.07
Nursing Turnover
46.7%
RN Turnover
37.5%

What the CMS Record Reveals About Baldwin Healthcare & Rehab Center, LLC

According to CMS Nursing Home Compare, Baldwin Healthcare & Rehab Center, LLC ranks #27 of 294 rated nursing homes in KS on overall stars (tie-broken by health+staffing+quality, then fewer fines). Baldwin Healthcare & Rehab Center, LLC operates 60 certified beds in Baldwin City, KS with approximately 53 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 3★ · quality 5★).

The inspection file contains 20 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 3.43 total nursing hours per resident day (national average 3.86), with RN coverage at 0.56 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Baldwin Healthcare & Rehab Center, LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 46.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

C - Widespread - No harm Apr 15, 2026 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: May 8, 2026

D - Isolated - Minimal harm Apr 15, 2026 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 8, 2026

E - Pattern - Minimal harm Apr 15, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 8, 2026

E - Pattern - Minimal harm Apr 15, 2026 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 8, 2026

D - Isolated - Minimal harm Sep 24, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 11, 2024

C - Widespread - No harm Jun 12, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Jun 12, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Jun 12, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Jun 12, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Jun 12, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Jun 12, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Jun 12, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Jun 12, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jun 28, 2024

E - Pattern - Minimal harm Jun 12, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 28, 2024

E - Pattern - Minimal harm Jun 12, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Oct 5, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 11, 2022

D - Isolated - Minimal harm Oct 5, 2022 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 11, 2022

D - Isolated - Minimal harm Oct 5, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 11, 2022

D - Isolated - Minimal harm Oct 5, 2022 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Nov 11, 2022

F - Widespread - Minimal harm Oct 5, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 11, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 2.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 31.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 91.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.8% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Baldwin Healthcare & Rehab Center, LLC, both outside KS so the neighborhoods are not the same-state geography list below.

What the CMS records show for Baldwin Healthcare & Rehab Center, LLC

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The KS registry aggregates state averages and the highest-rated homes in this cohort. View KS registry
  • Peer homes near 60 beds show how CMS stars vary at a similar scale in KS. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Baldwin Healthcare & Rehab Center, LLC?
Baldwin Healthcare & Rehab Center, LLC has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (5★).
Where does Baldwin Healthcare & Rehab Center, LLC rank among nursing homes in KS?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Baldwin Healthcare & Rehab Center, LLC ranks 27th among 294 rated nursing homes in KS (#27 of 294). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Baldwin Healthcare & Rehab Center, LLC?
Baldwin Healthcare & Rehab Center, LLC reports 3.43 total nursing hours per resident day (national average: 3.86). RN hours are 0.56 per resident day (national average: 0.69). Nursing staff turnover is 46.7%.
How many beds does Baldwin Healthcare & Rehab Center, LLC have?
Baldwin Healthcare & Rehab Center, LLC has 60 certified beds with approximately 53 residents. The facility is located at 1223 Orchard Lane, Baldwin City, KS 66006.
Does Baldwin Healthcare & Rehab Center, LLC have any deficiencies on record?
Yes, Baldwin Healthcare & Rehab Center, LLC has 20 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Baldwin Healthcare & Rehab Center, LLC received any fines or penalties?
No, Baldwin Healthcare & Rehab Center, LLC has no fines or penalties on record.
Who owns Baldwin Healthcare & Rehab Center, LLC?
Baldwin Healthcare & Rehab Center, LLC is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Baldwin Healthcare & Rehab Center, LLC last inspected?
The most recent health inspection for Baldwin Healthcare & Rehab Center, LLC was on Apr 15, 2026. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Baldwin Healthcare & Rehab Center, LLC?
Baldwin Healthcare & Rehab Center, LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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