Nursing homeActive
Baldwin Healthcare & Rehab Center, LLC
1223 Orchard Lane, Baldwin City, KS 66006785594649260 certified beds · 53 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
20
● 2● 18● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-15
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-15 | Standard | 130 | CMS-2567 (Care Compare) | — |
| 2024-09-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-12 | Standard | 190 | CMS-2567 (Care Compare) | — |
| 2022-10-05 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-08Record 175338-20260415-F558
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-08Record 175338-20260415-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-08Record 175338-20260415-F880
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2026-05-08Record 175338-20260415-F851
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 175338-20240924-F550
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F558
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F698
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F758
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 175338-20240612-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-06-28Record 175338-20240612-F732
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 175338-20221005-F558
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 175338-20221005-F656
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 175338-20221005-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 175338-20221005-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 175338-20221005-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.56
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day3.43
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours3.19
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover47%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover38%
Facility
Kansas
National
Kansas 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.9% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.6% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 2.0% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 5.8% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.8% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.8% | 23.2% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Akkulugari, Shyam Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Belveal, Megan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Edwards, Amanda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Margulies, Zisha Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mrc SNF Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Akkulugari, Shyam Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baldwin City SNF Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Belveal, Megan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bhnv 2 LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bhnv Property Holdings 2 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bk 5 Hud Facilities LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goldstein, Avrohom Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kansas SNF Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kansas SNF Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mad Family Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mad Family Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Margulies, Zisha Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Midwest Recover-Care LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mrc SNF Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mrcmm LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Natr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Natr Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rarmna Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rarmna Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ratr Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ratr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Recover Care Healthcare Property 2 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Recover-Care Healthcare LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rnr Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rnr Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wetr Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Wetr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Recover-Care Healthcare — 27 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.
No county cost figures on file for Douglas.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Wellsville Manor Wellsville | 7.2 mi | 2026-05-21 | 0140 |
| Medicalodges Eudora Eudora | 12.4 mi | 2026-06-04 | 1203 |
| Rock Creek Of Ottawa Ottawa | 13.2 mi | 2026-01-27 | 0161 |
| Lawrence Presbyterian Manor Lawrence | 13.6 mi | 2026-02-18 | 1120 |
| Lawrence Memorial Hospital SNF Lawrence | 14.6 mi | 2024-10-14 | 170 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |