Baldwin Healthcare & Rehab Center, LLC
1223 Orchard Lane, Baldwin City, KS 66006 · Douglas County · 60 certified beds · avg 53 residents/day · certified since Jan 1, 1995
Part of chain: RECOVER-CARE HEALTHCARE (27 facilities, chain avg rating 2.4★)
5/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.31
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 15, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Apr 15, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Apr 15, 2026 | C · Minimal risk, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Sep 24, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jun 12, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 12, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint |
| Jun 12, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| Oct 5, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 5, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Oct 5, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 5, 2022 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Oct 5, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | F |
| 2024 | 11 | 0 | E |
| 2026 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.31 | 4.58 | 3.95 | bottom 11% in Kansas; bottom 27% in the U.S. |
| Registered Nurse hours | 0.54 | 0.81 | 0.69 | bottom 23% in Kansas; bottom 43% in the U.S. |
| Weekend total nurse staffing | 3.07 | 4.05 | 3.50 | bottom 16% in Kansas; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.49 | 0.48 | bottom 21% in Kansas; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 46.7 | 48.1 | 45.8 | top 48% in Kansas; bottom 45% in the U.S. |
| RN turnover (%) | 37.5 | 42.0 | 42.9 | top 42% in Kansas; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.43, RN 0.56, weekend 3.19. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| BHNV 2 LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Goldstein, Avrohom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Kansas SNF Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Mad Family Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Margulies, Zisha | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Midwest Recover-Care LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| MRCMM LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Natr Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Rarmna Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Ratr Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Recover-Care Healthcare LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| RNR Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Wetr Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Akkulugari, Shyam | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2025 |
| Akkulugari, Shyam | Individual | ADP of the SNF | NOT APPLICABLE | 03/25/2025 |
| Baldwin City SNF Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/19/2025 |
| Belveal, Megan | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/07/2022 |
| Belveal, Megan | Individual | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| BHNV Property Holdings 2 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| BK 5 Hud Facilities LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/19/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Wellsville Manor | 7.2 mi | Wellsville, KS | ★★★☆☆ | 3/5 | |
| Medicalodges Eudora | 12.4 mi | Eudora, KS | ★☆☆☆☆ | 1/5 | |
| Rock Creek of Ottawa | 13.2 mi | Ottawa, KS | ★★★☆☆ | 2/5 | |
| Lawrence Presbyterian Manor | 13.6 mi | Lawrence, KS | ★★★☆☆ | 3/5 | |
| Meadowbrook Rehabilitation Hospital | 14.2 mi | Gardner, KS | ★☆☆☆☆ | 1/5 | |
| Lawrence Memorial Hospital SNF | 14.6 mi | Lawrence, KS | ★★★☆☆ | 3/5 | |
| Pioneer Ridge Retirement Community | 14.7 mi | Lawrence, KS | ★☆☆☆☆ | 1/5 | |
| Hillside Village of de Soto Rehabilitation and Nur | 18.4 mi | De Soto, KS | ★★★★★ | 4/5 | |
| Evergreen Community of Johnson County | 19.1 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Brookside Retirement Community | 19.6 mi | Overbrook, KS | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 175338.