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C
Below Standard

BALDWIN HEALTHCARE & REHAB CENTER, LLC

1223 ORCHARD LANE · BALDWIN CITY, KS 66006

7855946492 · For profit - Limited Liability company

60 beds49.5 residents108 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BALDWIN HEALTHCARE & REHAB CENTER, LLC receives an overall staffing grade of C (Below Standard). With 3.5609 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5375 HPRD, below the recommended 0.75. It is 0.34 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.04% compared to weekdays. The facility has low agency staff usage (4.76% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5375 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (5)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.76%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 8.04% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.5609hrs/resident/day▼ 0.34
CMS benchmark: 3.48
RN HPRD
0.5375hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
8.04%
3.6437 weekday → 3.3508 weekend
Agency Staff
4.76%
31.54% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9101hrs/resident/day
Direct care aides
LPN HPRD
0.5251hrs/resident/day
Licensed practical nurses
Consistency
0.28std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Douglas County Average-1.49 HPRD
5.05
03.56 HPRD
vs. Kansas State Average-0.52 HPRD
4.08
03.56 HPRD
vs. National Average-0.34 HPRD
3.90
03.56 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BALDWIN HEALTHCARE & REHAB CENTER, LLC ★
BALDWIN CITY · This facility
—
C
3.56090.5375★★★★★
WELLSVILLE MANOR
WELLSVILLE
7.2 mi
B
4.86420.737★★★★☆
ROCK CREEK OF OTTAWA
OTTAWA
13.2 mi
B
3.8110.8017★★★☆☆
Lawrence Presbyterian Manor
LAWRENCE
13.5 mi
A+
5.99951.3121★★★★★
MEADOWBROOK REHABILITATION HOSPITAL
GARDNER
14.2 mi
B
3.63110.8958★☆☆☆☆
LAWRENCE MEMORIAL HOSPITAL SNF
LAWRENCE
14.5 mi
A+
7.4183.1141★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
22
Total Deficiencies
$13,397
Fines Assessed
Sep 24, 2024Health
1 deficiency cited
▼
Jun 12, 2024Health
10 deficiencies cited
▼
Mar 14, 2023Health
1 deficiency cited· Includes actual harm
▼
Oct 5, 2022Health
5 deficiencies cited
▼
May 13, 2021Health
5 deficiencies cited
▼

Penalty History

Mar 14, 2023Fine
$13,397
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.