Deficiency Index

Baldwin Care Center

Baldwin, Wisconsin · CCN 525502

14 surveys since 2011, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
87
Surveys
14
Harm or worse
4
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
50
Ownership
Non profit - Corporation
Chain
Independent
County
St. Croix
Medicare-certified since
1993

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 52 not-for-profit facilities with fewer than 66 beds in Wisconsin.

Last survey on record

Dec 10, 2025

334 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.244.48
Registered-nurse hours per resident day1.08—
Annual nurse turnover52.3%49.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1473.7%E—F526.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 87 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

  • F7612×

    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.

In the surveyor’s words

From the most serious findings on record at Baldwin Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Dec 10, 2025

    Based on observation, staff interview and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 30 residents residing in the facility. Dietary [NAME] G did not monitor that dishes were being washed with the minimum requirement of 120 degrees Fahrenheit for proper sanitization of dishes. Findings include:Surveyor reviewed facility policy titled, Dish Machine Temperature, dated revised on 04/2024, stated in part: .-9. If the temperature gauge on the machine malfunctions, staff will need to clean the dishes twice, once via 120 temperature water and dawn dish soap and then run the dishes through the dish machine. […]

  • No harm, potential for more than minimal, widespreadF925Dec 10, 2025

    Based on observation and interview, the facility failed to maintain an effective pest control program so the facility is free of rodents with the potential to affect all 30 residents.Surveyor observed mouse droppings in the dry storage room located in the kitchen area.This is evidenced by:Surveyor reviewed facility policy titled, Pest Control, dated revised on 09/30/2024, which stated in part: .-Purpose: To reduce the potential of specific pest problems within the facility.Policy: Maintenance staff will monitor all parts of the building for prevention and elimination of any insects and/or rodents in a safe, efficient manner.Procedure: A specific pest control service plan will always be in place at facility. […]

  • No harm, potential for more than minimal, widespreadF812Aug 8, 2024

    Based on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility did not adequately clean light fixtures that were placed above serving areas. The facility did not ensure staff used proper hand hygiene when distributing food. This has the ability to affect all 39 of 39 residents residing in the facility. Findings include: The facility policy entitled, Use of Plastic Gloves, dated 05/05/21 states, 3. REMEMBER GLOVES ARE JUST LIKE HANDS. THEY GET SOILED. ANYTIME YOU TOUCH A CONTAMINATED SURFACE, THE GLOVES MUST BE CHANGED . f. anytime you tough a contaminated surface. g. […]

  • No harm, potential for more than minimal, widespreadF880Aug 8, 2024

    Based on observation, interview and record review, the facility did not establish an Infection Control Program under which it investigates, controls, and prevents infections in the facility, and a system for recording incidents identified under the facility's Infection Control Program, including corrective action in a timely manner, for both residents and staff. This has the potential to affect all 39 residents in the facility. -The facility did not have a tracking program in place for the early detection of infected and exposed residents (R) and staff for COVID-19 and Norovirus during an outbreak. -Certified Nursing Assistant (CNA) did not perform hand hygiene during water pass that affected all residents. […]

  • No harm, potential for more than minimal, widespreadF812Aug 17, 2023

    Based on observation, interview and record review, the facility did not prepare, distribute and serve food in a manner that prevents foodborne illness to 33 out of 33 residents reviewed. Kitchen staff did not check the temperature of a reheated piece of left-over chicken after cooking in the microwave and served to R10. Dietary Aide touched bun with dirty gloves when serving meals in the Whispering Pines kitchenette. This affected all 17 residents (R) served meals from that area. (R10, R21, R6, R8, R4, R13, R33, R28, R34, R18, R23, R14, R2, R29, R16, R12, R5) The facility did not ensure the foods were served at safe temperatures in accordance with professional standards for food safety. […]

Read 24 findings in full →The most serious and the most recent: 24 of 87 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 10, 2025Standard6 findings
  • Aug 8, 2024Standard5 findings
  • Aug 17, 2023Standard8 findings
  • Aug 10, 2022Standard1 finding
  • Jun 3, 2021Standard2 findings
  • May 15, 2019Standard4 findings
  • Apr 4, 2018Standard6 findings
  • Mar 16, 2017Standard3 findings
Show the 6 earlier surveys
  • Mar 22, 2016Standard17 findings · 1 harm
  • Jan 29, 2015Standard6 findings
  • Mar 5, 2014—4 findings
  • Jan 30, 2013—18 findings · 1 harm
  • Nov 10, 2011—6 findings · 1 harm
  • May 10, 2011—1 finding · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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