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Elder Care Record

Burlington Health and Rehabilitation CenterCMS ratings, inspections and fines

Address
677 E State St, Burlington, WI 53105
CCN
525482
Ownership type
For-profit, limited liability company
Certified beds
123
Chain
Champion Care
Residents per day
91
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating3 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Burlington Health and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 13 Aug 2025. The latest survey cycle has 28 health citations. The median for nursing homes in Wisconsin is 7. CMS lists 2 fines with a total of $371,858 for this home in its penalties file. CMS also lists 2 payment denials.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Burlington Health and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeRacine County medianWisconsin medianUS average (CMS)
Overall rating11.03.03.0
Health inspection rating11.03.02.8
Staffing rating33.04.02.9
Quality measure rating43.03.03.6

A median is the middle value of the homes in the group: 6 homes in the county, 323 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Burlington Health and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsWisconsin median
Cycle 1 (latest)13 Aug 2025287
Cycle 214 May 2024397
Cycle 3No date306

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 97 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyL0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 28 citations

Standard survey of this cycle: .

Health citations of Burlington Health and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
18 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigationDeficient, Provider has no plan of correction
18 Jun 2026F0850Hire a qualified full-time social worker in a facility with more than 120 beds.CComplaint investigationDeficient, Provider has no plan of correction
22 Dec 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation22 Jan 2026
13 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation12 Sep 2025
13 Aug 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint investigation12 Sep 2025
13 Aug 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard survey12 Sep 2025
13 Aug 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey12 Sep 2025
13 Aug 2025F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint investigation12 Sep 2025
13 Aug 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation12 Sep 2025
13 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Sep 2025
13 Aug 2025F0610Respond appropriately to all alleged violations.DStandard survey12 Sep 2025
13 Aug 2025F0641Ensure each resident receives an accurate assessment.EStandard survey12 Sep 2025
13 Aug 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey12 Sep 2025
13 Aug 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation12 Sep 2025
13 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation12 Sep 2025
13 Aug 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation12 Sep 2025
13 Aug 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation12 Sep 2025
13 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Sep 2025
13 Aug 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Sep 2025
13 Aug 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation12 Sep 2025
13 Aug 2025F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey12 Sep 2025
13 Aug 2025F0761Ensure 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.EStandard survey12 Sep 2025
13 Aug 2025F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DComplaint investigation12 Sep 2025
13 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation12 Sep 2025
13 Aug 2025F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey12 Sep 2025
13 Aug 2025F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint investigation12 Sep 2025
13 Aug 2025F0880Provide and implement an infection prevention and control program.FComplaint investigation12 Sep 2025
13 Aug 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation12 Sep 2025

Survey cycle 2: 39 citations

Standard survey of this cycle: .

Health citations of Burlington Health and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
26 Jun 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation22 Jul 2025
8 May 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation5 Jun 2025
8 May 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation5 Jun 2025
8 May 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation5 Jun 2025
8 May 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation5 Jun 2025
8 May 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint investigation5 Jun 2025
8 May 2025F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FComplaint investigation5 Jun 2025
8 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation5 Jun 2025
30 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation27 Feb 2025
3 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation31 Oct 2024
3 Oct 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint investigation31 Oct 2024
3 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation31 Oct 2024
3 Oct 2024F0610Respond appropriately to all alleged violations.EComplaint investigation31 Oct 2024
3 Oct 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation31 Oct 2024
3 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation31 Oct 2024
3 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation31 Oct 2024
3 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation31 Oct 2024
3 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation31 Oct 2024
3 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation31 Oct 2024
3 Oct 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation31 Oct 2024
3 Oct 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation31 Oct 2024
3 Oct 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation31 Oct 2024
3 Oct 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation31 Oct 2024
14 May 2024F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EStandard survey13 Jun 2024
14 May 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation13 Jun 2024
14 May 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey13 Jun 2024
14 May 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey13 Jun 2024
14 May 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey13 Jun 2024
14 May 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation5 Jul 2024
14 May 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Jun 2024
14 May 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey13 Jun 2024
14 May 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey13 Jun 2024
14 May 2024F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard survey13 Jun 2024
14 May 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey13 Jun 2024
14 May 2024F0760Ensure that residents are free from significant medication errors.DStandard survey13 Jun 2024
14 May 2024F0761Ensure 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.DStandard survey13 Jun 2024
14 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Jun 2024
14 May 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey13 Jun 2024
14 May 2024F0880Provide and implement an infection prevention and control program.DStandard survey13 Jun 2024

Survey cycle 3: 30 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Burlington Health and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
6 Jun 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation12 Jun 2024
2 Nov 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Dec 2023
2 Nov 2023F0610Respond appropriately to all alleged violations.DComplaint investigation6 Dec 2023
2 Nov 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation6 Dec 2023
2 Nov 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.JComplaint investigation6 Dec 2023
2 Nov 2023F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.JComplaint investigation6 Dec 2023
14 Sep 2023F05661) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.FComplaint investigation17 Oct 2023
14 Sep 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation17 Oct 2023
14 Sep 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation17 Oct 2023
14 Sep 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Dec 2023
14 Sep 2023F0610Respond appropriately to all alleged violations.EComplaint investigation6 Dec 2023
14 Sep 2023F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.KComplaint investigation17 Oct 2023
14 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation17 Oct 2023
14 Sep 2023F0730Observe each nurse aide's job performance and give regular training.EComplaint investigation17 Oct 2023
14 Sep 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.GComplaint investigation6 Dec 2023
14 Sep 2023F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EComplaint investigation17 Oct 2023
21 Mar 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey18 Apr 2023
21 Mar 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey18 Apr 2023
21 Mar 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey18 Apr 2023
21 Mar 2023F0610Respond appropriately to all alleged violations.DStandard survey18 Apr 2023
21 Mar 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey18 Apr 2023
21 Mar 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard survey18 Apr 2023
21 Mar 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey18 Apr 2023
21 Mar 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey18 Apr 2023
21 Mar 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey18 Apr 2023
21 Mar 2023F0758Implement 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.DStandard survey18 Apr 2023
21 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey18 Apr 2023
21 Mar 2023F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey18 Apr 2023
21 Mar 2023F0880Provide and implement an infection prevention and control program.FStandard survey18 Apr 2023
21 Mar 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey18 Apr 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Burlington Health and Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
14 May 2024Fine$86,790
14 May 2024Payment denial22
14 Sep 2023Fine$285,068
14 Sep 2023Payment denial53

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Burlington Health and Rehabilitation Center
StaffThis homeWisconsin medianWisconsin average (CMS)
All nurse staff3.584.004.21
Registered nurses (RN)0.720.900.99
Licensed practical nurses (LPN)0.820.64
Nurse aides2.042.58
All nurse staff, weekends3.323.603.77
Nurse staff turnover in a year
62.6%
Nurse staff turnover, Wisconsin median
46.2%
RN turnover in a year
50.0%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Burlington Health and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay3.4%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.1%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.2%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.7%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.0%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.6%14.4%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
The Bay at Burlington Health and Rehabilitation LLC
Chain
Champion Care (22 homes in the CMS chain file)
Organisations in the CMS ownership record of Burlington Health and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
The Bay at Burlington Health and Rehabilitation LLC5% or greater direct ownership interest1 Jul 2017
The Bay at Burlington Health and Rehabilitation LLCOperational/managerial control1 Feb 2017

The site shows organisations only. It does not show the names of persons.

Other homes in Racine County

The 5 nearest other nursing homes in Racine County, Wisconsin
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
WI Veterans Home-Boland HallSpecial Focus candidateUnion Grove119$281,17422 Apr 2026
Oak Ridge Care CenterUnion Grove36$118,7717 May 2025
Lincoln Park Nursing and Rehab LLCRacine18$182,61822 Apr 2026
Complete Care at Ridgewood LLCRacine38$012 Aug 2025
Ascension Living - Lakeshore at SienaRacine127$09 Feb 2026

All 6 nursing homes in Racine County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Burlington Health and Rehabilitation Center (CCN 525482). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/burlington-health-and-rehabilitation-center-burlington-wi-525482/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Burlington Health and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 18 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 14 May 2024.
Who operates Burlington Health and Rehabilitation Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Champion Care. The CMS ownership file names The Bay at Burlington Health and Rehabilitation LLC for operational or managerial control. This site does not show the names of persons.
Is Burlington Health and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.