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Nursing home report

Burlington Health and Rehabilitation Center

BURLINGTON, WI · Medicare-certified · 123 beds

Needs attention
Special Focus candidateFor-profitChain member
1 of 5 overall

Burlington Health and Rehabilitation Center in Burlington, WI has a 1-out-of-5 overall rating, with a 1-star health inspection rating and 2-star staffing rating. It is listed as a Special Focus Facility candidate, had $86,790 in fines in the last 24 months, and its reported nurse staffing of 3.48 hours per resident per day is below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.4768 hrs/resident/day

Quality measures

Last inspection: December 22, 2025Penalties, last 24 months: $86,790special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4768.

Staffing detail

Registered nurses
0.68
Licensed practical nurses
0.77
Nurse aides
2.03
Weekend nursing
3.16

Hours per resident per day.

Total staff turnover: 66%
Registered nurse turnover: 53%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

17.3%Improving

Residents with a fall causing major injury

3.2%Steady

Residents with pressure ulcers (bedsores)

5.5%Improving

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

5.2%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

1.8%Worsening

Residents whose ability to walk got worse

13.5%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

27.8%Improving

Short-stay residents newly given an antipsychotic

1.1%Improving

Residents with a long-term catheter

1.5%Steady

Residents with new or worsening incontinence

15.6%Steady

Residents with depressive symptoms

5.7%Worsening

Long-stay residents given the seasonal flu vaccine

97.6%Steady

Long-stay residents given the pneumonia vaccine

99%Worsening

Short-stay residents given the seasonal flu vaccine

80.4%Steady

Short-stay residents given the pneumonia vaccine

95.2%Improving

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K

The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited November 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 740 — 42 CFR §483.40 — S/S: J

The home failed to designate a physician to oversee resident care policies and coordinate medical care. Cited November 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 841 — 42 CFR §483.70(g) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited September 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 25 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $86,790 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $371,858 in total fines · 2 payment denials.

  • Medicare/Medicaid payment denial

    May 14, 2024

    22 days
  • Federal fine

    May 14, 2024

    $86,790
  • Medicare/Medicaid payment denial

    Sep 14, 2023

    53 days
  • Federal fine

    Sep 14, 2023

    $285,068

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of CHAMPION CARE · 21 homes · 2.2 stars avg
Occupancy
93.7 residents on an average day (76% of 123 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.