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.
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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 25 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
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.