Starfile / Wisconsin

BURLINGTON HEALTH AND REHABILITATION CENTER

677 E STATE ST, BURLINGTON, WI 53105 · CCN 525482

SFF Candidate

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$414,369

Number of fines

3

Number of penalties

5

Payment denials

2

Chain

Chain

CHAMPION CARE

Facilities in chain

21

Chain avg overall

2.10 / 5

Inspection citations (95)6 immediate jeopardy2 actual harm

1. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-12-22 · Health · corrected 2026-01-22

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

3. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

4. FF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

5. DF0578Honor 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.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

6. DF0584Honor 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.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

7. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

9. DF0610Respond appropriately to all alleged violations.2025-08-13 · Health · corrected 2025-09-12

   Potential for more than minimal harm

10. EF0641Ensure each resident receives an accurate assessment.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

11. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

12. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

13. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

14. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

15. DF0688Provide 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.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

17. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

18. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

19. DF0700Try 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.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

20. EF0761Ensure 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.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

21. DF0803Ensure 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.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

22. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

23. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

24. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

25. FF0880Provide and implement an infection prevention and control program.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

26. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-13 · Health · corrected 2025-09-12

    Potential for more than minimal harm

27. DF0880Provide and implement an infection prevention and control program.2025-06-26 · Health · corrected 2025-07-22

    Potential for more than minimal harm

28. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-05-08 · Health · corrected 2025-06-05

    Potential for more than minimal harm

29. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-08 · Health · corrected 2025-06-05

    Potential for more than minimal harm

30. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-08 · Health · corrected 2025-06-05

    Potential for more than minimal harm

31. DF0760Ensure that residents are free from significant medication errors.2025-05-08 · Health · corrected 2025-06-05

    Potential for more than minimal harm

32. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-05-08 · Health · corrected 2025-06-05

    Potential for more than minimal harm

33. FF0803Ensure 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.2025-05-08 · Health · corrected 2025-06-05

    Potential for more than minimal harm

34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-08 · Health · corrected 2025-06-05

    Potential for more than minimal harm

35. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

36. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

37. EF0585Honor 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.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

38. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

39. EF0610Respond appropriately to all alleged violations.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

40. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

42. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

43. DF0692Provide enough food/fluids to maintain a resident's health.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

44. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

45. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

46. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

47. DF0759Ensure medication error rates are not 5 percent or greater.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

48. DF0760Ensure that residents are free from significant medication errors.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

49. DF0880Provide and implement an infection prevention and control program.2024-10-03 · Health · corrected 2024-10-31

    Potential for more than minimal harm

50. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-06-06 · Health · corrected 2024-06-12

    Potential for more than minimal harm

51. EF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

52. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

53. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

54. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

55. DF0685Assist a resident in gaining access to vision and hearing services.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

56. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-14 · Health · corrected 2024-07-05

    Actual harm

57. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

58. DF0693Ensure 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.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

59. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

60. EF0700Try 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.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

61. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

62. DF0760Ensure that residents are free from significant medication errors.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

63. DF0761Ensure 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.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

64. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

65. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

66. DF0880Provide and implement an infection prevention and control program.2024-05-14 · Health · corrected 2024-06-13

    Potential for more than minimal harm

67. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-02 · Health · corrected 2023-12-06

    Potential for more than minimal harm

68. DF0610Respond appropriately to all alleged violations.2023-11-02 · Health · corrected 2023-12-06

    Potential for more than minimal harm

69. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-02 · Health · corrected 2023-12-06

    Potential for more than minimal harm

70. JF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-11-02 · Health · corrected 2023-12-06

    Immediate jeopardy

71. JF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2023-11-02 · Health · corrected 2023-12-06

    Immediate jeopardy

72. FF05661) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.2023-09-14 · Health · corrected 2023-10-17

    Potential for more than minimal harm

73. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-14 · Health · corrected 2023-10-17

    Potential for more than minimal harm

74. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-14 · Health · corrected 2023-10-17

    Immediate jeopardy

75. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-14 · Health · corrected 2023-12-06

    Potential for more than minimal harm

76. EF0610Respond appropriately to all alleged violations.2023-09-14 · Health · corrected 2023-12-06

    Potential for more than minimal harm

77. KF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-09-14 · Health · corrected 2023-10-17

    Immediate jeopardy

78. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-14 · Health · corrected 2023-10-17

    Immediate jeopardy

79. EF0730Observe each nurse aide's job performance and give regular training.2023-09-14 · Health · corrected 2023-10-17

    Potential for more than minimal harm

80. GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-09-14 · Health · corrected 2023-12-06

    Actual harm

81. EF0838Conduct 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.2023-09-14 · Health · corrected 2023-10-17

    Potential for more than minimal harm

82. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

83. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

84. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

85. DF0610Respond appropriately to all alleged violations.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

86. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

87. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-21 · Health · corrected 2023-04-18

    Immediate jeopardy

88. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

89. DF0692Provide enough food/fluids to maintain a resident's health.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

90. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

91. DF0758Implement 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.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

92. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

93. FF0838Conduct 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.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

94. FF0880Provide and implement an infection prevention and control program.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

95. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-21 · Health · corrected 2023-04-18

    Potential for more than minimal harm

Ownership

Other facilities in BURLINGTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.