Burlington Health and Rehabilitation Center

Racine · WI · For profit - Limited Liability company · CHAMPION CARE chain · 123 certified beds · CCN 525482 · THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC


Burlington Health and Rehabilitation Center operates 123 certified beds in BURLINGTON, Wisconsin. Its Medicare and Medicaid certification dates to 1992-04-01. It averages 90.8 residents a day.

What harm was found in the violations cited at Burlington Health and Rehabilitation Center?

CMS lists 97 health-inspection deficiencies for Burlington Health and Rehabilitation Center since 2023-03-21, 83 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-18.

Survey dateTagDeficiencySeverity
2026-06-18F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2026-06-18F0850Hire a qualified full-time social worker in a facility with more than 120 beds.C
2025-12-22F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2025-08-13F0576, F0812, F0851, F0880, F0925Ensure residents have reasonable access to and privacy in their use of communication methods. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-08-13F0600, F0641, F0677, F0684, F0761Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.E
2025-08-13F0550, F0561, F0578, F0584, F0609, F0610, F0645, F0686, F0688, F0689, F0695, F0697, F0700, F0803, F0849Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor 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. / Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Try 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. / Ensure 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. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2025-06-26F0880Provide and implement an infection prevention and control program.D
2025-05-08F0801, F0803, F0812Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-05-08F0554, F0698, F0755, F0760Allow residents to self-administer drugs if determined clinically appropriate. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors.D
2025-01-30F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-10-03F0585, F0610, F0755Honor 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. / Respond appropriately to all alleged violations. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-10-03F0580, F0609, F0661, F0684, F0689, F0692, F0695, F0757, F0759, F0760, F0880Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.D
2024-06-06F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D
2024-05-14F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-05-14F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-05-14F0559, F0700Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Try 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.E
2024-05-14F0609, F0644, F0655, F0685, F0690, F0693, F0698, F0756, F0760, F0761, F0849, F0880Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / 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. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide and implement an infection prevention and control program.D
2023-11-02F0740, F0841Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.J
2023-11-02F0609, F0610, F0623Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D
2023-09-14F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.K
2023-09-14F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-09-14F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.G
2023-09-14F05661) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.F
2023-09-14F0610, F0730, F0838Respond appropriately to all alleged violations. / Observe each nurse aide's job performance and give regular training. / Conduct 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.E
2023-09-14F0580, F0609Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-03-21F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2023-03-21F0812, F0838, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Conduct 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. / Provide and implement an infection prevention and control program.F
2023-03-21F0607, F0757Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure each resident’s drug regimen must be free from unnecessary drugs.E
2023-03-21F0600, F0609, F0610, F0684, F0689, F0692, F0758, F0883Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Implement 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was Burlington Health and Rehabilitation Center fined 2 times?

DateTypeAmount
2024-05-14Fine$86,790
2023-09-14Fine$285,068

Has Burlington Health and Rehabilitation Center had payment denied by Medicare more than once?

Payment denial startLength in days
2024-06-1322
2023-10-1453

How is Burlington Health and Rehabilitation Center staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.575284.21234
Total nursing staff turnover (%)62.646.9
Average number of residents per day90.854.8

Who owns Burlington Health and Rehabilitation Center, and what chain is it in?

Burlington Health and Rehabilitation Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC and belongs to the CHAMPION CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTTHE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC, RUVEL, MENACHEM, WEINBERG, YISROELsince 02/01/2018
W-2 MANAGING EMPLOYEEWEINBERG, YISROELsince 02/01/2018
CORPORATE DIRECTORRUVEL, MENACHEM, WEINBERG, YISROELsince 02/01/2018
OPERATIONAL/MANAGERIAL CONTROLTHE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC, RUVEL, MENACHEMsince 02/01/2017

Were you or a family member harmed at Burlington Health and Rehabilitation Center?