Lilisity

Nursing home

Burlington Health and Rehabilitation Center

677 E State St, Burlington, WI 53105 · Map
For profit - Limited Liability company · Part of Champion Care (21 facilities) · 123 certified beds

Special Focus Facility candidate
Is this your facility? Claim this listing

Burlington Health and Rehabilitation Center is a Medicare-certified nursing home in Burlington, Wisconsin. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.70 hours per resident per day, below the Wisconsin average of 4.20. Its most recent inspection on Aug 13, 2025 cited 34 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.

1 out of 5Overall CMS rating
1 out of 5Health inspections
2 out of 5Staffing
123 bedsCertified beds
  • Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
  • 3 fines totaling $414,369In CMS records: 5 total penalties, 2 Medicare payment denials.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing2/5
Quality measures3/5
Long-stay quality4/5
Short-stay quality1/5

How Burlington Health and Rehabilitation Center compares

This facility vs. the Wisconsin and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityWisconsin avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.704.203.89below avg
RN staffing (hrs/resident/day)0.690.970.68below avg
Aide staffing (hrs/resident/day)2.212.592.34below avg
Nursing staff turnover65.2%47.7%46.4%above avg
Deficiencies cited, last inspection34.09.89.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.70Total nurse hrs/resident/day
0.69RN hrs/resident/day
0.80LPN hrs/resident/day
2.21Aide hrs/resident/day
3.35Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff65.2%
Registered nurses64.7%
Administrator changes2 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Aug 13, 2025Most recent inspection
34Deficiencies found
252Health inspection score
3Fines

Penalties in CMS records: 3 fines totaling $414,369, 5 total penalties, 2 Medicare payment denials.

What inspectors found at Burlington Health and Rehabilitation Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Nutrition and Dietary Deficiencies · Dec 22, 2025 · Full report (PDF)
  • Potential for harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Administration Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Aug 13, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Resident Rights Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Aug 13, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Nutrition and Dietary Deficiencies · Aug 13, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
677 E State St
Burlington, WI 53105
CMS certification #
525482
Ownership
For profit - Limited Liability company
Certified beds
123
Avg residents/day
89.5
Provider type
Medicare and Medicaid
First certified
1992-04-01
Chain
Champion Care (21 facilities)
Setting
Urban

Part of Champion Care

Champion Care operates 21 nursing facilities across the United States. View all Champion Care facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

Report a wrong fact

Location and nearby

Explore the area around Burlington Health and Rehabilitation Center using Google Maps.

Other public records

  • Workplace safety 3 OSHA workplace safety inspections since 2021, 1 violation cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • May 20, 2022: referral inspection, records only (health). Case closed Dec 13, 2023. 1 violation cited (1 other). Penalties: $1,233 proposed, $863 now. OSHA record. OSHA recorded the employer as The Bay at Burlington Health and Rehabilitation Center.
    Details
    • Other than serious: Electronic submission of injury and illness records (1904.41(a)(2)). Penalty $1,233 proposed, $863 now. To be fixed by Sep 16, 2022.
  • Apr 19, 2022: monitoring inspection, partial (health). Case closed Sep 9, 2022. No violations cited. OSHA record. OSHA recorded the employer as The Bay at Burlington Health and Rehabilitation Center.
  • Jan 28, 2021: complaint inspection, partial (health). Case closed May 19, 2025. No violations cited. OSHA record. OSHA recorded the employer as The Bay at Burlington Health and Rehabilitation Center.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Aurora Memorial Hospital Burlington, Burlington. 1.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Wi Veterans Home-boland Hall, Union Grove. 9.5 miles away, straight line.
Nearest home health agency office
Transitions Home Health, Elkhorn. 14.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
CVS Pharmacy. 9.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 53105 as micropolitan (micropolitan core).
Dialysis within 15 miles
Fresenius Medical Care Midwest Burlington, Burlington, 1.8 miles away, straight line (CMS rating 4 of 5 stars)
Davita Mukwonago Dialysis, Mukwonago, 12.4 miles away, straight line (CMS rating 1 of 5 stars)
Davita Lake Geneva Dialysis, Lake Geneva, 12.8 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
19 Medicare hospices tell CMS they serve ZIP code 53105.
Hospice Alliance, office in Pleasant Prairie, 18.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Moments Hospice Of Milwaukee, office in Mount Pleasant, 20.4 miles away, straight line
Holistic Hospice, office in Greenfield, 22.5 miles away, straight line
Nearest geriatric medicine practice
Advantage Physical Therapy And Sports Rehab, LLC, Kenosha. 18.4 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteNo plain statements of services found

Looking for assisted living or memory care instead?

Frequently asked questions

Is Burlington Health and Rehabilitation Center a good nursing home?

CMS gives Burlington Health and Rehabilitation Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Burlington Health and Rehabilitation Center staffed?

Burlington Health and Rehabilitation Center reports 3.70 total nurse hours per resident per day, compared with the Wisconsin average of 4.20.

Has Burlington Health and Rehabilitation Center had inspection problems?

Its most recent CMS inspection cited 34 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.

How many beds does Burlington Health and Rehabilitation Center have?

Burlington Health and Rehabilitation Center is certified for 123 beds.