Nursing HomeInspections

Burlington Health and Rehabilitation Center

Nursing home in Burlington, WI

Medicare & Medicaid certified1★ overall (CMS)

Call (262) 763-9531Send a messageMap ↗

Public-record details

Address
677 E State St, Burlington, WI 53105
Phone
(262) 763-9531
Listed under
For-profit
Medicare CCN
525482
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
123
Average residents per day
91
Ownership
For-profit, limited Liability company
Legal business name
The Bay at Burlington Health and Rehabilitation LLC
Chain
Champion Care (22 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525482. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 13, 2025. CMS lists 97 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 21, 2023 to Jun 18, 2026): 60 from complaint inspections, 8 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 18, 2026Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration · complaint inspection
C
Potential for minimal harm, widespread
Jun 18, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 22, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Honor 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…
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 13, 2025Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Aug 13, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 13, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Provide 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.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 97. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $371,858 and 2 denials of Medicare payment for new admissions in the last three years.

May 14, 2024Fine: $86,790
May 14, 2024Payment denial for 22 days from Jun 13, 2024
Sep 14, 2023Fine: $285,068
Sep 14, 2023Payment denial for 53 days from Oct 14, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.58 hours
Registered nurse (RN) time per resident per day
0.72 hours
Nurse aide time per resident per day
2.04 hours
Total nurse staffing on weekends
3.32 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
50%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.