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Complaint Investigation

Burlington Health And Rehabilitation Center

Inspection Date: August 13, 2025
Total Violations 16
Facility ID 525482
Location BURLINGTON, WI
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0550 during a complaint investigation conducted on 2025-08-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0561

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0561 during a complaint investigation conducted on 2025-08-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0584 during a complaint investigation conducted on 2025-08-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-08-13.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2025-08-13.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0677 during a complaint investigation conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0686 during a complaint investigation conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0688

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0688 during a complaint investigation conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0697

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0697 during a complaint investigation conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0803

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0803 during a complaint investigation conducted on 2025-08-13.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0812 during a complaint investigation conducted on 2025-08-13.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0851

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0851 during a complaint investigation conducted on 2025-08-13.

Category: Administration Deficiencies

The facility was found deficient in the following area: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-08-13.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

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F-Tag F0925

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI for a deficiency under regulatory tag F-F0925 during a complaint investigation conducted on 2025-08-13.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 16 deficiencies cited during this inspection of BURLINGTON HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.

πŸ“‹ Inspection Summary

BURLINGTON HEALTH AND REHABILITATION CENTER in BURLINGTON, WI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BURLINGTON, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BURLINGTON HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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