Burnett Medical Center
BURNETT MEDICAL CENTER in GRANTSBURG, WI — inspection on October 29, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
following provider orders.On 10/28/25 at 3:58 PM, Surveyor interviewed LPN E asking about blood
nothing in R1's MAR to state when to call the physician. If the blood glucose meter would read ?high',
and would be down to 350. If R1 was low, staff would give 2 glucose tabs and would check blood sugar in 10 to 15 minutes later. LPN E stated she did not notify the physician when R1's blood sugar was out of range. R1 would request the amount of insulin R1 wanted and would then administer that amount. LPN E stated the physician was not notified when insulin was not given as ordered. LPN E stated did not receive education at the facility for when blood sugars are out range and when to notify the physician. On 10/29/25 at 10:36 AM, Surveyor interviewed Interim Chief Executive Officer (CEO) D regarding R1's care. CEO D stated there is no question that the expectation is for nurses to follow the provider's orders.
Staff would be expected to communicate with the provider if a resident refuses medications or with changes in blood sugars, especially with a brittle diabetic like R1. CEO D stated the facility can definitely do better in this area.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.