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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Burlington Health and Rehabilitation Center is praised for its premier nursing home services in Wisconsin. The dedicated team of professionals approaches their service with the understanding that their residents need a sense of safety and wellness– both physically and emotionally. As a proud member of the Champion Care community, expect the health and rehab center to support its residents to grow and recover as better individuals through their enhanced lifestyle in a vibrant and positive environment.
Burlington’s services and amenities include activities and programs that promote a continuum of growth and meaningful experiences that cultivate their golden years. Their essential amenities and services are available to residents, such as housekeeping and transportation services, dining areas and lounge areas, and a courtyard; services that include scheduled outings, calendar-filled activities, and specialized programs.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 110th out of 172 homes in Wisconsin. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 42m per day | ▼ 28% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 48m per day | ▲ 26% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 12m per day | ▼ 15% State avg: 2h 35m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 19m per day | ▼ 11% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ▼ 33% State avg: 39m per day · National avg: 29m per day |
Lower than the Wisconsin average: 70%Burlington Health and Rehabilitation Center is legally operated by Bay At Burlington Health And Rehabilitation Llc, and administrated by Michael Phillips.
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 106 | 12 | This facility has 783% more total deficiencies than a typical Wisconsin nursing home (106 vs. WI avg 12).↑ 783% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 35.3 | 4 | This facility has 783% more deficiencies per year than a typical Wisconsin nursing home (35.3 vs. WI avg 4).↑ 783% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 22, 2025, found deficiencies related to the facility’s failure to regularly offer alternate meals of equal nutritional value to residents who declined the originally served meal. Earlier inspections showed a pattern of multiple deficiencies involving resident dignity and respect, abuse reporting and investigation, infection control, medication management, and environmental cleanliness. Complaint investigations substantiated issues including delayed abuse reporting, inadequate behavioral health care, failure to protect residents from abuse including sexual abuse, and problems with pressure ulcer care and nutrition. Enforcement actions such as immediate jeopardy related to sexual abuse and failure to provide basic life support were noted in prior investigations but were later removed after corrective actions; fines or license suspensions were not listed in the available reports. The inspection history indicates ongoing challenges with compliance, though some corrective steps have been taken to address the most critical issues.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWisconsin average 6
Last Health inspection on Aug 2025
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
41 of 112 citations resulted from standard inspections; 62 of 112 resulted from complaint investigations; and 9 of 112 came from combined inspections (standard and complaint).
678% worse than Wisconsin averageWisconsin average: 0.9
233% worse than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
38% better than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
11,752 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 43 | 159 | 202 | 15,783 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 15 | 29 | 44 | 6,820 | 91 | 100% | 8.1 |
| Registered Nurse | 8 | 28 | 36 | 3,377 | 90 | 99% | 7.4 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,724 | 90 | 99% | 8.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 972 | 76 | 84% | 6.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 520 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 1 | 2 | 504 | 67 | 74% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 495 | 60 | 66% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 479 | 65 | 71% | 7.4 |
| Speech Language Pathologist | 0 | 1 | 1 | 437 | 68 | 75% | 6.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 243 | 43 | 47% | 5.7 |
| Qualified Social Worker | 0 | 2 | 2 | 114 | 20 | 22% | 5.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 48 | 17 | 19% | 2.7 |
| Medical Director | 0 | 1 | 1 | 34 | 12 | 13% | 2.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 23 | 10 | 11% | 2.3 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
334% higher than Wisconsin averageWisconsin average: $95K
45% more fines than Wisconsin averageWisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
202% more payment denials than Wisconsin averageWisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 14, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 14, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 14, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
23% better than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.1
36% better than Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
6.9%
61% better than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
19.3%
15% better than Wisconsin averageWisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.2%
38% better than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
55% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
7.6%
39% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.4%
89% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
5.2%
8% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
5.5%
8% worse than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
24.1%
50% worse than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Wisconsin averageWisconsin average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.98
23% worse than Wisconsin averageWisconsin average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.05
52% better than Wisconsin averageWisconsin average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
7% better than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
72% worse than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.4%
In line with Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.3%
15% better than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.6%
In line with Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.7%
33% worse than Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
40.4%
20% worse than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
23% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Burlington Health and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #37 / 177Payroll — State benchmarkedThis home is ranked 37th out of 177 homes in Wisconsin. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
1 mile from city center
— 6.25 miles to nearest hospital (Lakeview Specialty Hospital and Rehab)
Add your location
Burlington Health and Rehabilitation Center is located in Burlington, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
The legal owner and operator of Burlington Health and Rehabilitation Center is Bay At Burlington Health And Rehabilitation Llc.
Burlington Health and Rehabilitation Center has a walk score of 30. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Burlington Health and Rehabilitation Center's occupancy is 60%.
Michael Phillips is the administrator of Burlington Health and Rehabilitation Center.
Burlington Health and Rehabilitation Center has 123 beds.
(262) 763-9531 will put you in contact with the team at Burlington Health and Rehabilitation Center.
Burlington Health and Rehabilitation Center is in Racine County.
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