Burlington Health And Rehabilitation Center
Nursing home · 677 E STATE ST, Burlington, WI 53105 · Racine County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 123
- State license
- 3239
- Medicare CCN
- 525482
- Licensed entity
- THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC
- Chain
- CHAMPION CARE
- Ownership
- For profit - Limited Liability company
- Phone
- (262) 763-9531
- Nurse staffing
- 3.58 hours per resident per day; 62.6% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 3★ · Quality 4★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- May 14, 2024 — Payment Denial · payment denial 22 days
- May 14, 2024 — Fine ($86,790)
- Sep 14, 2023 — Fine ($285,068)
- Sep 14, 2023 — Payment Denial · payment denial 53 days
Inspection findings
-
Jun 18, 2026 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS health inspection
-
Not serious
Scope/severity C
Complaint
F0850 Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 22, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0806 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Jan 22, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 13, 2025 Health · 29 findings
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0561 Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0576 Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor 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 directive.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0584 Resident Rights Deficiencies
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.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0688 Quality of Life and Care Deficiencies
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.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0700 Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0803 Nutrition and Dietary Deficiencies
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.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0849 Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0851 Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0925 Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Sep 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0271 Egress Deficiencies
Have exits that are accessible at all times.
Corrected Sep 12, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Sep 12, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Sep 12, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Sep 12, 2025 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
-
Jun 26, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 8, 2025 Health · 7 findings
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0801 Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0803 Nutrition and Dietary Deficiencies
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.
Corrected Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 30, 2025 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Feb 27, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Oct 3, 2024 Health · 14 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0585 Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0661 Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 6, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0745 Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Jun 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 14, 2024 Fire Safety · 23 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Jun 14, 2024 · CMS fire safety
-
Not serious
Scope/severity E
F0559 Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0644 Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0685 Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Corrected Jun 13, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jul 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0693 Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0700 Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0849 Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 13, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected May 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Jun 11, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jun 6, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Jun 7, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Jun 4, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Jun 4, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Mar 27, 2024 Fire Safety · 1 finding
-
Not serious
Scope/severity F
Complaint
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Apr 17, 2024 · CMS fire safety
-
Not serious
Scope/severity F
Complaint
-
Nov 2, 2023 Health · 5 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Dec 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Dec 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0623 Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Dec 6, 2023 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0740 Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected Dec 6, 2023 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0841 Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected Dec 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 14, 2023 Health · 10 findings
-
Not serious
Scope/severity F
Complaint
F0566 Resident Rights Deficiencies
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
Corrected Oct 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Oct 17, 2023 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Oct 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Dec 6, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Dec 6, 2023 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0678 Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Oct 17, 2023 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 17, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0730 Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Corrected Oct 17, 2023 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0740 Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected Dec 6, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0838 Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected Oct 17, 2023 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
-
Mar 21, 2023 Health · 25 findings
-
Not serious
Scope/severity D
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 18, 2023 · CMS health inspection
-
Serious
Scope/severity J
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0838 Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Apr 18, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Mar 4, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Mar 2, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0281 Egress Deficiencies
Install proper backup exit lighting.
Corrected Mar 4, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Mar 2, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Apr 19, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Mar 2, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Mar 2, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Mar 2, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Apr 11, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Mar 2, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Apr 10, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- RUVEL, MENACHEM — 5% or greater direct ownership interest, since 02/01/2018
- RUVEL, MENACHEM — corporate director, NOT APPLICABLE, since 02/01/2018
- RUVEL, MENACHEM — operational/managerial control, NOT APPLICABLE, since 02/01/2018
- WEINBERG, YISROEL — corporate director, NOT APPLICABLE, since 02/01/2018
- WEINBERG, YISROEL — 5% or greater direct ownership interest, since 02/01/2018
- WEINBERG, YISROEL — w-2 managing employee, NOT APPLICABLE, since 02/01/2018
- THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2017
- THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC — 5% or greater direct ownership interest, since 07/01/2017
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.