Burlington Rehabilitation And Care Center - Burlington Nursing Home

General Information

UPDATE
Federal Provider Number
525482
Provider Name
BURLINGTON REHABILITATION AND CARE CENTER
Provider Address
677 E STATE ST
BURLINGTON, WI 53105
Provider Phone Number
2627639531
Provider SSA County
500
Provider County Name
Racine
Ownership Type
For profit - Corporation
Number of Certified Beds
155
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNT CARMEL HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16188
Reported LPN Staffing Hours per Resident per Day
0.89406
Reported RN Staffing Hours per Resident per Day
0.54604
Reported Licensed Staffing Hours per Resident per Day
1.44010
Reported Total Nurse Staffing Hours per Resident per Day
3.60198
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08465
Expected CNA Staffing Hours per Resident per Day
2.58611
Expected LPN Staffing Hours per Resident per Day
0.70686
Expected RN Staffing Hours per Resident per Day
1.18443
Expected Total Nurse Staffing Hours per Resident per Day
4.47740
Adjusted CNA Staffing Hours per Resident per Day
2.05119
Adjusted LPN Staffing Hours per Resident per Day
1.04981
Adjusted RN Staffing Hours per Resident per Day
0.34447
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24278
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
16
Cycle 3 Health Deficiency Score
176
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
176
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
18
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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