All citations for Burlington Health and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Burlington Health and Rehabilitation Center

Last standard health inspection on record

August 13, 2025

Showing 26 to 50 of 87 citations

  1. No harm, with potential for more than minimal harm

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0559, Resident Rights Deficiencies. Inspection of May 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  2. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of May 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2024).

  3. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2023).

  4. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2023).

  5. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  6. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of December 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  7. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  8. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  9. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  10. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  11. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  12. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  13. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  14. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  15. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  17. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  18. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  19. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  20. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  21. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0849, Administration Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  23. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2025).

  24. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2025).

  25. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.