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BURNETT MEDICAL CENTER

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BURNETT MEDICAL CENTER is a non profit - corporation facility in GRANTSBURG, WI with 50 certified beds and a 2-star overall CMS rating. The facility has 27 deficiency records on file.

257 W ST GEORGE AVE, GRANTSBURG, WI 54840

Phone: 7154635353

Overall Rating

2/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
525558
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
50
Residents
24
In Hospital
Yes
County
Burnett
Last Inspection
Oct 23, 2024

Staffing Data

RN Hours
1.25 (nat'l avg: 0.68)
LPN Hours
1.43
CNA Hours
2.93
Total Nursing Hours
5.62 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
54.3%
RN Turnover
57.1%

What the CMS Record Reveals About BURNETT MEDICAL CENTER

BURNETT MEDICAL CENTER operates 50 certified beds in GRANTSBURG, WI with approximately 24 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 27 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.62 total nursing hours per resident day (national average 3.89), with RN coverage at 1.25 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, BURNETT MEDICAL CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 54.3%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (27 most recent)

D — Isolated - Minimal harm Oct 29, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 11, 2025

F — Widespread - Minimal harm Oct 23, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 22, 2024

E — Pattern - Minimal harm Oct 23, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 23, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 23, 2024 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 23, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 23, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 23, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 23, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 23, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Dec 27, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 18, 2024

D — Isolated - Minimal harm Dec 27, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 18, 2024

D — Isolated - Minimal harm Sep 18, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 19, 2023

E — Pattern - Minimal harm Jul 26, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 26, 2023

D — Isolated - Minimal harm Jul 26, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 26, 2023

D — Isolated - Minimal harm Jul 26, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 26, 2023

D — Isolated - Minimal harm Jul 26, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 26, 2023

D — Isolated - Minimal harm Jul 26, 2023 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 26, 2023

D — Isolated - Minimal harm Jul 26, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 26, 2023

D — Isolated - Minimal harm Jul 26, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 26, 2023

E — Pattern - Minimal harm Jun 16, 2022 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Aug 1, 2022

E — Pattern - Minimal harm Jun 16, 2022 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2022

D — Isolated - Minimal harm Jun 16, 2022 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2022

E — Pattern - Minimal harm Jun 16, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2022

F — Widespread - Minimal harm Jun 16, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2022

D — Isolated - Minimal harm Jun 16, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Aug 1, 2022

E — Pattern - Minimal harm Jun 16, 2022 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 32.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 62.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 78.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 7.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for BURNETT MEDICAL CENTER?
BURNETT MEDICAL CENTER has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (1★).
What are the staffing levels at BURNETT MEDICAL CENTER?
BURNETT MEDICAL CENTER reports 5.62 total nursing hours per resident day (national average: 3.89). RN hours are 1.25 per resident day (national average: 0.68). Nursing staff turnover is 54.3%.
How many beds does BURNETT MEDICAL CENTER have?
BURNETT MEDICAL CENTER has 50 certified beds with approximately 24 residents. The facility is located at 257 W ST GEORGE AVE, GRANTSBURG, WI 54840.
Does BURNETT MEDICAL CENTER have any deficiencies on record?
Yes, BURNETT MEDICAL CENTER has 27 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has BURNETT MEDICAL CENTER received any fines or penalties?
No, BURNETT MEDICAL CENTER has no fines or penalties on record.
Who owns BURNETT MEDICAL CENTER?
BURNETT MEDICAL CENTER is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was BURNETT MEDICAL CENTER last inspected?
The most recent health inspection for BURNETT MEDICAL CENTER was on Oct 23, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for BURNETT MEDICAL CENTER?
BURNETT MEDICAL CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial