Burnett Medical Center

Name: Burnett Medical Center
Address: 257 W ST GEORGE AVE, Grantsburg, WI, 54840, US
Telephone: 7154635353

257 W St George Ave, Grantsburg, WI 54840 · Burnett County · 50 certified beds · avg 27 residents/day · certified since Mar 1, 1995

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.84

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 29, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jun 29, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Apr 29, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 29, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jan 29, 2026	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 29, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 8, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint
Jan 8, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Oct 29, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Oct 23, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 23, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 23, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 23, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Oct 23, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 23, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 23, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 23, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 23, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 27, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Dec 27, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 18, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 26, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 6).

Year	Citations	Worst severity that year
2023	10	E
2024	9	F
2025	1	D
2026	13	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Wisconsin avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.84	4.29	3.95	top 8% in Wisconsin; top 5% in the U.S.
Registered Nurse hours	1.39	1.01	0.69	top 14% in Wisconsin; top 6% in the U.S.
Weekend total nurse staffing	4.75	3.84	3.50	top 15% in Wisconsin; top 9% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.71	0.68	0.48	top 39% in Wisconsin; top 16% in the U.S.
Total nursing staff turnover (%)	51.4	46.9	45.8	bottom 36% in Wisconsin; bottom 33% in the U.S.
RN turnover (%)	50.0	39.7	42.9	bottom 36% in Wisconsin; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.45, RN 1.30, weekend 4.43. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Anderson, Abigail	Individual	Operational/Managerial Control	NOT APPLICABLE	04/06/2020
Anderson, Abigail	Individual	ADP of the SNF	NOT APPLICABLE	04/06/2020
Bremer Bank, National Association	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	03/23/2007
Carlson, Lois	Individual	Corporate Director	NOT APPLICABLE	01/21/2020
Carlson, Lois	Individual	Trustee of the SNF	NOT APPLICABLE	01/21/2020
Carlson, Lois	Individual	ADP of the SNF	NOT APPLICABLE	01/21/2020
Cura Hospitality, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/16/2007
Cura Hospitality, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/16/2025
Dahlberg, David	Individual	Corporate Officer	NOT APPLICABLE	01/21/2025
Dahlberg, David	Individual	Trustee of the SNF	NOT APPLICABLE	01/21/2025
Dahlberg, David	Individual	ADP of the SNF	NOT APPLICABLE	01/21/2025
Hoefs, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	02/09/2024
Jensen, Tanya	Individual	Corporate Director	NOT APPLICABLE	01/21/2025
Jensen, Tanya	Individual	Trustee of the SNF	NOT APPLICABLE	01/21/2025
Jensen, Tanya	Individual	ADP of the SNF	NOT APPLICABLE	01/21/2025
Kutz, Kenneth	Individual	Corporate Officer	NOT APPLICABLE	01/21/2025
Kutz, Kenneth	Individual	Trustee of the SNF	NOT APPLICABLE	01/21/2025
Kutz, Kenneth	Individual	ADP of the SNF	NOT APPLICABLE	01/21/2025
Larson, Leann	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Larson, Leann	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Frederic Nursing and Rehab Community	14.0 mi	Frederic, WI	★★★☆☆	3/5
The Estates at Rush City LLC	14.7 mi	Rush City, MN	★★☆☆☆	3/5
United Pioneer Home	17.4 mi	Luck, WI	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Grantsburg →

Facility data as of CMS processing date 2026-08-01. CCN 525558.

The Care File

Visit checklist — Burnett Medical Center

257 W St George Ave, Grantsburg, WI 54840 · 7154635353

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525558 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)