Burleson Nursing and Rehabilitation Center
Burleson, Texas · CCN 675144
25 surveys since 2010, 8 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 58
- Surveys
- 25
- Harm or worse
- 8
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Corporation
- Chain
- AVIR HEALTH GROUP
- County
- Johnson
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Nov 21, 2025
353 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.87 | 3.25 |
| Registered-nurse hours per resident day | 0.39 | — |
| Annual nurse turnover | 56.4% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1157.9% | E736.8% | F15.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5582×
Reasonably accommodate the needs and preferences of each resident.
- F8802×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5611×
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
In the surveyor’s words
From the most serious findings on record at Burleson Nursing and Rehabilitation Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Aug 15, 2024
Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed, in that: The facility failed to ensure that the cucumbers in the facility's refrigerator, were placed in a sealed container according to guidelines. The facility failed to ensure that the dented cans were removed and separated from the other canned food. The facility failed to ensure that the dust on the air filters and air vents in the kitchen were cleaned. […]
- No harm, potential for more than minimal, patternF761Nov 21, 2025
Based on observation, interview, and record review the facility did not provide drugs and related services needed by each resident for 1of 1 medication storage rooms and 1 of 3 medication carts (Medication Cart A) reviewed for medication storage. The facility failed to ensure:- expired medication administration supplies was removed from the medication storage room- opened resident medications was dated on the date they were opened. This failure could place residents at risk for ineffective treatments, infections, or not receiving the therapeutic benefit of the medication.Observation on 9/22/25 at 2:45 PM of the E Hall Nurse medication cart revealed the following medications were opened for use and did not have a date indicating when they were opened: 1 Albuterol 90 MCG Inhalers opened and… […]
- No harm, potential for more than minimal, patternF812Nov 21, 2025
Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food storage, food safety, and nutrition services for 1 of 1 kitchen. The facility failed to ensure food items were labeled and/or dated. This failure could place residents at risk of foodborne illness by being served expired food. Findings Included: Observation on 9/21/2025 at 9:13 AM of the cooler revealed the following:1 sheet cake prepared in the pan sitting on top of boxes uncovered and not dated.1 bag of shredded lettuce sitting on a shelf open and undated. […]
- No harm, potential for more than minimal, patternF880Nov 9, 2024
Based on observations, interviews, and record review, the facility failed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections 1 of 1 facility reviewed for infection control. The facility failed to clean and disinfect soiled shower chair in combined shower room A and B. The facility failed to clean and discard soiled wipes left on the floor in shower room C. This failure could place resident at risk of infection transmission. Findings included: Observation on 11/09/2024 at 10:30 AM revealed a combined shower room A and B shower chair had dried bowel movement on the top left seat and inside left corner of the shower chair. […]
- No harm, potential for more than minimal, patternF689Oct 4, 2024
Based on observations, interviews, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for the facility's only kitchen reviewed for accidents and hazards. The facility failed to take temperatures of soup during meal service, which resulted with soup being served at 180 degrees. This failure could have placed residents at risk of being burned. Findings included: Record review of Resident #11's FS, downloaded from the Matrix on 10/4/2024, reflected a [AGE] year-old man, born on 09/23/1970, who's admittance date to the facility was on 05/31/2023. He was diagnosed with quadriplegia (which meant paralyzed from the neck down). […]
Read 28 findings in full →The most serious and the most recent: 28 of 58 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 21, 2025Standard3 findings
- Mar 21, 2025Complaint2 findings
- Dec 11, 2024Complaint1 finding
- Nov 9, 2024Complaint1 finding
- Oct 4, 2024Complaint5 findings
- Aug 15, 2024Standard and complaint3 findings
- Jul 13, 2023Standard and complaint4 findings
- May 19, 2022Complaint2 findings
Show the 17 earlier surveys
- Feb 6, 2022Complaint2 findings
- Oct 22, 2021Complaint1 finding
- Sep 2, 2021Complaint2 findings
- May 2, 2019Standard and complaint3 findings
- Jun 30, 2017Standard2 findings
- May 23, 2014Standard2 findings
- Feb 26, 2014—1 finding
- Feb 4, 2014—1 finding
- May 17, 2013Standard3 findings · 2 harm
- Apr 9, 2013—2 findings
- Feb 6, 2013—3 findings · 2 harm
- Dec 28, 2012—2 findings
- Aug 4, 2012—2 findings · 2 harm
- Apr 13, 2012—3 findings · 1 harm
- Oct 3, 2011—2 findings · 1 harm
- Mar 4, 2011—4 findings
- Nov 17, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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