Complete Care At Burlington Woods, LLC

Inspection history (23)

• January 27, 2026 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2026-01-27 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-27.GOV

• June 4, 2025 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2025-06-04 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-04.GOV

• June 4, 2025 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2025-06-04 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-04.GOV

• June 4, 2025 · D

  Citation F0732

  Federal surveyors cited this nursing home on 2025-06-04 under CMS tag F0732 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-04.GOV

• December 13, 2023 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · D

  Citation F0661

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0661 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · E

  Citation F0865

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0865 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · D

  Citation F0868

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · E

  Citation F0725

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · E

  Citation F0677

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · F

  Citation F0867

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · D

  Citation F0804

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0804 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · E

  Citation F0686

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0686 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · D

  Citation F0691

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0691 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · D

  Citation F0585

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0585 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · E

  Citation F0924

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0924 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Put firmly secured handrails on each side of hallways. The deficiency was recorded as corrected on 2024-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• July 29, 2021 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2021-07-29 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2021-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-07-29.GOV

• July 29, 2021 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2021-07-29 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2021-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-07-29.GOV

Penalties

Total fines on file: $63,469

Staffing

Latest: 3.56 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Pc Nj1 Opcos LLC

   parent · PAC 8921404385