Complete Care at Burlington Woods, LLC

Certification

Medicare-certified.

Ratings

Inspection history (23)

Records from July 2021 to January 2026.

• January 27, 2026

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.

• June 4, 2025

  Tag F0695

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.

• June 4, 2025

  Tag F0732

  Post nurse staffing information every day.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.

• June 4, 2025

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.

• December 13, 2023

  Tag F0689

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

  Severity G: isolated, actual harm. Corrected January 5, 2024.

• December 13, 2023

  Tag F0661

  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0865

  Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0725

  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0585

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0924

  Put firmly secured handrails on each side of hallways.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0677

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0867

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0584

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0691

  Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0804

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• December 13, 2023

  Tag F0686

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 26, 2024.

• July 29, 2021

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 30, 2021.

• July 29, 2021

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 30, 2021.

Penalties (1)

Total fines: $63,469

• December 13, 2023 · Fine

  CMS recorded a civil money penalty of $63,469 against this nursing home on December 13, 2023.

Staffing

3.64 nurse hours per resident per day in Q2 2026, up from 3.56 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit