The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
COMPLETE CARE AT BURLINGTON WOODS, LLC
BURLINGTON, NJ · Medicare-certified · 215 beds
In good standing
For-profitChain member
3 of 5 overall
Overall rating: 3 out of 5 stars. COMPLETE CARE AT BURLINGTON WOODS, LLC has mid-range health inspection and staffing ratings (3/5 each), a stronger quality measures rating (4/5), no fines in the last 24 months, and reported nurse staffing below the federal benchmark (3.56 vs 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
3.5581 hrs/resident/day
Quality measures
Last inspection: January 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5581.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 1.02
- Nurse aides
- 2.10
- Weekend nursing
- 3.31
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 19%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.7%Improving
Residents with a fall causing major injury
2%Steady
Residents with pressure ulcers (bedsores)
5.5%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.3%Improving
Residents whose ability to walk got worse
2.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22.6%Steady
Short-stay residents newly given an antipsychotic
1%Worsening
Residents with a long-term catheter
0.1%Improving
Residents with new or worsening incontinence
22.5%Worsening
Residents with depressive symptoms
21.2%Worsening
Long-stay residents given the seasonal flu vaccine
99.4%Steady
Long-stay residents given the pneumonia vaccine
94.4%Worsening
Short-stay residents given the seasonal flu vaccine
96.6%Steady
Short-stay residents given the pneumonia vaccine
86.2%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: E
The home failed to ensure hallways had firmly secured handrails on both sides for residents’ safety. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 924 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $63,469 in total fines.
- $63,469
Federal fine
Dec 13, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of COMPLETE CARE · 85 homes · 3.2 stars avg
- Occupancy
- 169.5 residents on an average day (79% of 215 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.