New Jersey › Burlington County › Burlington
Complete Care At Burlington Woods, LLC
115 Sunset Road, Burlington, NJ 08016
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 215 beds, Complete Care At Burlington Woods, LLC serves Burlington in Burlington County, New Jersey and has taken Medicare and Medicaid residents since 1976.
CMS gives it 4 of 5 stars overall, equal to the New Jersey median; the health inspection rating is 3, staffing 2 and quality measures 5.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (4, 11, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 10.7 per 100 beds, fewer than the state median of 15.2.
CMS lists 1 penalty in the period covered: fines totalling $63K.
Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the New Jersey median of 3.6; nursing staff turnover is 41.7%.
Compared with county, state and nation
| Measure | This facility | Burlington Co. median | New Jersey median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 4 | 3.0 |
| Health citations, 3 cycles | 23 | 20 | 21 | 28.7 |
| Citations per 100 beds | 10.7 | 17.8 | 15.2 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 41.7% | 42.1% | 38.9% | 45.8% |
| Fines listed | $63,469 | $24,911 | $0 | — |
County and state figures are medians across facilities (17 in the county, 348 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2025, 13 Dec 2023.
Severity mix: G ×1 D ×13 E ×6 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 13 Feb 2026 |
| 4 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Jul 2025 |
| 4 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Jul 2025 |
| 4 Jun 2025 | F0732 | Post nurse staffing information every day. | D | Standard survey | 11 Jul 2025 |
| 13 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 5 Jan 2024 |
| 13 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Jan 2024 |
| 13 Dec 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 26 Jan 2024 |
| 13 Dec 2023 | 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. | E | Complaint investigation | 26 Jan 2024 |
| 13 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 26 Jan 2024 |
| 13 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 26 Jan 2024 |
| 13 Dec 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 26 Jan 2024 |
| 13 Dec 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 26 Jan 2024 |
| 13 Dec 2023 | F0924 | Put firmly secured handrails on each side of hallways. | E | Standard survey | 26 Jan 2024 |
| 13 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 26 Jan 2024 |
| 13 Dec 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 26 Jan 2024 |
| 13 Dec 2023 | 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. | D | Complaint investigation | 26 Jan 2024 |
| 13 Dec 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 26 Jan 2024 |
| 13 Dec 2023 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 26 Jan 2024 |
| 29 Jul 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Aug 2021 |
| 29 Jul 2021 | 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. | D | Standard survey | 30 Aug 2021 |
| 29 Jul 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Aug 2021 |
| 29 Jul 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Aug 2021 |
| 29 Jul 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Aug 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Dec 2023 | Fine | $63,469 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 41.7%, RNs 37.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Jersey median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.1% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.7% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.0% | 11.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Complete Care At Burlington Woods Llc. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pc Nj1 Opcos LLC | 5% or greater direct ownership interest | 100% | 07/01/2021 |
| Pc Wta Opco Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 07/01/2021 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 07/01/2021 |
| Burlington Woods Realty, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2021 |
| Pc Wta Acquisition LLC | Adp of the snf | NOT APPLICABLE | 07/01/2021 |
| Pc Wta Multi-State LLC | Adp of the snf | NOT APPLICABLE | 07/01/2021 |
| Peace Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 07/01/2021 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 07/01/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Burlington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Complete Care At Marcella | Burlington | 150 | 5 | 4 | 3 | 16 | 10.7 | $63K | 12 May 2026 |
| Medford Leas | Medford | 24 | 5 | 3 | 5 | 8 | 33.3 | — | 25 Feb 2025 |
| Willowbrooke Court Skilled Care At Evergreens | Moorestown | 17 | 5 | 5 | 5 | 6 | 35.3 | — | 3 Sep 2025 |
| Careone At Evesham | Marlton | 144 | 4 | 4 | 4 | 17 | 11.8 | — | 1 May 2026 |
| Riverview Estates Rehab and Senior Living Center | Riverton | 66 | 4 | 4 | 4 | 21 | 31.8 | $38K | 7 Jan 2026 |
| Wiley Mission | Marlton | 86 | 4 | 3 | 5 | 19 | 22.1 | — | 27 Sep 2024 |
| Cambridge Rehabilitation and Healthcare Center | Moorestown | 201 | 3 | 2 | 2 | 25 | 12.4 | $25K | 6 Nov 2025 |
| Careone At Moorestown | Moorestown | 65 | 3 | 3 | 3 | 20 | 30.8 | — | 11 Feb 2026 |
All 17 facilities in Burlington County
Questions and answers
How many deficiencies has Complete Care At Burlington Woods, LLC been cited for?
23 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.
Has Complete Care At Burlington Woods, LLC been fined?
Yes. CMS lists fines totalling $63K in the period covered.
How does staffing at Complete Care At Burlington Woods, LLC compare?
Reported total nurse staffing is 3.6 hours per resident per day against a New Jersey median of 3.6 and a national average of 3.9.
Who operates Complete Care At Burlington Woods, LLC?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc Nj1 Opcos LLC and Pc Wta Opco Holdco LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Burlington Woods, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 27 Jan 2026; the most recent standard health survey was 4 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.