Federal inspection record · CMS data as of October 1, 2026
Complete Care At Burlington Woods, LLC
115 Sunset Road, Burlington, NJ · (609) 387-3620
- Certified beds
- 215
- Residents per day
- 182
- Ownership
- For-Profit
- Chain
- Complete Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1976
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Jersey.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Jersey homes
Complete Care At Burlington Woods, LLC carries 42 inspection points. That is fewer than 60% of New Jersey's 346 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Jersey: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–37 pts
- 3★ 37–60 pts
- 2★ 60–93.75 pts
- 1★ over 93.75 pts
Bars show every rated home in New Jersey by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care7E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration3F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Resident Rights3E
- E
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
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
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.
Resident Assessment and Care Planning2D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Nursing and Physician Services2E
- D
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental1E
- E
Put firmly secured handrails on each side of hallways.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2025-06-04
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-12-13
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
2021-07-29
8 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 39 min
New Jersey average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$63,469 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-13 | Fine | $63,469 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 1.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 0.8 | 1.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts worse | 89.2% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts worse | 94.1% | 96.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 2.4% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.7 pts worse | 20.2% | 12.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 3.6% | 4.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts worse | 23.1% | 18.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.2 pts better | 10.7% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.3 pts better | 3.0% | 7.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts better | 3.2% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.0% | 0.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.2 pts worse | 21.4% | 15.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.9% | 5.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better | 80.7% | 79.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts better | 6.1% | 8.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.4% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.3 pts better | 89.8% | 79.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse | 25.9% | 24.1% | 23.4% |
·
Who owns and runs it
35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pc Nj1 Opcos LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Aurora Guardian Holdco Ii Co-Borrower, LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Aurora Guardian Holdco Ii Mezz Borrower, LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Aurora Guardian Holdco Ii, LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Aurora Guardian Ii Realty, LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Aurora Guardian Partners Ii LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Bevans, Sakia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burlington Woods Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Goldman, Eliyahu | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Goldman, Eliyahu | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoch, Robert | Managing Control - Governing Body · Individual | 0% | 21 facilities |
| Hoch, Robert | Operational/Managerial Control · Individual | 0% | 21 facilities |
| J & R Family Investments, LLC | Adp Of The SNF · Organization | 0% | 31 facilities |
| L Friedman 2018 Family Trust | Adp Of The SNF · Organization | 0% | 23 facilities |
| L Friedman Family Holdings LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
| Landau Family Investment Trust | Adp Of The SNF · Organization | 0% | 31 facilities |
| M Friedman 2018 Family Trust | Adp Of The SNF · Organization | 0% | 23 facilities |
| Mercado, Wanda | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Mercado, Wanda | Adp Of The SNF · Individual | 0% | 26 facilities |
| Pc Wta Acquisition LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Pc Wta Multi-State LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Pc Wta Opco Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 28 facilities |
| Peace Capital Holdings LLC | Adp Of The SNF · Organization | 0% | 46 facilities |
| R&J Family Investments LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Rosenzweig, Alan | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rosenzweig, Alan | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sms 2021 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 77 facilities |
| Sms 2021 Trust | Adp Of The SNF · Organization | 0% | 77 facilities |
| Solarz, Jeffrey | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Stein, Shalom | Indirect Ownership Interest · Individual | 0% | 87 facilities |
| Stein, Shalom | Managing Control - Governing Body · Individual | 0% | 87 facilities |
| Stein, Shalom | Corporate Officer · Individual | 0% | 87 facilities |
| Stein, Shalom | Trustee Of The SNF · Individual | 0% | 87 facilities |
| Welltower Inc | 5% Or Greater Security Interest · Organization | 0% | 139 facilities |
| Welltower Inc | Adp Of The SNF · Organization | 0% | 139 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Provide properly protected cooking facilities.
- F
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have an enclosure around a vertical opening shaft.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress4F
- F
Install proper backup exit lighting.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems3F
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Have power receptacles that are properly grounded.
- E
Have proper medical gas storage and administration areas.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Complete Care At Marcella
Burlington, NJ · Complete Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 40 min
- Fines
- $40,733
-
Masonic Village At Burlington
Burlington, NJ · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 48 min
- Fines
- $178,446
-
Bristol Health & Rehab Center
Bristol, PA
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- —
- Fines
- $428,987