Cycle 1
Health 2025-03-28 · Fire 2025-03-28
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Burlington, NJ
Masonic Village At Burlington
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $86,411 in total fines with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
902 Jacksonville Road, Burlington, NJ
(609) 239-3900
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
264
Certified beds
Average residents
111
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.19
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.81
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.66
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
5.66
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
3.00
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.65
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
5.46
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
705
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.11
Composite VBP score used to determine payment impact.
Payment multiplier
1.0194
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.33
Baseline 22.82% · Performance 20.02% · Measure score 4.33 · Achievement 3.04 · Improvement 4.33
Healthcare-associated infections
7.80
Baseline 4.92% · Performance 5.50% · Measure score 7.80 · Achievement 7.80 · Improvement 0
Total nurse turnover
7.06
Baseline 27.66% · Performance 34.84% · Measure score 7.06 · Achievement 7.06 · Improvement 0
Adjusted total nurse staffing
6.86
Baseline 5.73 hours · Performance 5.03 hours · Measure score 6.86 · Achievement 6.86 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.9% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 541 · Observed rate 10.35% · Lower 95% interval 8.77% |
| Discharge to community | 67.89% |
50.57%
17.3 pts better
|
Better than the National Rate · Eligible stays 569 · Observed rate 63.27% · Lower 95% interval 63.67% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.26% |
95.27%
4 pts better
|
Numerator 537 · Denominator 541 |
| Falls with major injury | 0.74% |
0.77%
About the same
|
Numerator 4 · Denominator 541 |
| Discharge self-care score | 54.36% |
53.69%
0.7 pts better
|
Numerator 218 · Denominator 401 |
| Discharge mobility score | 57.36% |
50.94%
6.4 pts better
|
Numerator 230 · Denominator 401 |
| Pressure ulcers or injuries, new or worsened | 1.66% |
2.29%
0.6 pts better
|
Numerator 9 · Denominator 541 · Adjusted rate 1.69% |
| Healthcare-associated infections requiring hospitalization | 5.51% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 449 · Observed rate 4.23% · Lower 95% interval 3.98% |
| Staff COVID-19 vaccination coverage | 12.2% |
8.2%
4 pts better
|
Numerator 30 · Denominator 246 |
| Staff flu vaccination coverage | 99.44% |
42%
57.4 pts better
|
Numerator 714 · Denominator 718 |
| Discharge function score | 67.08% |
56.45%
10.6 pts better
|
Numerator 269 · Denominator 401 |
| Transfer of health information to provider | 98.46% |
95.95%
2.5 pts better
|
Numerator 128 · Denominator 130 |
| Transfer of health information to patient | 99.74% |
96.28%
3.5 pts better
|
Numerator 377 · Denominator 378 |
| Resident COVID-19 vaccinations up to date | 14.57% |
25.2%
10.6 pts worse
|
Numerator 44 · Denominator 302 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.1
0.6 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.1
0.4 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.6% |
93.0%
11.4 pts worse
|
93.4%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.3% · Q2 82.3% · Q3 80.3% · Q4 75.0% · 4Q avg 81.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.5% |
97.2%
4.7 pts worse
|
95.5%
3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
2.4%
0.5 pts worse
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.2% · Q3 3.3% · Q4 3.6% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
11.4%
11.4 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
4.6%
3.6 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.7% · Q3 8.2% · Q4 14.3% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.0% |
19.0%
3 pts worse
|
19.6%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 22.7% · Q3 20.0% · Q4 20.4% · 4Q avg 22.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.0% |
13.5%
5.5 pts worse
|
16.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 19.4% · Q3 17.4% · Q4 18.6% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.7% |
9.8%
8.9 pts worse
|
16.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.4% |
9.7%
1.3 pts better
|
14.9%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 7.1% · Q3 14.9% · Q4 8.5% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.7%
0.9 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.1% · Q3 1.5% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
0.8%
1.3 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
15.9%
6 pts worse
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 24.3% · Q3 20.6% · Q4 22.2% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 8.5% |
6.0%
2.5 pts worse
|
5.1%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 9.8% · Q3 13.9% · Q4 6.1% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 28.3% |
78.7%
50.4 pts worse
|
81.7%
53.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 27.3% · Q3 29.5% · Q4 28.8% · 4Q avg 28.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.7% |
8.2%
5.5 pts worse
|
12.0%
1.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.7% · Observed 12.6% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 1.8% · Q4 0.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 34.8% |
80.1%
45.3 pts worse
|
79.7%
44.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 34.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.3% |
25.4%
8.9 pts worse
|
23.9%
10.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.3% · Observed 31.0% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-30 · Fire 2023-06-30
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-05-20 · Fire 2021-05-20
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-28
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-21
F · Potential for more than minimal harm
2025-03-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-21
F · Potential for more than minimal harm
2025-03-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-21
F · Potential for more than minimal harm
2025-03-28
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-21
F · Potential for more than minimal harm
2025-03-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-21
F · Potential for more than minimal harm
2025-03-28
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-21
E · Potential for more than minimal harm
2025-03-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-21
E · Potential for more than minimal harm
2025-03-28
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-04-21
E · Potential for more than minimal harm
2025-03-28
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-04-21
D · Potential for more than minimal harm
2025-03-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-21
F · Potential for more than minimal harm
2023-06-30
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-07-28
F · Potential for more than minimal harm
2023-06-30
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-07-28
F · Potential for more than minimal harm
2023-06-30
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-28
F · Potential for more than minimal harm
2021-05-20
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-05-20
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-05-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-28
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Not marked corrected
D · Potential for more than minimal harm
2026-01-28
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
K · Immediate jeopardy
2025-03-28
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-21
K · Immediate jeopardy
2025-03-28
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-21
K · Immediate jeopardy
2025-03-28
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-04-21
E · Potential for more than minimal harm
2025-03-28
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-21
E · Potential for more than minimal harm
2025-03-28
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-04-21
E · Potential for more than minimal harm
2025-03-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-21
J · Immediate jeopardy
2024-10-15
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-15
J · Immediate jeopardy
2024-10-15
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-15
J · Immediate jeopardy
2024-10-15
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-10-15
D · Potential for more than minimal harm
2023-06-30
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-28
D · Potential for more than minimal harm
2023-06-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-28
D · Potential for more than minimal harm
2023-06-30
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-07-28
Penalties and ownership
What sits behind the stars
$86,411
2024-10-15
Fine
Fine · fine $86,411
Fine
Ownership
Masonic Charity Foundation Of New Jersey
5% Or Greater Direct Ownership Interest · Organization
Dorworth, David
Corporate Director · Individual
Durso, Anda
Operational/Managerial Control · Individual
Graham, Bruce
Corporate Director · Individual
Hacker, Douglas
5% Or Greater Direct Ownership Interest · Individual
Hacker, Douglas
Operational/Managerial Control · Individual
Hacker, Douglas
Corporate Officer · Individual
Hartel, Brian
Corporate Director · Individual
Herman, Keith
Corporate Director · Individual
Jacobs, Ellis
Corporate Director · Individual
Mandel, Brian
Corporate Director · Individual
Monacelli, Robert
Corporate Director · Individual
Olsen, Gary
Corporate Director · Individual
Pastuzyn, Michael
Corporate Director · Individual
Phillips, Jeremiah
Corporate Director · Individual
Quintana, Roger
Corporate Director · Individual
Scott, Gregory
Corporate Director · Individual
Sposato, Robert
Corporate Director · Individual
Tucker, David
Corporate Director · Individual
Vanderhorn, Leonard
Corporate Director · Individual
Vonderheide, William
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Complete Care At Burlington Woods, LLC
Burlington, NJ
3-star overall rating with 3-star inspections with $63,469 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Complete Care At Marcella LLC
Burlington, NJ
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Bristol Health & Rehab Center
Bristol, PA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $418,359 in total fines with 25 recent health deficiencies
Jump out