C76

COMPLETE CARE AT BURLINGTON WOODS, LLC

Grade C 76/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

215

Ownership

For profit - Limited Liability company

Total Fines

$63,469

Last Survey

N/A

115 SUNSET ROAD, BURLINGTON, NJ 08016
6093873620

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.58h
LPN
0.80h
CNA
2.08h
Total
3.46h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PC NJ1 OPCOS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jul 2021

100%

PC WTA OPCO HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2021

PEACE CAPITAL HOLDINGS LLC (DE)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2021

SMS 2021 TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2021

GOLDMAN, ELIYAHU

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

HOCH, ROBERT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

MERCADO, WANDA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

ROSENZWEIG, ALAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

SOLARZ, JEFFREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

STEIN, SHALOM

IndividualCORPORATE OFFICERSince Jul 2021

WELLTOWER INC

Organization5% OR GREATER SECURITY INTERESTSince Jul 2021

Penalties & Fines (1)

$63,469total fines
DateTypeDescriptionAmount
Dec 13, 2023Fine$63,469

Health Inspection Deficiencies (22)

June 4, 2025Health3 deficiencies
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 11, 2025
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 11, 2025
0732DMinimal harm, Isolated

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jul 11, 2025
December 13, 2023Health14 deficiencies1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 5, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jan 26, 2024
0865EMinimal harm, Pattern

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

Administration Deficiencies

Corrected Jan 26, 2024
0867FMinimal harm, Widespread

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

Administration Deficiencies

Corrected Jan 26, 2024
0584EMinimal harm, Pattern

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 Rights Deficiencies

Corrected Jan 26, 2024
0585DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jan 26, 2024
0661DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 26, 2024
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jan 26, 2024
0686EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jan 26, 2024
0691DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 26, 2024
0725EMinimal harm, Pattern

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

Nursing and Physician Services Deficiencies

Corrected Jan 26, 2024
0804DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Jan 26, 2024
0868DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Jan 26, 2024
0924EMinimal harm, Pattern

Put firmly secured handrails on each side of hallways.

Environmental Deficiencies

Corrected Jan 26, 2024
July 29, 2021Health5 deficiencies
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 30, 2021
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Aug 30, 2021
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 30, 2021
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Aug 30, 2021
0584DMinimal harm, Isolated

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 Rights Deficiencies

Corrected Aug 30, 2021

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Frequently Asked Questions

What is the CareGrader rating for COMPLETE CARE AT BURLINGTON WOODS, LLC?

COMPLETE CARE AT BURLINGTON WOODS, LLC in BURLINGTON, New Jersey has a CareGrader grade of C (Average), with a composite score of 76 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for COMPLETE CARE AT BURLINGTON WOODS, LLC?

COMPLETE CARE AT BURLINGTON WOODS, LLC has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does COMPLETE CARE AT BURLINGTON WOODS, LLC have?

COMPLETE CARE AT BURLINGTON WOODS, LLC has 22 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has COMPLETE CARE AT BURLINGTON WOODS, LLC been fined?

Yes. COMPLETE CARE AT BURLINGTON WOODS, LLC has $63,469 in total fines from CMS enforcement actions across 1 penalty.

How many beds does COMPLETE CARE AT BURLINGTON WOODS, LLC have?

COMPLETE CARE AT BURLINGTON WOODS, LLC has 215 certified beds with approximately 170 current residents (79% occupancy). The facility is located at 115 SUNSET ROAD, BURLINGTON, New Jersey 08016. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.