Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

COMPLETE CARE AT BURLINGTON WOODS, LLC

BURLINGTON, NJ · 215 certified beds · Last Life Safety survey June 4, 2025

CMS Certification Number 315050 · first certified December 1976

Ownership

Operated by COMPLETE CARE · For profit - Limited Liability company

  • Ownership changed July 1, 2021 (change of ownership)from 115 SUNSET ROAD OPERATIONS LLC
14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NJ

14 citations — more than 44% of the 348 certified nursing homes in NJ. Compared within NJ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to February 2027. This facility’s last Life Safety survey was June 2025. Facilities in NJ are typically surveyed 16–20 months after the last one (median 17), measured over 431 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0924 Put firmly secured handrails on each side of hallways.

How that compares

Citations on file over three years

Compared with the median facility in NJ, and nationally. Surveyors differ markedly between states, so the NJ figure is the meaningful one.

This facility14NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
62021-0732023-1252025-06
Citations at each Life Safety survey
Survey dateCitations
July 29, 20216
December 13, 20233
June 4, 20255

Most-cited tags

Most-cited tags at this facility
K-03742K-05212K-02811K-09121K-03631K-02111K-03241K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22025-06-04
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22025-06-04
K-0281Install proper backup exit lighting.12025-06-04
K-0912Have power receptacles that are properly grounded.12023-12-13
K-0363Install corridor and hallway doors that block smoke.12025-06-04
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12021-07-29
K-0324Provide properly protected cooking facilities.12025-06-04
K-0923Have proper medical gas storage and administration areas.12021-07-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 4, 2025 — 5 citations

Citations issued on June 4, 2025
TagWhat the surveyor checksStatus
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (July 11, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 11, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 11, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 11, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 11, 2025)

December 13, 2023 — 3 citations

Citations issued on December 13, 2023
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (January 26, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (January 26, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 26, 2024)

July 29, 2021 — 6 citations

Citations issued on July 29, 2021
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 30, 2021)
K-0222Add 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.Deficient, Provider has date of correction (August 30, 2021)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (August 30, 2021)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 30, 2021)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 30, 2021)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 30, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.