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Nursing HomeMedicaid

Complete Care at Burlington Woods, LLC

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

115 Sunset Road, Burlington, NJ 08016215 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 306 Google reviews

5
4
3
2
1
Complete Care at Burlington Woods, LLC Nursing Home in Burlington, NJ — Street View
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What this means for your family

While many families report excellent experiences with specific nursing staff, there is a concerning pattern of neglect and cleanliness issues in recent reviews. If you are considering this facility, we strongly recommend visiting on a weekend to observe staffing levels and checking the specific wing where your loved one will reside.

Google Reviews

Google Reviews

306 reviews on Google
Complete Care at Burlington Woods receives highly polarized feedback, with many families praising the nursing staff and cleanliness, while others report critical failures in patient care and communication. While some visitors highlight a warm, professional environment, multiple reports of neglect, poor hygiene, and unresponsive management suggest significant inconsistencies in service quality. Families should be aware that experiences appear to vary greatly depending on the specific wing and shift.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean5.0Activities5.0Meds2.0Memory6.0Comms3.0ValueN/A

Strengths

  • Warm, attentive nursing and CNA staff
  • Clean and well-maintained facility lobby
  • Effective physical and occupational therapy programs
  • Responsive administrative staff for some families

Concerns

  • Poor hygiene and cleanliness in patient rooms and bathrooms (mentioned by 6 reviewers)
  • Poor food quality, cold meals, and inadequate portion sizes (mentioned by 6 reviewers)
  • Understaffing and slow response times, especially on weekends (mentioned by 5 reviewers)
  • Difficulty reaching staff or management for updates (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2344.52023(22)4.52024(63)4.22025(47)4.22026(23)

Distribution · 155 analyzed

5
116
4
15
3
5
2
4
1
15

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the administration is very active in responding to family feedback online; how does the management team typically communicate important updates or changes to families?
  • 2We want to ensure my loved one stays well-nourished; could you tell me more about the meal service, specifically how you ensure food stays warm and portions are adequate?
  • 3What specific protocols are in place to ensure rooms and bathrooms are cleaned and sanitized thoroughly on a daily basis?
  • 4How does the nursing team manage medication schedules, especially during the weekend shifts when things might be a bit quieter?
  • 5We've heard great things about your physical and occupational therapy programs; how are these integrated into a resident's daily routine?
  • 6In the event of a medical emergency during the night or over a weekend, what is the immediate process for notifying the family and providing care?

Personalized based on this facility's data


Key Review Excerpts

The nurses and aides are very attentive. They take time with the patients and answer questions family may have.

Family member · 2023★★★★★

The only reason I didn't give a 5 star rating was the food which could and should be greater.

Rehab patient's family · 2023★★★★

The rooms ARE DIRTY!!! My daughter spent an hour when I arrived cleaning the room that they put me in that was literally falling apart. Weekend help don't care at all about you.

Resident · 2025☆☆☆☆
Source: 306 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
59%
Registered nurses for medical care
Total Nursing
3.56hrs
87%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
19%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
15.3%
NJ
9.1%
Burlington
8.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
14.4%
NJ
9.2%
Burlington
9.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility21.2%
Worse than Avg
Here
21.2%
US
12.1%
NJ
11.7%
Burlington
17.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
19.4%
NJ
15.7%
Burlington
17.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.7%
Worse than Avg
Here
15.7%
US
15.4%
NJ
12.7%
Burlington
9.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
95.5%
NJ
97.2%
Burlington
96.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
79.7%
NJ
80.1%
Burlington
74.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.2%
Better than Avg
Here
86.2%
US
81.8%
NJ
78.7%
Burlington
75.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Mixed vs Avgs
Here
1.0%
US
1.6%
NJ
1.2%
Burlington
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (8.5)
10 complaint-triggered
$63,469 in fines

Families have filed 10 complaints against this facility, triggering deficiencies in resident care, nursing staffing, and food safety. The facility shows recurring issues with building safety systems (smoke barriers, electrical systems), care quality problems including pressure ulcer prevention and treatment according to resident preferences, and food handling violations across multiple surveys. While all deficiencies show correction dates, the pattern of repeated problems in safety systems and care quality, combined with the significant number of family complaints, warrants careful consideration.

Jan 27, 2026Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 4, 2025Routine
7
0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Jun 4, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 13, 2023Routine
9
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0912Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0865Potential for harm · PatternCorrected

Administration Deficiencies

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

0924Potential for harm · PatternCorrected

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

0868Potential for harm · IsolatedCorrected

Administration Deficiencies

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

Dec 13, 2023Complaint
8
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0691Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 29, 2021Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Federal Penalties

Fine

Dec 13, 2023

$63,469

Ownership & Operations

Who Operates This Facility

Owner / Operator

Complete Care at Burlington Woods, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Complete Care

Chain Size

85 facilities nationwide

Chain avg rating: 3.2/5 · Rank 37 of 85

Ownership & Management

Owners

Pc Nj1 Opcos LLC

Owner · Organization

100%

Pc Wta Opco Holdco LLC

Owner (parent company) · Organization

Sms 2021 Trust

Owner (parent company) · Organization

Stein, Shalom

Owner (parent company)

Key personnel

Welltower INC5% or Greater Security InterestHoch, RobertManaging Control - Governing BodyStein, ShalomManaging Control - Governing BodyStein, ShalomOfficer / DirectorGoldman, EliyahuManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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