Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Complete Care At Burlington Woods, Llc during CMS and state inspections, most recent first.
A resident with sepsis, COPD, type 2 DM, and CHF experienced a reported change in condition when family told an LPN the resident "looked septic." The LPN notified the RN supervisor, who assessed the resident and obtained vitals, including a blood sugar of 438 mg/dL, but there was no documentation that sliding-scale insulin was administered per existing orders or that repeat vitals were fully recorded after the concern was raised. The RN supervisor did not document her assessment findings, and there was no record of the time the MD was notified or any orders received regarding the hyperglycemia, contrary to facility policy and job expectations for assessment and documentation of significant changes in condition.
Failure to Assess, Treat Hyperglycemia, and Document Change in Condition After Family Concern
Penalty
Summary
The deficiency involves the facility’s failure to adequately assess and provide needed care and services after a reported change in condition for one resident. The resident had multiple significant diagnoses, including sepsis, COPD, type 2 diabetes mellitus, and diastolic congestive heart failure, and had an MDS BIMS score indicating intact cognition. On the evening in question, the resident’s family approached the nursing station and reported to an LPN that the resident “looked septic.” The LPN documented that she notified the RN supervisor, who assessed the resident and obtained vital signs showing BP 142/101, HR 126, pulse oximetry 97, blood sugar 438 mg/dL, temperature 98.1°F, and respiratory rate 17. The LPN’s progress note stated that the MD was notified and that the family insisted the resident be sent to the hospital, after which 911 was called and the resident was transferred. Record review showed that, despite the elevated blood sugar of 438 mg/dL and an active sliding scale insulin order (151–200=2 units; 201–250=4; 251–300=6; 301–350=8; 351–400=10; 401–450=12 units SC every 6 hours), there was no evidence that insulin was administered in response to this blood sugar level. The Weights and Vital Summary confirmed the blood sugar of 438 mg/dL documented that evening, but there was no corresponding medication administration documented to show that staff followed the sliding scale order. Additionally, the summary showed that the last documented temperature, respirations, pulse, and oxygen saturation were taken earlier in the day on the 7–3 shift, with only a blood pressure documented at 18:30, and no further vital signs recorded after the family’s report of concern, other than what was referenced in the LPN’s note. Further, there was no documentation in the medical record of the RN supervisor’s assessment findings beyond what the LPN recorded, and no documentation of the time the physician was notified or any orders received regarding the high blood sugar. In interview, the LPN stated she did not remember if any interventions were done prior to EMS arrival. The RN supervisor acknowledged that she assessed the resident, including lung sounds (which she described as diminished) and noted the resident looked frail, but admitted she did not document her assessment and stated she should have done so. The DON stated that the expectation was that any supervisor assessment, especially when a resident is sent to the hospital, should be documented, including that an RN assessed the resident and that the physician and family were notified. Facility policy on documentation required licensed staff to document all assessments, observations, and services provided in a complete, accurate, and timely manner, which was not followed in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,396 citations issued within 25 miles in the last 12 months — including the 25 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Burlington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Marcella | 0.6 mi | ★★★★★ | 1 | 1 |
| Masonic Village At Burlington | 1.3 mi | ★★★★★ | 2 | 0 |
| Bristol Health & Rehab Center | 4.1 mi | ★★★★★ | 0 | 0 |
| Mount Holly Rehabilitation & Healthcare Center | 5.1 mi | ★★★★★ | 0 | 0 |
| Careone At Moorestown | 6.4 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Complete Care At Burlington Woods, Llc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.