Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Kresson View, Llc during CMS and state inspections, most recent first.
Surveyors found widespread deficiencies in environmental cleanliness, including food and trash on floors, stained linens, unclean bedframes, and persistent residue in resident rooms and bathrooms. AC units had visible black substances, and there was confusion among staff about cleaning responsibilities. All unit ice machines contained sediment, with staff acknowledging the issue but failing to address it according to policy and manufacturer guidelines.
Controlled Medication Not Signed Out on Declining Inventory Log: An LPN administered a resident’s tramadol 50 mg dose during the morning med pass but failed to sign it out on the narcotic declining sheet. Review of the cart inventory showed 29 tablets should have been present, but only 28 were on hand, and the LPN, LPN/UM, and DON all confirmed the dose was not documented when removed from the bingo card and that the MAR and controlled drug record did not match the usage form.
A resident with severe cognitive impairment and a care plan noting a dislike of green vegetables received a meal tray that included sautéed spinach even though the meal ticket stated no green vegetables. The LPN/UM confirmed the error, and the FSD, RD, DON, and LNHA acknowledged that meal tickets and trays should be accurate and resident preferences should be honored.
Staff failed to use gown PPE during EBP incontinence care for two residents. During observed care, an RN/UM and CNA wore gloves and sanitized hands but did not don gowns while exposing and checking wet briefs and performing turning/brief care. One resident had a surgical incision with a soft cast and the other had CRE history, MRSA history, wounds, and skin breakdown; both had EBP orders and signage posted outside the room.
Failure to Maintain Clean, Safe, and Sanitary Environment Across All Units
Penalty
Summary
Surveyors identified multiple failures in maintaining a clean, safe, and homelike environment across all units of the facility. Observations included food and trash on the floors, stained linens, unclean bedframes, and residue on mattresses and call bells. Bathrooms were found with strong urine odors and visible buildup of residue, and follow-up visits confirmed that these issues persisted over several days. Interviews with housekeeping and environmental services staff revealed that daily cleaning was supposed to include dusting, mopping, and cleaning of surfaces, but documentation showed that some rooms were omitted from monthly disinfection schedules. Further deficiencies were noted regarding the cleanliness of air conditioning units. Black substances were observed on the exterior of AC units, and there was confusion between housekeeping and maintenance staff about responsibility for cleaning these units. Maintenance staff reported conducting daily rounds and monthly filter changes, but the presence of visible dirt indicated that cleaning protocols were not consistently followed. Documentation provided by maintenance only confirmed operability, not cleanliness, of the AC units. Additionally, all unit ice machines were found to have white and black sediment inside the dispensing shoots. Nursing and maintenance staff acknowledged the issue, with maintenance stating that cleaning was performed according to manufacturer guidelines, but also admitting that hard water might require more frequent cleaning. Facility policies required regular cleaning and prompt reporting of environmental concerns, but these were not adhered to, as evidenced by the ongoing unsanitary conditions and lack of timely response to visible contamination.
Controlled Medication Not Signed Out on Declining Inventory Log
Penalty
Summary
The facility failed to accurately account for and document the administration of a controlled medication on the 4th floor medication cart #1. During review of the declining inventory log, Resident #123 was documented as having 29 tablets of tramadol HCL 50 mg remaining, but only 28 tablets were actually on hand. LPN #1 stated that she administered the morning dose during the 8 AM medication pass and did not sign it out at that time. She acknowledged that controlled medications should be signed out immediately for each dose administered so they are accounted for, and confirmed that the narcotic bingo card contained 28 doses while the declining sheet reflected 29 tablets remaining. LPN/UM #1 and the DON also confirmed that the narcotic declining sheet should be signed when the medication is removed from the bingo card and that LPN #1 did not sign the sheet for the 8 AM tramadol dose. A review of the medication administration audit report showed the tramadol 50 mg dose was administered at 8:28 AM and was not signed out when compared with the MAR. The facility policies reviewed stated that controlled substances must be recorded on the designated usage form and that the dose documented on the usage form must match the MAR and controlled drug record.
Dietary Preference Not Followed on Meal Tray
Penalty
Summary
The facility failed to ensure that Resident #14’s dietary preferences were accurately implemented. The resident had diagnoses including intellectual disabilities, a BIMS score of 0 out of 15 indicating severe cognitive impairment, and an ICCP that identified the resident as at risk for malnutrition with an intervention to provide food and beverage preferences, including a dislike of green vegetables. The resident’s order summary reflected a ground texture, thin liquids, and large portions, and the meal ticket indicated, “No green vegetables.” During lunch observation, the resident was being assisted by a CNA in the 400 Unit dining room, and the tray included a large portion of sautéed spinach despite the meal ticket stating no green vegetables. The LPN/UM confirmed the spinach was on the tray and stated meals were served according to likes and dislikes, while the FSD, RD, DON, and LNHA all acknowledged that meal tickets and trays should be accurate and that preferences should be honored and clarified when discrepancies occur.
Failure to Use Gown PPE During EBP Incontinence Care
Penalty
Summary
The facility failed to follow infection control practices for Enhanced Barrier Precautions (EBP) during incontinence care for 2 residents. During an incontinence tour, a RN/UM entered Resident #180’s room where an EBP sign and orange dot were posted, sanitized hands, and wore gloves but did not put on a gown. The RN/UM pulled away the bed linen, exposed the resident’s wet incontinence brief, turned the resident to the side, and unfastened the brief to expose the back, which was also wet. The resident stated they had just gotten wet and the RN/UM said the resident would get changed. Resident #180’s record showed diagnoses including displaced bimalleolar fracture of the left lower leg and difficulty walking. The resident’s MDS indicated a surgical wound, and the active physician order required EBP for a surgical incision with soft cast on the left leg. The care plan also identified EBP related to the left ankle surgical incision with soft cast in place. The facility documentation stated that clear signage must be posted outside the room indicating the precautions and required PPE, including gown and gloves for high-contact resident care activities. During a separate incontinence tour, a second RN/UM and a CNA entered Resident #188’s room where EBP signage and an orange dot were posted. Both staff sanitized hands and wore gloves, but neither put on a gown. The RN/UM exposed the resident’s damp incontinence brief from the front, then with assistance turned the resident to the side and exposed the back of the brief, which also appeared damp, with a small amount of dry brownish substance along the buttocks. Resident #188’s record showed diagnoses including CRE carrier status and peripheral vascular disease, with MDS findings of stage 3 pressure ulcer, venous arterial ulcers, foot infection, and moisture associated skin damage. Active orders required EBP for vascular wounds to the legs with dressings, a sacral wound, and history of CRE E. coli and MRSA.
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 1,489 citations issued within 25 miles in the last 12 months — including the 18 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 Voorhees
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Voorhees, Llc | 0.6 mi | ★★★★★ | 2 | 0 |
| St Mary's Center For Rehabilitation & Healthcare | 1.6 mi | ★★★★★ | 1 | 0 |
| The Subacute At Autumn Lake Healthcare | 1.8 mi | ★★★★★ | 19 | 3 |
| Careone At Evesham | 1.8 mi | ★★★★★ | 13 | 0 |
| Echelon Care & Rehab | 1.9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Complete Care At Kresson View, 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.