All citations for Complete Care at Burlington Woods, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Burlington Woods, LLC

Last standard health inspection on record

June 4, 2025

Showing 1 to 14 of 14 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  2. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  3. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  4. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  5. No harm, with potential for more than minimal harm

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  6. No harm, with potential for more than minimal harm

    Have power receptacles that are properly grounded.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  7. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  8. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  9. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  10. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  11. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0865, Administration Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  12. No harm, with potential for more than minimal harm

    Put firmly secured handrails on each side of hallways.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0924, Environmental Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  13. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of December 13, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0868, Administration Deficiencies. Inspection of December 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.