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COMPLETE CARE AT VOORHEES, LLC

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COMPLETE CARE AT VOORHEES, LLC is a for profit - limited liability company facility in VOORHEES, NJ with 190 certified beds and a 3-star overall CMS rating. The facility has 34 deficiency records on file. Total penalties: $41K.

3001 EVESHAM ROAD, VOORHEES, NJ 08043

Phone: 8567511600

Overall Rating

3/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
315219
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
190
Residents
176
In Hospital
No
County
Camden
Last Inspection
Jan 13, 2025

Staffing Data

RN Hours
0.27 (nat'l avg: 0.68)
LPN Hours
1.02
CNA Hours
2.29
Total Nursing Hours
3.58 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
64.1%
RN Turnover
47.1%

What the CMS Record Reveals About COMPLETE CARE AT VOORHEES, LLC

COMPLETE CARE AT VOORHEES, LLC operates 190 certified beds in VOORHEES, NJ with approximately 176 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $41K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.58 total nursing hours per resident day (national average 3.89), with RN coverage at 0.27 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, COMPLETE CARE AT VOORHEES, LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 64.1%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

D — Isolated - Minimal harm Aug 29, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Oct 17, 2025

D — Isolated - Minimal harm May 2, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jul 11, 2025

D — Isolated - Minimal harm Jan 13, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 21, 2025

E — Pattern - Minimal harm Jan 13, 2025 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 21, 2025

E — Pattern - Minimal harm Jan 13, 2025 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 21, 2025

E — Pattern - Minimal harm Jan 13, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 21, 2025

E — Pattern - Minimal harm Jan 13, 2025 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Feb 21, 2025

F — Widespread - Minimal harm Jan 13, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 21, 2025

E — Pattern - Minimal harm Jan 13, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Jan 13, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 21, 2025

E — Pattern - Minimal harm Jan 13, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 28, 2023

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 28, 2023

E — Pattern - Minimal harm Sep 29, 2023 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Oct 28, 2023

E — Pattern - Minimal harm Sep 29, 2023 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Oct 28, 2023

J — Isolated - Jeopardy Sep 29, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 28, 2023

E — Pattern - Minimal harm Sep 29, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 28, 2023

E — Pattern - Minimal harm Sep 29, 2023 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 28, 2023

E — Pattern - Minimal harm Sep 29, 2023 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 28, 2023

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 28, 2023

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 28, 2023

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 28, 2023

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 28, 2023

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 28, 2023

E — Pattern - Minimal harm Sep 29, 2023 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Oct 28, 2023

D — Isolated - Minimal harm Sep 29, 2023 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Oct 28, 2023

E — Pattern - Minimal harm Jun 7, 2022 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 11, 2022

E — Pattern - Minimal harm Jun 7, 2022 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jul 11, 2022

E — Pattern - Minimal harm Jun 7, 2022 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jul 11, 2022

D — Isolated - Minimal harm Jun 7, 2022 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 11, 2022

D — Isolated - Minimal harm Jun 7, 2022 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 11, 2022

D — Isolated - Minimal harm Jun 7, 2022 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 11, 2022

D — Isolated - Minimal harm Jun 7, 2022 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 11, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 4.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 7.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 66.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 21.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 32.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 16.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.1% Yes

Penalty History 1 penalties totaling $41K

Date Type Amount
Sep 29, 2023 Fine $41K
Sep 29, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for COMPLETE CARE AT VOORHEES, LLC?
COMPLETE CARE AT VOORHEES, LLC has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at COMPLETE CARE AT VOORHEES, LLC?
COMPLETE CARE AT VOORHEES, LLC reports 3.58 total nursing hours per resident day (national average: 3.89). RN hours are 0.27 per resident day (national average: 0.68). Nursing staff turnover is 64.1%.
How many beds does COMPLETE CARE AT VOORHEES, LLC have?
COMPLETE CARE AT VOORHEES, LLC has 190 certified beds with approximately 176 residents. The facility is located at 3001 EVESHAM ROAD, VOORHEES, NJ 08043.
Does COMPLETE CARE AT VOORHEES, LLC have any deficiencies on record?
Yes, COMPLETE CARE AT VOORHEES, LLC has 34 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has COMPLETE CARE AT VOORHEES, LLC received any fines or penalties?
Yes, COMPLETE CARE AT VOORHEES, LLC has received 1 penalties totaling $41K.
Who owns COMPLETE CARE AT VOORHEES, LLC?
COMPLETE CARE AT VOORHEES, LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was COMPLETE CARE AT VOORHEES, LLC last inspected?
The most recent health inspection for COMPLETE CARE AT VOORHEES, LLC was on Jan 13, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for COMPLETE CARE AT VOORHEES, LLC?
COMPLETE CARE AT VOORHEES, LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial