Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 475030

Elderwood At Burlington

80 federal citations on record , and 3 federal enforcement actions totaling $252,434.

Special Focus Status

Record summary

Federal record · Q1 2026
80
Total citations
64
Last 3 years
11
Actual harm+
3
Federal penalties
$252,434
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care22 Care Planning15 Resident Rights9 Medication & Pharmacy8 Nursing & Physician Services8

Most common F-tags at this facility

F6093 F6553 F6583 F6843 F7253

Citation history

80 on record
SurveyF-TagViolationSeveritySource
Jan 14, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 14, 2026F659Provide care by qualified persons according to each resident's written plan of care.DComplaint
Jan 14, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint
Dec 10, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.CComplaint
Aug 11, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Aug 11, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint
May 12, 2025F610Respond appropriately to all alleged violations.DComplaint
May 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 2, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Apr 2, 2025F699Provide care or services that was trauma informed and/or culturally competent.EComplaint
Apr 2, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 2, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Apr 2, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Apr 2, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Apr 2, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Apr 2, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 2, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Apr 2, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 2, 2025F585Honor 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.EStandard
Apr 2, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Aug 15, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EComplaint
Aug 15, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Aug 15, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Aug 15, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Feb 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Feb 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jan 11, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
Jan 11, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Jan 11, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Jan 11, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.GStandard
Jan 11, 2024F880Provide and implement an infection prevention and control program.EStandard
Jan 11, 2024F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.FStandard
Jan 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 11, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Jan 11, 2024F760Ensure that residents are free from significant medication errors.GStandard
Jan 11, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Jan 11, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.GStandard
Jan 11, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Jan 11, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Jan 11, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EStandard
Jan 11, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Jan 11, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Jan 11, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jan 11, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 11, 2024F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard
Jan 11, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 11, 2024F688Provide 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.EStandard
Jan 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HStandard
Jan 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 11, 2024F679Provide activities to meet all resident's needs.DStandard
Jan 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jan 11, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 11, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jan 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jan 11, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jan 11, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Jan 11, 2024F578Honor 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.DStandard
Jan 11, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.EStandard
Jan 11, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Jan 11, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
May 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 15, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 15, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.GComplaint
Mar 21, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 21, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Mar 21, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CComplaint
Mar 21, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.CComplaint
Dec 7, 2022F880Provide and implement an infection prevention and control program.FStandard
Dec 7, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 7, 2022F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Dec 7, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 7, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard
Dec 7, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Dec 7, 2022F679Provide activities to meet all resident's needs.EStandard
Dec 7, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Dec 7, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Dec 7, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 7, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Dec 7, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $252,434 and 1 payment-denial actions spanning 49 days.

DateTypeFinePayment denial
Jan 11, 2024Fine$220,961—
Jan 11, 2024Payment Denial—Feb 23, 2024 · 49 days
May 15, 2023Fine$31,473—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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