MASONIC VILLAGE AT BURLINGTON
902 JACKSONVILLE ROAD
BURLINGTON, NJ, 08016
6092393900
CCN: 315166
1
Overall1
Health4
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| HACKER, DOUGLAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MASONIC CHARITY FOUNDATION OF NEW JERSEY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| TUCKER, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| VANDERHORN, LEONARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| VONDERHEIDE, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| QUINTANA, ROGER | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCOTT, GREGORY | CORPORATE DIRECTOR | NOT APPLICABLE |
| SPOSATO, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| OLSEN, GARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| PASTUZYN, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| PHILLIPS, JEREMIAH | CORPORATE DIRECTOR | NOT APPLICABLE |
| DORWORTH, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| GRAHAM, BRUCE | CORPORATE DIRECTOR | NOT APPLICABLE |
| HARTEL, BRIAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HERMAN, KEITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| JACOBS, ELLIS | CORPORATE DIRECTOR | NOT APPLICABLE |
| MANDEL, BRIAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MONACELLI, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| HACKER, DOUGLAS | CORPORATE OFFICER | NOT APPLICABLE |
| DURSO, ANDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HACKER, DOUGLAS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-10-15 | Fine | $86K |
Health Deficiencies (14)
2026-01-28 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-03-28 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
K
F808 · Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
E
F712 · Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
K
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-10-15 · Health
J
F808 · Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2023-06-30 · Health
D
F761 · Pharmacy Service Deficiencies
Ensure 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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.66
RN Hrs/Resident/Day0.54
1.19
LPN Hrs/Resident/Day0.81
1.81
CNA Hrs/Resident/Day2.33
2.66
PT Hrs/Resident/Day0.12
0.16
Data as of 2026-03-01