COMPLETE CARE AT BRAKELEY PARK LLC
290 RED SCHOOL LANE, PHILLIPSBURG, NJ 08865 · CCN 315316
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 114.6
- Phone
- 9088592800
Inspection history vs New Jersey & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | New Jersey avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-16 | 10 | 8.6 | 9.5 | +1.4 worse |
| 2 | 2024-01-05 | 12 | 8.0 | 9.8 | +4.0 worse |
| 3 | 2021-10-21 | 5 | 4.9 | 9.3 | +0.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.38 | 35.3% |
| RN staffing (reported) | 0.54 | 37.5% |
| Total nurse staffing (adjusted) | 3.57 | — |
Fines & penalties
- Total fines
- $55,647
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (27)1 immediate jeopardy1 actual harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-09-25 · Health · corrected 2024-10-18
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-30 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-01-05 · Health · corrected 2024-01-23
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-05 · Health · corrected 2024-01-23
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-10 · Health · corrected 2023-10-11
Actual harm
- DF0908Keep all essential equipment working safely.2023-06-01 · Health · corrected 2023-07-14
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-10-21 · Health · corrected 2021-11-17
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2021-10-21 · Health · corrected 2021-11-17
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-10-21 · Health · corrected 2021-11-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PC NJ1 OPCOS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-07-01 |
| PC WTA OPCO HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-01 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-01 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-01 |
| CARDUCCI, DONNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 |
| GOMES, ANA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 |
| PETOCZ, COURTNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-16 |
| SAHAR, ETAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-28 |
| SCHWARTZ, HERSHEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2021-07-01 |
| WELLTOWER INC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2021-07-01 |
Other facilities in PHILLIPSBURG
| Name | Overall | Beds |
|---|---|---|
| COMPLETE CARE AT PHILLIPSBURG, LLC | ★★★★☆ | 60 |
| LOPATCONG CENTER | ★★★☆☆ | 153 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.