D67

COMPLETE CARE AT BRAKELEY PARK LLC

Grade D 67/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Limited Liability company

Total Fines

$55,647

Last Survey

N/A

290 RED SCHOOL LANE, PHILLIPSBURG, NJ 08865
9088592800

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.57h
LPN
1.09h
CNA
1.90h
Total
3.57h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PC NJ1 OPCOS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jul 2021

100%

PC WTA OPCO HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2021

PEACE CAPITAL HOLDINGS LLC (DE)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2021

SMS 2021 TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2021

CARDUCCI, DONNA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

GOMES, ANA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

PETOCZ, COURTNEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

SAHAR, ETAY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2023

SCHWARTZ, HERSHEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

STEIN, SHALOM

IndividualCORPORATE OFFICERSince Jul 2021

WELLTOWER INC

Organization5% OR GREATER SECURITY INTERESTSince Jul 2021

Penalties & Fines (2)

$55,647total fines
DateTypeDescriptionAmount
Jan 5, 2024Fine$47,746
Oct 10, 2023Fine$7,901

Health Inspection Deficiencies (27)

May 16, 2025Health10 deficiencies
0552DMinimal harm, Isolated

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Jun 12, 2025
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jun 12, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jun 12, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 12, 2025
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Jun 12, 2025
0756DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jun 12, 2025
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jun 12, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 12, 2025
0804FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jun 12, 2025
0919EMinimal harm, Pattern

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Jun 12, 2025
September 25, 2024Health1 deficiency
0810DMinimal harm, Isolated

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Nutrition and Dietary Deficiencies

Corrected Oct 18, 2024
August 30, 2024Health1 deficiency
0658EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 6, 2024
January 5, 2024Health10 deficiencies1 severe
0557DMinimal harm, Isolated

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Resident Rights Deficiencies

Corrected Jan 23, 2024
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Jan 23, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 23, 2024
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 23, 2024
0678JImmediate jeopardy, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2024
0698EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jan 23, 2024
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 23, 2024
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Jan 23, 2024
0711EMinimal harm, Pattern

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Nursing and Physician Services Deficiencies

Corrected Jan 23, 2024
October 10, 2023Health1 deficiency1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 11, 2023
June 1, 2023Health1 deficiency
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Jul 14, 2023
October 21, 2021Health3 deficiencies
0658EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Nov 17, 2021
0692EMinimal harm, Pattern

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Nov 17, 2021
0804DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Nov 10, 2021

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Frequently Asked Questions

What is the CareGrader rating for COMPLETE CARE AT BRAKELEY PARK LLC?

COMPLETE CARE AT BRAKELEY PARK LLC in PHILLIPSBURG, New Jersey has a CareGrader grade of D (Below Average), with a composite score of 67.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for COMPLETE CARE AT BRAKELEY PARK LLC?

COMPLETE CARE AT BRAKELEY PARK LLC has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does COMPLETE CARE AT BRAKELEY PARK LLC have?

COMPLETE CARE AT BRAKELEY PARK LLC has 27 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has COMPLETE CARE AT BRAKELEY PARK LLC been fined?

Yes. COMPLETE CARE AT BRAKELEY PARK LLC has $55,647 in total fines from CMS enforcement actions across 2 penalties.

How many beds does COMPLETE CARE AT BRAKELEY PARK LLC have?

COMPLETE CARE AT BRAKELEY PARK LLC has 120 certified beds with approximately 114 current residents (95% occupancy). The facility is located at 290 RED SCHOOL LANE, PHILLIPSBURG, New Jersey 08865. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.