Complete Care at Brakeley ParkCMS ratings, inspections and fines
- Address
- 290 Red School Lane, Phillipsburg, NJ 08865
- CCN
- 315316
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- Complete Care
- Residents per day
- 114
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Complete Care at Brakeley Park an overall rating of 2 of 5 stars. The last standard survey was on 16 May 2025. The latest survey cycle has 10 health citations. The median for nursing homes in New Jersey is 8. CMS lists 2 fines with a total of $55,647 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in New Jersey (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Warren County median | New Jersey median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 4.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 6 homes in the county, 348 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New Jersey median |
|---|---|---|---|
| Cycle 1 (latest) | 16 May 2025 | 10 | 8 |
| Cycle 2 | 5 Jan 2024 | 12 | 7 |
| Cycle 3 | No date | 4 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Jun 2025 |
| 16 May 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 12 Jun 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Sep 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 18 Oct 2024 |
| 30 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 6 Sep 2024 |
| 5 Jan 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 23 Jan 2024 |
| 5 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 23 Jan 2024 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Oct 2023 |
| 21 Oct 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 17 Nov 2021 |
| 21 Oct 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 17 Nov 2021 |
| 21 Oct 2021 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 10 Nov 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 5 Jan 2024 | Fine | $47,746 | |
| 10 Oct 2023 | Fine | $7,901 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New Jersey median | New Jersey average (CMS) |
|---|---|---|---|
| All nurse staff | 3.29 | 3.60 | 3.85 |
| Registered nurses (RN) | 0.55 | 0.50 | 0.68 |
| Licensed practical nurses (LPN) | 1.00 | 0.93 | |
| Nurse aides | 1.75 | 2.23 | |
| All nurse staff, weekends | 2.91 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 41.3%
- Nurse staff turnover, New Jersey median
- 38.9%
- RN turnover in a year
- 30.8%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New Jersey median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.4% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.4% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.0% | 11.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Complete Care at Brakeley Park LLC
- Chain
- Complete Care (85 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| PC Nj1 Opcos LLC | 5% or greater direct ownership interest | 100% | 1 Jul 2021 |
| PC Wta Opco Holdco LLC | 5% or greater indirect ownership interest | 1 Jul 2021 | |
| Welltower Inc | 5% or greater security interest | 1 Jul 2021 | |
| Brakeley Park Realty, LLC | Adp of the snf | 1 Jul 2021 | |
| Peace Capital Holdings LLC | Adp of the snf | 1 Jul 2021 | |
| Welltower Inc | Adp of the snf | 1 Jul 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Warren County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Lopatcong Center | Phillipsburg | 3 of 5 | 7 | $0 | 16 Jun 2025 | |
| Complete Care at Phillipsburg, LLC | Phillipsburg | 3 of 5 | 4 | $0 | 24 Feb 2025 | |
| Warren Haven Rehab and Nursing Center | Oxford | 2 of 5 | 5 | $156,485 | 24 Dec 2024 | |
| Clover Rest Home | Columbia | 5 of 5 | 1 | $0 | 7 May 2025 | |
| Forest Manor HCC | Blairstown | 3 of 5 | 8 | $10,868 | 25 Mar 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- New Jersey Department of Health: complaints and hotlinesThe complaint page of the State Survey Agency for New Jersey, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Complete Care at Brakeley Park (CCN 315316). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/complete-care-at-brakeley-park-phillipsburg-nj-315316/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Complete Care at Brakeley Park last inspected?
- The latest inspection with a citation in the CMS record was on 16 May 2025. It was a standard survey. It gave 10 citations. The standard survey before the last one was on 5 Jan 2024.
- Who operates Complete Care at Brakeley Park?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Complete Care. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Complete Care at Brakeley Park a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in New Jersey as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.