nursing home in Phillipsburg, NJ
Complete Care at Brakeley Park
290 Red School Lane, Phillipsburg, NJ 08865 · (908) 859-2800
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at Brakeley Park at a glance
Complete Care at Brakeley Park is a 120-bed for-profit nursing home in Phillipsburg, New Jersey (Warren County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the New Jersey average of 3.3.
Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (May 16, 2025) found 10 health citations. The New Jersey average is 8.5.
Federal regulators fined it 2 times in the past three years, totaling $55,647.
Nursing staff turnover is 41.3% per year (state average 39.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- September 17, 1992
- Resident/family council
- Resident
- County
- Warren County
- CMS Certification Number
- 315316
Ratings
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4.4 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.5 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 4.1 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.29 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.55 hrs | 0.68 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.75 hrs | 2.23 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.91 hrs | 3.50 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 41.3% | 39.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 30.8% | 37.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 93.8 | 72.3 | 80.6 | Worse |
Penalties
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $55,647 | $34,926 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 147 | 107 | |
| Average residents per day | 114 | 122 | 86 | |
| Occupancy | 95% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.3% | 2.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.2% | 5.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 26% | 12.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.4% | 8.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 12.4% | 8.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.2% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 8.6% | 12.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 36.8% | 18.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.4% | 15.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 97.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.2% | 93% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.2% | 1.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 91% | 80.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 86.7% | 79% | 82% | Better |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 16, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 16, 2025 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | F Potential harm, widespread | Corrected June 8, 2025 |
| May 16, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 16, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 16, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected July 8, 2025 |
| May 16, 2025 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected July 8, 2025 |
| May 16, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 16, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 16, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 16, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 8, 2025 |
| May 16, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 16, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 16, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected June 12, 2025 |
| May 16, 2025 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected June 12, 2025 |
| May 16, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 16, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 16, 2025 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 16, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 16, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 16, 2025 Standard | 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 · Tag F0756 | D Potential harm, isolated | Corrected June 12, 2025 |
| September 25, 2024 Complaint | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected October 18, 2024 |
| August 30, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected September 6, 2024 |
| January 5, 2024 Standard | 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 · Tag F0678 | J Immediate jeopardy, isolated | Corrected January 23, 2024 |
| January 5, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected January 23, 2024 |
| January 5, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected January 23, 2024 |
| January 5, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected January 23, 2024 |
| January 5, 2024 Standard | 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 · Tag F0711 | E Potential harm, pattern | Corrected January 23, 2024 |
| January 5, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 23, 2024 |
| January 5, 2024 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected January 23, 2024 |
| January 5, 2024 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected January 23, 2024 |
| January 5, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected January 23, 2024 |
| January 5, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected January 23, 2024 |
| October 10, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 11, 2023 |
| October 21, 2021 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected November 5, 2021 |
| October 21, 2021 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected November 17, 2021 |
| October 21, 2021 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected November 17, 2021 |
| October 21, 2021 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected November 10, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $55,647 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 5, 2024 | Fine | $47,746 |
| October 10, 2023 | Fine | $7,901 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PC NJ1 OPCOS LLC Organization | 5% or greater direct ownership interest | 100% | 07/01/2021 |
| PC WTA OPCO HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 07/01/2021 |
| SMS 2021 TRUST Organization | 5% or greater indirect ownership interest | — | 07/01/2021 |
| WELLTOWER INC Organization | 5% or greater security interest | NOT APPLICABLE | 07/01/2021 |
| AURORA GUARDIAN HOLDCO II CO-BORROWER, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| AURORA GUARDIAN HOLDCO II, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| AURORA GUARDIAN II REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| AURORA GUARDIAN PARTNERS II LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| BRAKELEY PARK REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| CARDUCCI, DONNA Individual | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| GOMES, ANA Individual | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| J & R FAMILY INVESTMENTS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| LANDAU FAMILY INVESTMENT TRUST Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| L FRIEDMAN 2018 FAMILY TRUST Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| L FRIEDMAN FAMILY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| M FRIEDMAN 2018 FAMILY TRUST Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| PEACE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| PETOCZ, COURTNEY Individual | adp of the snf | NOT APPLICABLE | 01/16/2025 |
| R&J FAMILY INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| SAHAR, ETAY Individual | adp of the snf | NOT APPLICABLE | 03/28/2023 |
| SCHWARTZ, HERSHEL Individual | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 07/01/2021 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2021 |
| GOMES, ANA Individual | managing control - governing body | NOT APPLICABLE | 07/01/2021 |
| SAHAR, ETAY Individual | managing control - governing body | NOT APPLICABLE | 03/28/2023 |
| STEIN, SHALOM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2021 |
| CARDUCCI, DONNA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| GOMES, ANA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| PETOCZ, COURTNEY Individual | operational/managerial control | NOT APPLICABLE | 01/16/2025 |
| SAHAR, ETAY Individual | operational/managerial control | NOT APPLICABLE | 03/28/2023 |
| SCHWARTZ, HERSHEL Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 07/01/2021 |
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Frequently asked questions
What is Complete Care at Brakeley Park's rating?
Complete Care at Brakeley Park has 2 out of 5 stars on the CMS overall star rating. The average for New Jersey nursing homes is 3.3 stars.
How many inspection citations did Complete Care at Brakeley Park receive?
Its most recent standard health inspection found 10 citations, compared with a New Jersey average of 8.5. Every citation is listed on this page with its severity.
Does Complete Care at Brakeley Park accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Complete Care at Brakeley Park?
It is for profit - limited liability company and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Complete Care at Brakeley Park and how do I contact it?
Complete Care at Brakeley Park is at 290 Red School Lane, Phillipsburg, NJ 08865. Phone: (908) 859-2800.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.