COMPLETE CARE AT BRAKELEY PARK LLC
Grade D — 67/100 composite score
CMS Star Ratings
Certified Beds
120
Ownership
For profit - Limited Liability company
Total Fines
$55,647
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
PC NJ1 OPCOS LLC
100%
PC WTA OPCO HOLDCO LLC
PEACE CAPITAL HOLDINGS LLC (DE)
SMS 2021 TRUST
CARDUCCI, DONNA
GOMES, ANA
PETOCZ, COURTNEY
SAHAR, ETAY
SCHWARTZ, HERSHEL
STEIN, SHALOM
WELLTOWER INC
Penalties & Fines (2)
| Date | Type | Description | Amount |
|---|---|---|---|
| Jan 5, 2024 | Fine | — | $47,746 |
| Oct 10, 2023 | Fine | — | $7,901 |
Health Inspection Deficiencies (27)
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
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
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
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
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
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
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
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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.