| Complete Care at Brakeley Park | |
| 290 Red School Lane, Phillipsburg, New Jersey 08865 | |
| (908) 859-2800 | |
| Name | Complete Care at Brakeley Park |
|---|---|
| Location | 290 Red School Lane, Phillipsburg, New Jersey |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 95% |
| Medicare ID (CCN) | 315316 |
| Legal Business Name | Complete Care at Brakeley Park LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Complete Care (85 nursing homes) |
| Chain Average Overall Rating | 3.1 out of 5 |
| NPI Number | 1902487820 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Complete Care at Brakeley Park LLC |
| Address | 290 Red School Ln, Phillipsburg, NJ 08865 |
| Phone Number | 610-444-6350 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.29 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.55 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1 | 0.86 |
| Nurse aide hours per resident per day | 1.75 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.91 | 3.42 |
| RN hours per resident per day on the weekend | 0.42 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 41.3% | 45.8% |
| Registered nurse turnover | 30.8% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $55,647 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 16, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 12, 2025 |
| May 16, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 12, 2025 |
| May 16, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 12, 2025 |
| May 16, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Jun 12, 2025 |
| May 16, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 12, 2025 |
| May 16, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 12, 2025 |
| May 16, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 12, 2025 |
| May 16, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 12, 2025 |
| May 16, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 12, 2025 |
| May 16, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 12, 2025 |
| Sep 25, 2024 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Aug 30, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Sep 6, 2024 |
| Jan 5, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678, Quality of Life and Care, Standard inspection | Immediate jeopardy, isolated | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2024 |
| Jan 5, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2024 |
| Oct 10, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Oct 11, 2023 |
| Oct 21, 2021 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Nov 17, 2021 |
| Oct 21, 2021 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Nov 17, 2021 |
| Oct 21, 2021 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Nov 10, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.41 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.21 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.52 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 8.63 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.26 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.25 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.68 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.24 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.4 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.8 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.01 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.16 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.42 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 26.05 | 15.38 |
Complete Care at Phillipsburg, LLC Location: 843 Wilbur Avenue, Phillipsburg, New Jersey 08865 Phone: (908) 454-2627 |