Federal inspection record · CMS data as of October 1, 2026

Complete Care At Brakeley Park

290 Red School Lane, Phillipsburg, NJ · (908) 859-2800

CMS overall rating

2 of 5

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Certified beds
120
Residents per day
110
Ownership
For-Profit
Chain
Complete Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 17, 1992

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New Jersey.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among New Jersey homes

Complete Care At Brakeley Park carries 93.75 inspection points. That is fewer than 19% of New Jersey's 346 rated homes.

5★4★3★2★1★+11 homes above 20305102550100200inspection points → fewer is better on the leftThis home · 93.75 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Jersey: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–18 pts
  • 4★ 18–37 pts
  • 3★ 37–60 pts
  • 2★ 60–93.75 pts
  • 1★ over 93.75 pts

Bars show every rated home in New Jersey by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

26 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 9 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. J

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

    January 5, 2024 · Standard inspection · Quality of Life and Care · F678 · Corrected January 23, 2024

  2. G

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

    October 10, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 11, 2023

Everything else, by area of care

Nutrition and Dietary5F
  1. F

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

    May 16, 2025 · Standard · F804 · Corrected June 12, 2025

  2. F

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

    May 16, 2025 · Standard · F812 · Corrected June 12, 2025

  3. D

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

    September 25, 2024 · Complaint · F810 · Corrected October 18, 2024

  4. D

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

    January 5, 2024 · Standard · F812 · Corrected January 23, 2024

  5. D

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

    October 21, 2021 · Standard · F804 · Corrected November 10, 2021

Quality of Life and Care5E
  1. D

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

    May 16, 2025 · Standard · F690 · Corrected June 12, 2025

  2. D

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

    May 16, 2025 · Standard · F695 · Corrected June 12, 2025

  3. E

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

    January 5, 2024 · Standard · F698 · Corrected January 23, 2024

  4. D

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

    January 5, 2024 · Standard · F695 · Corrected January 23, 2024

  5. E

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

    October 21, 2021 · Standard · F692 · Corrected November 17, 2021

Resident Rights4E
  1. D

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

    May 16, 2025 · Standard · F552 · Corrected June 12, 2025

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    May 16, 2025 · Standard · F558 · Corrected June 12, 2025

  3. E

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

    January 5, 2024 · Standard · F565 · Corrected January 23, 2024

  4. D

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

    January 5, 2024 · Standard · F557 · Corrected January 23, 2024

Resident Assessment and Care Planning4E
  1. E

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

    August 30, 2024 · Complaint · F658 · Corrected September 6, 2024

  2. D

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

    January 5, 2024 · Standard · F656 · Corrected January 23, 2024

  3. D

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

    January 5, 2024 · Standard · F658 · Corrected January 23, 2024

  4. E

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

    October 21, 2021 · Standard · F658 · Corrected November 17, 2021

Pharmacy Service3E
  1. E

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

    May 16, 2025 · Standard · F755 · Corrected June 12, 2025

  2. D

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

    May 16, 2025 · Standard · F756 · Corrected June 12, 2025

  3. E

    Ensure medication error rates are not 5 percent or greater.

    January 5, 2024 · Standard · F759 · Corrected January 23, 2024

Environmental1E
  1. E

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

    May 16, 2025 · Standard · F919 · Corrected June 12, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    May 16, 2025 · Standard · F880 · Corrected June 12, 2025

Nursing and Physician Services1E
  1. E

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

    January 5, 2024 · Standard · F711 · Corrected January 23, 2024

Inspection history

  1. 2025-05-16

    10 health deficiencies · 10 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-01-05

    10 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2021-10-21

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 28 min of nursing staff time a day, 36 min of it from a registered nurse.

This home

3 h 28 min

New Jersey average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 39% of nursing staff and 23% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$47,746 in federal fines on record over the past three years.

DatePenaltyAmount
2024-01-05Fine$47,746

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts better1.52.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better0.91.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better97.7%93.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.2 pts better100.0%96.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4.2 pts worse6.5%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms8.5 pts worse21.0%12.5%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts better4.4%4.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication16.8 pts worse35.6%18.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.2 pts worse27.1%12.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.8 pts worse12.1%7.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.3 pts worse13.6%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts worse0.8%0.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.4 pts worse30.6%15.2%18.3%
Percentage of long-stay residents with pressure ulcers3.5 pts better1.8%5.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.7 pts better82.7%79.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.2 pts worse15.3%8.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse2.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.1 pts better94.6%79.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts better21.7%24.1%23.4%

·

Who owns and runs it

35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Pc Nj1 Opcos LLC5% Or Greater Direct Ownership Interest · Organization100%11 facilities
Aurora Guardian Holdco Ii Co-Borrower, LLCAdp Of The SNF · Organization0%16 facilities
Aurora Guardian Holdco Ii Mezz Borrower, LLCAdp Of The SNF · Organization0%15 facilities
Aurora Guardian Holdco Ii, LLCAdp Of The SNF · Organization0%16 facilities
Aurora Guardian Ii Realty, LLCAdp Of The SNF · Organization0%16 facilities
Aurora Guardian Partners Ii LLCAdp Of The SNF · Organization0%16 facilities
Brakeley Park Realty, LLCAdp Of The SNF · Organization0%1 facilities
Carducci, DonnaOperational/Managerial Control · Individual0%1 facilities
Carducci, DonnaAdp Of The SNF · Individual0%1 facilities
Gomes, AnaManaging Control - Governing Body · Individual0%1 facilities
Gomes, AnaOperational/Managerial Control · Individual0%1 facilities
Gomes, AnaAdp Of The SNF · Individual0%1 facilities
J & R Family Investments, LLCAdp Of The SNF · Organization0%31 facilities
L Friedman 2018 Family TrustAdp Of The SNF · Organization0%23 facilities
L Friedman Family Holdings LLCAdp Of The SNF · Organization0%23 facilities
Landau Family Investment TrustAdp Of The SNF · Organization0%31 facilities
M Friedman 2018 Family TrustAdp Of The SNF · Organization0%23 facilities
Pc Wta Opco Holdco LLC5% Or Greater Indirect Ownership Interest · Organization0%28 facilities
Peace Capital Holdings LLCAdp Of The SNF · Organization0%46 facilities
Petocz, CourtneyOperational/Managerial Control · Individual0%1 facilities
Petocz, CourtneyAdp Of The SNF · Individual0%1 facilities
R&J Family Investments LLCAdp Of The SNF · Organization0%17 facilities
Sahar, EtayManaging Control - Governing Body · Individual0%1 facilities
Sahar, EtayOperational/Managerial Control · Individual0%1 facilities
Sahar, EtayAdp Of The SNF · Individual0%1 facilities
Schwartz, HershelOperational/Managerial Control · Individual0%12 facilities
Schwartz, HershelAdp Of The SNF · Individual0%12 facilities
Sms 2021 Trust5% Or Greater Indirect Ownership Interest · Organization0%77 facilities
Sms 2021 TrustAdp Of The SNF · Organization0%77 facilities
Stein, ShalomIndirect Ownership Interest · Individual0%87 facilities
Stein, ShalomManaging Control - Governing Body · Individual0%87 facilities
Stein, ShalomCorporate Officer · Individual0%87 facilities
Stein, ShalomTrustee Of The SNF · Individual0%87 facilities
Welltower Inc5% Or Greater Security Interest · Organization0%139 facilities
Welltower IncAdp Of The SNF · Organization0%139 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 16, 2025 · K321 · Corrected June 12, 2025

  2. F

    Install a fire alarm system that can be heard throughout the facility.

    May 16, 2025 · K341 · Corrected July 8, 2025

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 16, 2025 · K345 · Corrected June 12, 2025

  4. F

    Install corridor and hallway doors that block smoke.

    May 16, 2025 · K363 · Corrected July 8, 2025

  5. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    May 16, 2025 · K374 · Corrected June 12, 2025

  6. D

    Install a fire alarm system that can be heard throughout the facility.

    October 21, 2021 · K341 · Corrected November 5, 2021

Gas, Vacuum, and Electrical Systems3F
  1. F

    Meet requirements for the installation and maintenance of electrical systems.

    May 16, 2025 · K911 · Corrected June 12, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 16, 2025 · K918 · Corrected July 8, 2025

  3. F

    Have proper medical gas storage and administration areas.

    May 16, 2025 · K923 · Corrected June 12, 2025

Egress1F
  1. F

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    May 16, 2025 · K225 · Corrected June 8, 2025

Miscellaneous1F
  1. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    May 16, 2025 · K761 · Corrected June 12, 2025

·

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