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

Complete Care At Phillipsburg, LLC

843 Wilbur Avenue, Phillipsburg, NJ · (908) 454-2627

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
60
Residents per day
57
Ownership
For-Profit
Chain
Complete Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1992

1

How this home got 5 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

    +1 star

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

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among New Jersey homes

Complete Care At Phillipsburg, LLC carries 37 inspection points. That is fewer than 66% of New Jersey's 346 rated homes.

5★4★3★2★1★+11 homes above 20305102550100200inspection points → fewer is better on the leftThis home · 37 pts · 4★

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

14 health citations on record since 2023. 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 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

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

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 3 8 pts
F 1 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Infection Control3E
  1. E

    Provide and implement an infection prevention and control program.

    July 1, 2026 · Standard · F880 · Corrected August 5, 2026

  2. D

    Provide and implement an infection prevention and control program.

    February 24, 2025 · Standard · F880 · Corrected March 31, 2025

  3. D

    Provide and implement an infection prevention and control program.

    January 9, 2023 · Standard · F880 · Corrected January 31, 2023

Pharmacy Service3D
  1. D

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

    July 1, 2026 · Standard · F756 · Corrected August 5, 2026

  2. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    July 1, 2026 · Standard · F757 · Corrected August 5, 2026

  3. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    January 9, 2023 · Standard · F761 · Corrected February 8, 2023

Resident Assessment and Care Planning2E
  1. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 1, 2026 · Standard · F657 · Corrected August 5, 2026

  2. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    February 24, 2025 · Standard · F645 · Corrected March 31, 2025

Quality of Life and Care2D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 1, 2026 · Standard · F677 · Corrected August 5, 2026

  2. D

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

    February 24, 2025 · Standard · F695 · Corrected March 31, 2025

Nutrition and Dietary2F
  1. F

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

    February 24, 2025 · Standard · F812 · Corrected March 31, 2025

  2. D

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

    January 9, 2023 · Standard · F812 · Corrected February 8, 2023

Resident Rights1E
  1. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    July 1, 2026 · Standard · F584 · Corrected August 5, 2026

Nursing and Physician Services1D
  1. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    July 1, 2026 · Standard · F725 · Corrected August 5, 2026

Inspection history

  1. 2026-07-01

    7 health deficiencies · 10 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  2. 2025-02-24

    4 health deficiencies · 6 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2023-01-09

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 22 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

3 h 22 min

New Jersey average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 77% of registered nurses left in the past year, along with 2 administrators.

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

5

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 days0.7 pts better1.32.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better0.71.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine20.5 pts worse72.5%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 injury2.7 pts worse5.0%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms4.4 pts worse16.9%12.5%13.5%
Percentage of long-stay residents who lose too much weight0.6 pts worse5.3%4.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.1 pts better17.7%18.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication11.7 pts worse24.6%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 worsened6.2 pts worse13.5%7.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts worse11.6%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 infection0.7 pts better0.0%0.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.5 pts worse28.7%15.2%18.3%
Percentage of long-stay residents with pressure ulcers3.7 pts better1.6%5.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.1 pts worse59.9%79.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts better4.4%8.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.6 pts better95.1%79.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission11.1 pts better13.0%24.1%23.4%

·

Who owns and runs it

5 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
Pc Wta Opco Holdco LLC5% Or Greater Indirect Ownership Interest · Organization0%28 facilities
Schwartz, HershelW-2 Managing Employee · Individual0%12 facilities
Sms 2021 Trust5% Or Greater Indirect Ownership Interest · Organization0%77 facilities
Stein, ShalomCorporate Officer · Individual0%87 facilities

·

Fire safety

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

Smoke7F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    July 1, 2026 · K353 · Corrected August 14, 2026

  2. F

    Install corridor and hallway doors that block smoke.

    July 1, 2026 · K363 · Corrected August 7, 2026

  3. F

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

    July 1, 2026 · K374 · Corrected August 7, 2026

  4. E

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    July 1, 2026 · K342 · Corrected August 7, 2026

  5. F

    Have an enclosure around a vertical opening shaft.

    February 24, 2025 · K311 · Corrected April 16, 2025

  6. F

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

    February 24, 2025 · K341 · Corrected March 17, 2025

  7. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    February 24, 2025 · K355 · Corrected March 17, 2025

Emergency Preparedness3F
  1. F

    List the names and contact information of those in the facility.

    July 1, 2026 · E30 · Corrected August 7, 2026

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    July 1, 2026 · E4 · Corrected July 30, 2026

  3. F

    Include a process for Emergency Preparedness collaboration.

    July 1, 2026 · E9 · Corrected August 7, 2026

Egress3F
  1. F

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    July 1, 2026 · K222 · Corrected August 7, 2026

  2. F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    January 9, 2023 · K211 · Corrected February 1, 2023

  3. F

    Install emergency lighting that can last at least 1 1/2 hours.

    January 9, 2023 · K291 · Corrected February 8, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    February 24, 2025 · K914 · Corrected March 31, 2025

  2. F

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

    February 24, 2025 · K918 · Corrected April 30, 2025

  3. F

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

    January 9, 2023 · K918 · Corrected January 26, 2023

Electrical1F
  1. F

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    July 1, 2026 · K901 · Corrected August 13, 2026

Construction1E
  1. E

    Use approved construction type or materials.

    July 1, 2026 · K161 · Corrected August 7, 2026

Miscellaneous1F
  1. F

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

    February 24, 2025 · K761 · Corrected April 30, 2025

·

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