F

COMPLETE CARE AT BRAKELEY PARK LLC

290 RED SCHOOL LANE, PHILLIPSBURG, NJ 08865
Score: 35 / 100

With a score of 35/100, Complete Care At Brakeley Park Llc ranks in the bottom tier of New Jersey nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

With 3.38 total nurse hours per resident per day, Complete Care At Brakeley Park Llc falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 27 deficiencies at Complete Care At Brakeley Park Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure food and drink is palatable, attractive, and at a safe and appetizing temperature..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.38 3.8 Below Average
Registered Nurses (RN) 0.54 0.7 Below Average
Licensed Practical Nurses (LPN) 1.04 0.7 Above Average
Certified Nursing Assistants (CNA) 1.80 2.4 Below Average
Weekend Total Nursing 2.89 3.8 Below Average
Weekend RN Hours 0.47 0.7 Below Average

🔍 Inspection & Deficiency History

27
Total Deficiencies
May 15, 2025
Most Recent Inspection
🟠 26 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0804 Severity F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    May 15, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    May 15, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    May 15, 2025 · Pharmacy Service Deficiencies
  • Tag 0919 Severity E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    May 15, 2025 · Environmental Deficiencies
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    May 15, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.7% 4.5% Better
Falls with major injury 4.7% 3.0% Worse
On antipsychotic medication 27.1% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 11.0% 14.0% Better
Excessive weight loss 4.1% 7.5% Better
New/worsened incontinence 27.4% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $55,647

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 15, 2025
Deficiencies (Cycle 1)
10