Complete Care at Brakeley Park
290 Red School Lane, Phillipsburg, NJ 08865 · Warren County · 120 certified beds · avg 114 residents/day · certified since Sep 17, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jan 5, 2024 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 23, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 10, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 11, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 16, 2025 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 16, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 16, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 16, 2025 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 25, 2024 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · from a complaint |
| Aug 30, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 5, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Jan 5, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jan 5, 2024 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 5, 2024 | E · Potential for harm, repeated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Jan 5, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 10, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 21, 2021 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 21, 2021 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 21, 2021 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | E |
| 2023 | 1 | 1 | G ▲ |
| 2024 | 12 | 1 | J ▲ |
| 2025 | 10 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $55,647.
| Date | Type | Amount / length |
|---|---|---|
| Jan 5, 2024 | Fine | $47,746 |
| Oct 10, 2023 | Fine | $7,901 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Jersey avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.37 | 3.88 | 3.95 | bottom 29% in New Jersey; bottom 30% in the U.S. |
| Registered Nurse hours | 0.56 | 0.67 | 0.69 | bottom 49% in New Jersey; bottom 46% in the U.S. |
| Weekend total nurse staffing | 2.97 | 3.53 | 3.50 | bottom 22% in New Jersey; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.50 | 0.48 | top 47% in New Jersey; top 45% in the U.S. |
| Total nursing staff turnover (%) | 41.3 | 39.7 | 45.8 | bottom 45% in New Jersey; top 40% in the U.S. |
| RN turnover (%) | 30.8 | 37.7 | 42.9 | top 36% in New Jersey; top 30% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.55, weekend 2.91. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| PC NJ1 Opcos LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2021 |
| PC Wta Opco Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2021 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2021 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian Holdco II Co-Borrower, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian Holdco II Mezz Borrower, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian Holdco II, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian II Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian Partners II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Brakeley Park Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Carducci, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2021 |
| Carducci, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Gomes, Ana | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2021 |
| Gomes, Ana | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2021 |
| Gomes, Ana | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| J & R Family Investments, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| L Friedman 2018 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| L Friedman Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Landau Family Investment Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| M Friedman 2018 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lopatcong Center | 0.3 mi | Phillipsburg, NJ | ★★★☆☆ | 2/5 | |
| Complete Care at Phillipsburg, LLC | 1.6 mi | Phillipsburg, NJ | ★★★☆☆ | 4/5 | |
| Gardens at Easton, the | 2.7 mi | Easton, PA | ★★★★☆ | 4/5 | |
| Gardens for Memory Care at Easton, the | 2.7 mi | Easton, PA | ★★★☆☆ | 3/5 | |
| New Eastwood Healthcare and Rehabilitation Center | 4.2 mi | Easton, PA | ★★★★★ | 4/5 | |
| Easton Skilled Nursing and Rehabilitation Center | 4.8 mi | Easton, PA | ★★★★★ | 4/5 | |
| Northampton Post Acute | 6.5 mi | Easton, PA | ★★★★★ | 4/5 | |
| Moravian Hall Square Health and Wellness Center | 8.3 mi | Nazareth, PA | ★★★★★ | 4/5 | |
| Country Meadows Nursing Center of Bethlehem | 8.3 mi | Bethlehem, PA | ★★★★★ | 4/5 | |
| Northampton County-Gracedale | 9.0 mi | Nazareth, PA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Kirkland Village | 9.6 mi | Bethlehem, PA | ★★★★★ | 4/5 | |
| Advanced Health Care of Hanover | 9.6 mi | Bethlehem, PA | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315316.