Complete Care At Brakeley Park
Phillipsburg, Warren County, New Jersey · CCN 315316 · For-profit (LLC) · part of Complete Care (85 facilities, chain average 3.1 stars)
CMS rates Complete Care At Brakeley Park 2 of 5 overall as of August 2026. 120 certified beds, 114 residents a day on average. 26 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $55,647.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.29335 hours per resident per day |
|---|---|
| Registered nurses | 0.54517 hours per resident per day |
| Weekend total | 2.90579 hours per resident per day |
| Nursing staff turnover | 41.3% (registered nurses 30.8%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-05-16 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-16 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2024-09-25 complaint survey |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · tag F0810 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-18 |
| 2024-08-30 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-06 |
| 2024-01-05 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · tag F0711 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · tag F0557 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2024-01-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-10-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-10-11 |
| 2021-10-21 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-11-17 |
| 2021-10-21 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-11-17 |
| 2021-10-21 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-11-10 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-05 | Fine | $47,746 |
| 2023-10-10 | Fine | $7,901 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| PC Nj1 Opcos LLC Organization | 5% or greater direct ownership interest | 100% | 2021-07-01 |
| PC Wta Opco Holdco LLC Organization | 5% or greater indirect ownership interest | — | 2021-07-01 |
| Sms 2021 Trust Organization | 5% or greater indirect ownership interest | — | 2021-07-01 |
| Welltower Inc. Organization | 5% or greater security interest | — | 2021-07-01 |
| Aurora Guardian Holdco II Co-Borrower, LLC Organization | adp of the snf | — | 2021-07-01 |
| Aurora Guardian Holdco II Mezz Borrower, LLC Organization | adp of the snf | — | 2021-07-01 |
| Aurora Guardian Holdco II, LLC Organization | adp of the snf | — | 2021-07-01 |
| Aurora Guardian II Realty, LLC Organization | adp of the snf | — | 2021-07-01 |
| Aurora Guardian Partners II LLC Organization | adp of the snf | — | 2021-07-01 |
| Brakeley Park Realty, LLC Organization | adp of the snf | — | 2021-07-01 |
| J & R Family Investments, LLC Organization | adp of the snf | — | 2021-07-01 |
| L Friedman 2018 Family Trust Organization | adp of the snf | — | 2021-07-01 |
| L Friedman Family Holdings LLC Organization | adp of the snf | — | 2021-07-01 |
| Landau Family Investment Trust Organization | adp of the snf | — | 2021-07-01 |
| M Friedman 2018 Family Trust Organization | adp of the snf | — | 2021-07-01 |
| Peace Capital Holdings LLC Organization | adp of the snf | — | 2021-07-01 |
| R&J Family Investments LLC Organization | adp of the snf | — | 2021-07-01 |
| Sms 2021 Trust Organization | adp of the snf | — | 2021-07-01 |
| Welltower Inc. Organization | adp of the snf | — | 2021-07-01 |
| Carducci, Donna Individual | adp of the snf | — | 2021-07-01 |
| Gomes, Ana Individual | adp of the snf | — | 2021-07-01 |
| Petocz, Courtney Individual | adp of the snf | — | 2025-01-16 |
| Sahar, Etay Individual | adp of the snf | — | 2023-03-28 |
| Schwartz, Hershel Individual | adp of the snf | — | 2021-07-01 |
| Stein, Shalom Individual | corporate officer | — | 2021-07-01 |
| Stein, Shalom Individual | indirect ownership interest | — | 2021-07-01 |
| Gomes, Ana Individual | managing control - governing body | — | 2021-07-01 |
| Sahar, Etay Individual | managing control - governing body | — | 2023-03-28 |
| Stein, Shalom Individual | managing control - governing body | — | 2021-07-01 |
| Carducci, Donna Individual | operational/managerial control | — | 2021-07-01 |
| Gomes, Ana Individual | operational/managerial control | — | 2021-07-01 |
| Petocz, Courtney Individual | operational/managerial control | — | 2025-01-16 |
| Sahar, Etay Individual | operational/managerial control | — | 2023-03-28 |
| Schwartz, Hershel Individual | operational/managerial control | — | 2021-07-01 |
| Stein, Shalom Individual | trustee of the snf | — | 2021-07-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Complete Care At Brakeley Park.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Warren County.