Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Complete Care At Brakeley Park during CMS and state inspections, most recent first.
A resident with severe cognitive and physical impairments was not provided with necessary adaptive eating equipment or assistance during a meal, despite these being specified in their care plan and physician orders. The resident was observed struggling to feed themselves without supervision, highlighting a failure in adhering to facility policies and care requirements.
A resident with Alzheimer's and other mental health conditions was identified as at risk for elopement, yet the facility failed to obtain physician orders for a WanderGuard device for several months. Despite the resident's exit-seeking behavior, checks of the device's placement and function were not documented in the MAR until late August. Interviews revealed that it was the responsibility of the DON or Unit Manager to ensure these orders were in place, which was not done according to facility policy.
Failure to Provide Adaptive Eating Equipment and Assistance
Penalty
Summary
The facility failed to provide necessary adaptive eating equipment and appropriate assistance to a resident during a meal service. On the specified date, a resident with severe cognitive impairment and physical limitations, including hemiplegia and dysphagia, was observed eating without the required adaptive equipment, such as a lip plate and Kennedy cup, which were specified in their care plan and physician orders. The resident was left unsupervised, resulting in food debris on their chest and difficulty in feeding themselves due to their condition. The resident's care plan and physician orders clearly indicated the need for adaptive equipment and assistance during meals, which were not provided during the observed meal service. The facility's policy required that appropriate utensils be placed on the resident's food tray at each meal, but this was not adhered to. Interviews with staff, including the CNA, Director of Rehab, Speech Therapist, and Food Service Director, confirmed the oversight and the resident's need for the specified adaptive devices and assistance, which were not provided as required.
Failure to Obtain Physician Orders for WanderGuard Device
Penalty
Summary
The facility failed to obtain appropriate physician's orders for a WanderGuard device for a resident identified as at risk for elopement. The resident, who had diagnoses including Alzheimer's Disease, Major Depressive Disorder, and Anxiety Disorder, was admitted with a care plan indicating a risk for elopement due to exit-seeking behavior. Despite this, there were no physician's orders for checks of the WanderGuard device's placement and function documented in the Medication Administration Records (MAR) for several months, from April to July 2024. It was only on August 22, 2024, that orders for checks were initiated, and these were later revised on August 25, 2024. Interviews with the Unit Manager and Regional Nurse revealed that it was the responsibility of the Director of Nursing or the Unit Manager to ensure that physician orders were obtained for the WanderGuard device. The Unit Manager confirmed that no physician's orders were obtained prior to August 22, 2024, despite the resident's known elopement risk. The facility's policy and the Nurse Manager's job description required that appropriate physician orders be in place and reflected on the MARs, which was not adhered to in this case.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Phillipsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lopatcong Center | 0.3 mi | ★★★★★ | 0 | 0 |
| Complete Care At Phillipsburg, Llc | 1.6 mi | ★★★★★ | 0 | 0 |
| Gardens At Easton, The | 2.7 mi | ★★★★★ | 1 | 0 |
| Gardens For Memory Care At Easton, The | 2.7 mi | ★★★★★ | 8 | 0 |
| New Eastwood Healthcare And Rehabilitation Center | 4.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.