Complete Care at Brakeley Park LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 165 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (10 vs median 7)
Bottom 25% in NJ · Below recommended RN staffing · Below chain average · $55,647 in fines
What this means for your family
This facility is an excellent choice for those prioritizing high-quality physical therapy and a clean, home-like environment. However, families should closely monitor call bell response times and ask about staffing levels in the specific wing where their loved one will be staying to ensure consistent attention.
Google Reviews
Google Reviews
165 reviews on Google“Families generally praise the facility for its exceptional physical therapy, compassionate nursing staff, and a clean, welcoming environment that feels like home. However, some reviewers have raised serious concerns regarding delayed response times to call bells and inconsistent staffing levels in certain wings.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab programs
- Compassionate and professional nursing staff
- Clean, bright, and well-maintained facility
- Strong community engagement and social activities
Concerns
- Delayed response to call bells (mentioned by 4 reviewers)
- Staffing shortages affecting care consistency (mentioned by 3 reviewers)
- Inconsistency in food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 171 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed many people mention how great the physical therapy and rehab programs are here; could you tell me more about how those are customized for each resident?
- 2With the facility being so bright and well-maintained, what kind of social activities or community events do you have planned for the residents this month?
- 3How does the nursing team manage call bells during the busier shifts to ensure everyone gets a timely response?
- 4What is your process for ensuring consistent care and staffing levels, especially during overnight or weekend shifts?
- 5Could you describe the meal service and how you ensure food quality and variety remain consistent every day?
- 6In the event of a medical emergency after hours, what is the specific protocol for notifying the family and coordinating with doctors?
Personalized based on this facility's data
Key Review Excerpts
“The nurses, social workers and therapists- the entire staff- were kind and very helpful. My father left in much better shape than when he was admitted.”
“The therapy was helpful, the staff was kind, the room was nice and clean. Food was better than I had expected.”
“The physical therapy program is truly top notch! Staff is fabulous & I would definitely choose this facility above all the rest!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing complaints that led to federal citations, including issues with accident prevention, care standards, dining assistance, and equipment safety. The most recurring problems involve fire safety systems, medication management, and food service quality, with fire safety deficiencies appearing across multiple surveys. While all identified issues have correction dates, the frequency of complaints and repeat violations in core care areas warrant careful consideration during any visit.
May 16, 2025Routine20
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
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
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 25, 2024Complaint1
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Aug 30, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jan 5, 2024Routine10
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Assessment and Care Planning Deficiencies
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
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Oct 10, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 1, 2023Complaint1
Environmental Deficiencies
Keep all essential equipment working safely.
Federal Penalties
Fine
Jan 5, 2024
$47,746
Fine
Oct 10, 2023
$7,901
Ownership & Operations
Who Operates This Facility
Complete Care at Brakeley Park LLC
for profit
Chain Affiliation
Complete Care
85 facilities nationwide
Chain avg rating: 3.2/5 · Rank 58 of 85
Ownership & Management
Owners
Pc Nj1 Opcos LLC
Owner · Organization
Pc Wta Opco Holdco LLC
Owner (parent company) · Organization
Sms 2021 Trust
Owner (parent company) · Organization
Stein, Shalom
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
165 reviews from families & visitors
Official Website
Visit ccbrakeleypark.com
Medicare data downloads
Original nursing home datasets
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