Complete Care At Brakeley Park LLC

Inspection history (27)

• May 16, 2025 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · E

  Citation F0919

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0919 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · D

  Citation F0552

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · F

  Citation F0804

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0804 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• May 16, 2025 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2025-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV

• September 25, 2024 · D

  Citation F0810

  Federal surveyors cited this nursing home on 2024-09-25 under CMS tag F0810 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide special eating equipment and utensils for residents who need them and appropriate assistance. The deficiency was recorded as corrected on 2024-10-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-25.GOV

• August 30, 2024 · E

  Citation F0658

  Federal surveyors cited this nursing home on 2024-08-30 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-09-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-30.GOV

• January 5, 2024 · D

  Citation F0812

  Federal surveyors cited this nursing home on 2024-01-05 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-01-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-05.GOV

• January 5, 2024 · E

  Citation F0759

  Federal surveyors cited this nursing home on 2024-01-05 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-01-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-05.GOV

• January 5, 2024 · D

  Citation F0557

  Federal surveyors cited this nursing home on 2024-01-05 under CMS tag F0557 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. The deficiency was recorded as corrected on 2024-01-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-05.GOV

• January 5, 2024 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2024-01-05 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-01-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-05.GOV

• January 5, 2024 · E

  Citation F0565

  Federal surveyors cited this nursing home on 2024-01-05 under CMS tag F0565 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2024-01-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-05.GOV

• January 5, 2024 · J

  Citation F0678

  Federal surveyors cited this nursing home on 2024-01-05 under CMS tag F0678 (CMS scope/severity J: isolated, immediate jeopardy) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2024-01-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-05.GOV

• January 5, 2024 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2024-01-05 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-01-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-05.GOV

• January 5, 2024 · E

  Citation F0711

  Federal surveyors cited this nursing home on 2024-01-05 under CMS tag F0711 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. The deficiency was recorded as corrected on 2024-01-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-05.GOV

Penalties

Total fines on file: $55,647

Staffing

Latest: 3.54 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Pc Nj1 Opcos LLC

   parent · PAC 8921404385