Complete Care at Phillipsburg, LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Phillipsburg, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 24, 2025

  Based on observation, staff interview, and facility policy review, the facility failed to ensure kitchen staff properly air-dried pans prior to storage. This failure had the potential to increase the risk of foodborne illness and had the potential to affect 49 of 51 residents who resided in the facility and who received dietary services. There were two residents receiving tube feedings. The facility had a census of 51 residents. Findings include: Review of the facility's policy titled, Manual Ware washing, dated 10/2024 (sic), revealed, Policy Statement: All cookware, dishware, and service ware that is not processed through the dish machine will be manually washed and sanitized. Procedures: . 3. All service ware and cook ware will be air dried prior to storage. […]

• No harm, potential for more than minimal, patternF584Jul 1, 2026

  Based on observation, interview, and review of facility policy, it was determined that the facility failed to provide a homelike environment in resident rooms and common areas. The deficient practice was observed on 1 of 1 resident units during facility tour. The deficient practice was evidenced by the following: On 6/15/26 at 10:45 AM, during initial tour, the surveyor observed the following: 1. room [ROOM NUMBER] observed with multiple stained and buckled ceiling tiles. 2. room [ROOM NUMBER] observed with multiple stained and buckled ceiling tiles in the bathroom. 3. room [ROOM NUMBER] observed with multiple damaged floor tiles. 4. room [ROOM NUMBER] window track was observed dirty and had buckled ceiling tiles. 5. room [ROOM NUMBER] observed multiple stained ceiling tiles. 6. […]

• No harm, potential for more than minimal, patternF657Jul 1, 2026

  Based on observation, interview and record review, it was determined that the facility failed to update and revise the comprehensive care plan of a resident. This deficient practice was identified for 3 of 15 residents reviewed, Resident #4, Resident #5 and Resident #12.The deficient practice is evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and… […]

• No harm, potential for more than minimal, patternF880Jul 1, 2026

  Repeat DeficiencyBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) maintain cleanliness of resident care equipment for 3 of 4 enteral feeding (TF) residents (Resident #3, #4, and #36) and b.) maintain infection control standards and procedures during wound care for 1 of 1 resident (Resident #31). This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF677Jul 1, 2026

  Based on observation, interview, record review, and review of facility-provided documentation, it was determined that the facility failed to ensure that incontinence care was provided to dependent residents in a timely manner for 2 of 3 residents (Residents #25 and #52) observed for incontinence care on 1 of 1 Nursing unit.This deficient practice was evidenced by the following: On 6/16/26 at 8:15 AM, the surveyor conducted an incontinence care tour on the Nursing Unit and observed the following:1. On 6/16/26 at 8:15 AM, the surveyor, accompanied by the Certified Nursing Assistant (CNA #1), observed Resident #25 in bed. CNA #1 exposed Resident #25's incontinence brief and observed that the brief was saturated with urine. […]