All citations for Complete Care at Brakeley Park

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Brakeley Park

Last standard health inspection on record

May 16, 2025

Showing 1 to 10 of 10 citations

  1. No harm, with potential for more than minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2025).

  2. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  3. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2025).

  4. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  5. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2025).

  6. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  7. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  8. No harm, with potential for more than minimal harm

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  9. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2025).

  10. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.