All citations for Complete Care at Phillipsburg, LLC

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 Phillipsburg, LLC

Last standard health inspection on record

July 1, 2026

Showing 1 to 17 of 17 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2026).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2026).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2026).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2026).

  6. 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 July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2026).

  7. 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 July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2026).

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

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2026).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2026).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2026).

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

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2026).

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

    Use approved construction type or materials.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2026).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2026).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2026).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2026).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2026).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of July 1, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.