Starfile

Starfile / Delaware

COMPLETE CARE AT BRACKENVILLE LLC

100 ST. CLAIRE DRIVE, HOCKESSIN, DE 19707 · CCN 085042

Ratings

Overall
★★★★★ 5
Health inspection
★★★★☆ 4
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
104
Avg residents/day
98.0
Phone
3022345420

Inspection history vs Delaware & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityDelaware avgNational avgvs state
12025-02-14813.59.5-5.5 better
22024-02-021613.69.8+2.4 worse
32022-07-251612.69.3+3.4 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Nursing and physician services1
Resident rights3
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6847.5%
RN staffing (reported)0.7937.5%
Total nurse staffing (adjusted)3.45

Fines & penalties

Total fines
$16,801
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
COMPLETE CARE
Facilities in chain
85
Chain avg overall
3.20 / 5

Inspection citations (40)2 actual harm

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-15 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  2. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-15 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  3. DF0760Ensure that residents are free from significant medication errors.2025-09-15 · Health · corrected 2025-10-30

    Potential for more than minimal harm

  4. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-02-14 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  5. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-02-14 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  6. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-02-14 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  7. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-02-14 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  8. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-14 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  9. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  10. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  11. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  12. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  13. DF0610Respond appropriately to all alleged violations.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  14. DF0641Ensure each resident receives an accurate assessment.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  15. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  16. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-02 · Health · corrected 2024-03-19

    Actual harm

  17. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  18. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  19. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  20. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  21. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  22. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  23. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  24. DF0880Provide and implement an infection prevention and control program.2024-02-02 · Health · corrected 2024-03-19

    Potential for more than minimal harm

  25. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  26. DF0641Ensure each resident receives an accurate assessment.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  27. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  28. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  29. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  30. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  31. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  33. DF0685Assist a resident in gaining access to vision and hearing services.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  34. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-07-25 · Health · corrected 2022-09-13

    Actual harm

  35. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  36. DF0791Provide or obtain dental services for each resident.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  37. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  39. FF0880Provide and implement an infection prevention and control program.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  40. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2022-07-25 · Health · corrected 2022-09-13

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PC DE OPCOS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-06-01
PC WTA OPCO HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-06-01
PEACE CAPITAL HOLDINGS LLC (DE)Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-06-01
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-06-01
COX, VICKIEIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
DIFILIPO, REBECCAIndividualOPERATIONAL/MANAGERIAL CONTROL2022-01-30
INGLIS, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
MANSFIELD, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
RASTOGI, RITUIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
SILVERBERG, NISANELIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
STEIN, SHALOMIndividualCORPORATE OFFICER2021-06-01
WELLTOWER INCOrganization5% OR GREATER SECURITY INTEREST2021-06-01

Other facilities in HOCKESSIN

NameOverallBeds
WILLOWBROOKE COURT AT COKESBURY VILLAGE★★★★★10
REGAL HEIGHTS HEALTHCARE & REHAB CENTER★★☆☆☆172

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.