Starfile

Starfile / Delaware

COMPLETE CARE AT HILLSIDE LLC

810 SOUTH BROOM STREET, WILMINGTON, DE 19805 · CCN 085013

Ratings

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

Facility

Ownership type
For profit - Limited Liability company
Certified beds
106
Avg residents/day
91.8
Phone
3026521181

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
12025-02-062013.59.5+6.5 worse
22024-02-01613.69.8-7.6 better
32022-01-19912.69.3-3.6 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care7
Resident assessment and care planning2
Resident rights4
Pharmacy service3
Environmental1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1336.2%
RN staffing (reported)0.7623.5%
Total nurse staffing (adjusted)3.95—

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

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

Inspection citations (35)

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-30 · Health · corrected 2026-03-16

    Potential for more than minimal harm

  2. EF0584Honor 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.2026-01-30 · Health · corrected 2026-03-16

    Potential for more than minimal harm

  3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-30 · Health · corrected 2026-03-16

    Potential for more than minimal harm

  4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-30 · Health · corrected 2026-03-16

    Potential for more than minimal harm

  5. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  6. DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  7. DF0610Respond appropriately to all alleged violations.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  9. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  10. CF0680Ensure the activities program is directed by a qualified professional.2025-02-06 · Health · corrected 2025-03-12

    Potential for minimal harm

  11. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  12. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  14. 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.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  15. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  16. DF0760Ensure that residents are free from significant medication errors.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  17. 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.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  18. EF0880Provide and implement an infection prevention and control program.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  19. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  20. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-02-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  21. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-01 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-01 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-01 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  24. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-01 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-01 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  26. FF0880Provide and implement an infection prevention and control program.2024-02-01 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  27. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-17 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  28. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-17 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  29. 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.2023-11-17 · Health · corrected 2023-12-20

    Potential for more than minimal harm

  30. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-01-19 · Health · corrected 2022-02-25

    Potential for minimal harm

  31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-01-19 · Health · corrected 2022-02-25

    Potential for more than minimal harm

  32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-01-19 · Health · corrected 2022-02-25

    Potential for more than minimal harm

  33. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2022-01-19 · Health · corrected 2022-02-25

    Potential for more than minimal harm

  34. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2022-01-19 · Health · corrected 2022-02-25

    Potential for more than minimal harm

  35. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-01-19 · Health · corrected 2022-02-25

    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 INTEREST—2021-06-01
PEACE CAPITAL HOLDINGS LLC (DE)Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-06-01
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-06-01
BAICH-PIETLOCK, DEBRAIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-06-01
COX, VICKIEIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-06-01
GRAZIANO, RUTHIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-06-01
MANSFIELD, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-06-01
MCGHEE, KARENIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-06-01
SILVERBERG, NISANELIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-06-01
STEIN, SHALOMIndividualCORPORATE OFFICER—2021-06-01
WELLTOWER INCOrganization5% OR GREATER SECURITY INTEREST—2021-06-01

Other facilities in WILMINGTON

NameOverallBeds
ENCORE AT WINDSOR HILLS★★★★★46
WILLOWBROOKE COURT AT COUNTRY HOUSE★★★★★14
CADIA REHABILITATION SILVERSIDE★★★★☆116
REGENCY HEALTHCARE & REHAB CENTER★★★★☆100
EXCELCARE AT WILMINGTON LLC★★★☆☆150

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