Starfile

Starfile / Delaware

ENCORE AT WILMINGTON

2723 SHIPLEY ROAD, WILMINGTON, DE 19810 · CCN 085031

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Corporation
Certified beds
82
Avg residents/day
65.1
Phone
3024790111

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
12024-07-022113.59.5+7.5 worse
22023-01-262413.69.8+10.4 worse
32019-11-011512.69.3+2.4 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning7
Nursing and physician services2
Resident rights4
Pharmacy service2
Administration1
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9550.0%
RN staffing (reported)0.9043.8%
Total nurse staffing (adjusted)4.01

Fines & penalties

Total fines
$32,394
Number of fines
2
Number of penalties
2
Payment denials
0

Inspection citations (60)1 immediate jeopardy1 actual harm

  1. DF0760Ensure that residents are free from significant medication errors.2025-06-06 · Health · corrected 2025-07-16

    Potential for more than minimal harm

  2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  3. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  4. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  5. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  6. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  7. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  8. DF0641Ensure each resident receives an accurate assessment.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  9. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  12. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-02 · Health · corrected 2024-09-27

    Potential for more than minimal harm

  15. DF0685Assist a resident in gaining access to vision and hearing services.2024-07-02 · Health · corrected 2024-08-09

    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.2024-07-02 · Health · corrected 2024-08-23

    Actual harm

  17. DF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  18. DF0730Observe each nurse aide's job performance and give regular training.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  19. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  20. CF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-07-02 · Health · corrected 2024-08-09

    Potential for minimal harm

  21. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  22. EF0880Provide and implement an infection prevention and control program.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  23. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  24. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  25. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-07-02 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  26. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  27. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  28. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  29. DF0637Assess the resident when there is a significant change in condition2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  30. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  31. JF0660Plan the resident's discharge to meet the resident's goals and needs.2024-01-08 · Health · corrected 2024-02-05

    Immediate jeopardy

  32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  33. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  34. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  35. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-01-08 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  36. 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.2023-04-20 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  37. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-04-20 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  38. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  39. 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.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  40. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  41. DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  42. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  43. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  44. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  45. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  46. CF0732Post nurse staffing information every day.2023-01-26 · Health · corrected 2023-02-21

    Potential for minimal harm

  47. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  48. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  49. 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.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  50. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  51. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  52. FF0880Provide and implement an infection prevention and control program.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  53. FF0881Implement a program that monitors antibiotic use.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  54. EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  55. EF0885Report COVID19 data to residents and families.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  56. FF0886Perform COVID19 testing on residents and staff.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  57. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-01-26 · Health · corrected 2023-02-21

    Potential for more than minimal harm

  58. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-11-01 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  59. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-11-01 · Health · corrected 2019-11-22

    Potential for more than minimal harm

  60. EF0880Provide and implement an infection prevention and control program.2019-11-01 · Health · corrected 2019-11-22

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SNH PROJ LINCOLN TRS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2020-01-01
BLACKROCK INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-03-29
DIVERSIFIED HEALTHCARE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-01-01
SNH TRS LICENSEE HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-01-01
SNH TRS, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-01-01
STATE STREET CORPORATIONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-03-29
VANGUARD GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-03-29
LIFE CARE SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-11-18
ANDERSON, JACQUELYNIndividualCORPORATE OFFICER2024-01-01
BILOTTO, CHRISTOPHERIndividualCORPORATE OFFICER2024-01-01
BROWN, MATTHEWIndividualCORPORATE OFFICER2024-01-01
CLARK, JENNIFERIndividualCORPORATE OFFICER2020-01-01
BALLAS, TIMOTHYIndividualCONTRACTED MANAGING EMPLOYEE2021-11-18
BOIDE, WILLIAMIndividualCONTRACTED MANAGING EMPLOYEE2023-07-21
HARMON, CRYSTALIndividualCONTRACTED MANAGING EMPLOYEE2021-11-18
MCGHEE, KARENIndividualCONTRACTED MANAGING EMPLOYEE2024-02-15

Other facilities in WILMINGTON

NameOverallBeds
ENCORE AT WINDSOR HILLS★★★★★46
WILLOWBROOKE COURT AT COUNTRY HOUSE★★★★★14
COMPLETE CARE AT HILLSIDE LLC★★★★☆106
REGENCY HEALTHCARE & REHAB CENTER★★★★☆100
CADIA REHABILITATION SILVERSIDE★★★★☆116

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