Delaware › New Castle County › Wilmington
Complete Care At Hillside LLC
810 South Broom Street, Wilmington, DE 19805
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 106 beds, Complete Care At Hillside LLC serves Wilmington in New Castle County, Delaware and has taken Medicare and Medicaid residents since 1970.
CMS gives it 4 of 5 stars overall, above the Delaware median of 3; the health inspection rating is 3, staffing 3 and quality measures 5.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (20, 6, 9 by cycle, most recent first), none at the actual-harm level. That is 33.0 per 100 beds, about the same as the state median of 35.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.1 hours per resident per day (0.6 RN), close to the Delaware median of 3.9; nursing staff turnover is 45.1%.
Compared with county, state and nation
| Measure | This facility | New Castle Co. median | Delaware median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 35 | 33 | 33 | 28.7 |
| Citations per 100 beds | 33.0 | 35.7 | 35.0 | 26.8 |
| Total nurse hours per resident day | 4.1 | 3.9 | 3.9 | 3.9 |
| RN hours per resident day | 0.6 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 45.1% | 44.9% | 41.7% | 45.8% |
| Fines listed | $0 | $32,394 | $34,838 | — |
County and state figures are medians across facilities (25 in the county, 44 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Delaware average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Feb 2025, 1 Feb 2024.
Severity mix: D ×28 E ×2 F ×3 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Jan 2026 | F0584 | 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. | E | Complaint investigation | 16 Mar 2026 |
| 30 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Mar 2026 |
| 30 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Mar 2026 |
| 30 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 Mar 2026 |
| 6 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0700 | Try 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. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0758 | Implement 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. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0761 | Ensure 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. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 12 Mar 2025 |
| 6 Feb 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | C | Standard survey | 12 Mar 2025 |
| 1 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Apr 2024 |
| 1 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 9 Apr 2024 |
| 1 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 9 Apr 2024 |
| 1 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 9 Apr 2024 |
| 1 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Apr 2024 |
| 1 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 Apr 2024 |
| 17 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 20 Dec 2023 |
| 17 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Dec 2023 |
| 17 Nov 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 20 Dec 2023 |
| 19 Jan 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Feb 2022 |
| 19 Jan 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Feb 2022 |
| 19 Jan 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Feb 2022 |
| 19 Jan 2022 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 25 Feb 2022 |
| 19 Jan 2022 | F0808 | Ensure 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. | D | Standard survey | 25 Feb 2022 |
| 19 Jan 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 25 Feb 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 45.1%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Delaware median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.8% | 11.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.7% | 14.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.7% | 10.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pc De Opcos LLC | 5% or greater direct ownership interest | 100% | 06/01/2021 |
| Pc Wta Opco Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 06/01/2021 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 06/01/2021 |
| Hillside Center Realty, LLC | Adp of the snf | NOT APPLICABLE | 06/01/2021 |
| Pc Wta Acquisition LLC | Adp of the snf | NOT APPLICABLE | 06/01/2021 |
| Pc Wta Multi-State LLC | Adp of the snf | NOT APPLICABLE | 06/01/2021 |
| Peace Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 06/01/2021 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 06/01/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in New Castle County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cadia Rehabilitation Silverside | Wilmington | 116 | 5 | 3 | 5 | 29 | 25.0 | $11K | 27 Apr 2026 |
| Encore At Foulk | Wilmington | 46 | 5 | 5 | 5 | 12 | 26.1 | $14K | 13 Apr 2026 |
| Exceptional Care For Children | Newark | 46 | 5 | 5 | — | 5 | 10.9 | — | 19 May 2026 |
| Jeanne Jugan Residence | Newark | 40 | 5 | 4 | 5 | 14 | 35.0 | — | 10 Apr 2026 |
| Willowbrooke Court At Cokesbury Village | Hockessin | 10 | 5 | 4 | 5 | 11 | 110.0 | — | 29 Jul 2025 |
| Willowbrooke Court At Country House | Wilmington | 14 | 5 | 5 | 5 | 5 | 35.7 | — | 26 Feb 2025 |
| Cadia Rehabilitation Pike Creek | Wilmington | 177 | 4 | 3 | 2 | 35 | 19.8 | $106K | 1 Jul 2026 |
| Complete Care At Brackenville LLC | Hockessin | 104 | 4 | 3 | 3 | 30 | 28.8 | $17K | 5 Mar 2026 |
All 25 facilities in New Castle County
Questions and answers
How many deficiencies has Complete Care At Hillside LLC been cited for?
35 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Delaware median is 33 per facility.
Has Complete Care At Hillside LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Complete Care At Hillside LLC compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.
Who operates Complete Care At Hillside LLC?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc De Opcos LLC and Pc Wta Opco Holdco LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Hillside LLC last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jan 2026; the most recent standard health survey was 6 Feb 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.