Complete Care at Brackenville: Medication Errors - DE
The resident, identified in inspection records only as R5, was at the center of the single deficiency cited during the September 15 survey.
The facility's Director of Nursing, identified in the report as E2, described the intake process for medications arriving from the pharmacy in an interview conducted on September 12. Narcotics require a nurse's signature, she said. IV medications that need refrigeration go into a fridge and are checked before administration. Pills are checked before they reach the medication carts.
Despite those described protocols, inspectors found the facility had not followed through when it came to R5's IV treatment. The Director of Nursing confirmed the finding herself during that same September 12 interview.
Three days later, on the afternoon the inspection formally closed, the finding was reviewed again, this time at an exit conference that included the Nursing Home Administrator, the Director of Nursing, and a registered nurse.
The deficiency was tagged at the lower end of the harm scale, with inspectors noting minimal harm or potential for actual harm affecting a small number of residents. The citation fell under F0658, which covers professional standards of care.
What the records do not show is whether R5's condition was affected by the lapse, or whether the IV medication was eventually given correctly. That information was not included in the inspection report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Complete Care At Brackenville LLC from 2025-09-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
COMPLETE CARE AT BRACKENVILLE LLC in HOCKESSIN, DE was cited for violations during a health inspection on September 15, 2025.
The resident, identified in inspection records only as R5, was at the center of the single deficiency cited during the September 15 survey.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.