Complete Care at Hillside: Daily Living Care Lapses - DE
The 105-year-old woman was admitted June 27, 2025, but only received assessment from a licensed practical nurse. Federal regulations require RN-level evaluation for all admissions.
Eleven days later, staff found her lying on her side in front of her wheelchair with a lump on the left side of her head. The fall incident report noted "neurocheck in effect" and documented the head injury, but again no registered nurse performed the required post-fall assessment.
LPN E23, who was assigned to the resident that day, told inspectors during a January interview: "I don't remember the resident but if I was assigned to a resident that fell and hit their head, I would do a full body assessment and the neuro checks for the shift."
Corporate Educator E21 confirmed facility policy requires nurses assigned to residents to complete post-fall assessments "and any other assessment prompted by entering a change in condition note."
But when federal inspectors reviewed the resident's electronic medical record in January 2026, they found no evidence any registered nurse had ever assessed her - neither at admission nor after her head injury.
The facility's staffing records confirmed E23 was responsible for the resident on the day she fell. However, as an LPN rather than an RN, E23 lacked the credentials required for the comprehensive assessments federal regulations mandate.
Inspectors presented their findings to nursing home administrator E1, director of nursing E2, and other facility leadership during a January 30 exit conference. The violation received a "minimal harm" rating, affecting few residents.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Complete Care At Hillside LLC from 2026-01-30 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: June 20, 2026 · Our methodology
COMPLETE CARE AT HILLSIDE LLC in WILMINGTON, DE was cited for violations during a health inspection on January 30, 2026.
The 105-year-old woman was admitted June 27, 2025, but only received assessment from a licensed practical nurse.
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.