Complete Care at Hillside: Daily Living Care Lapses - DE
The resident, identified in inspection documents only as R99, was admitted to Complete Care at Hillside LLC on August 19, 2025. From his first day, his care plan made clear he was totally dependent on staff to bathe him. He could not do it himself.
His care team scheduled him for showers or bed baths every Wednesday and Saturday evening. That was the plan. Between August 19 and September 4, five of those scheduled opportunities came and went. He was bathed twice. He refused once. On August 30 and again on September 3, no bathing was provided, and his progress notes contained no explanation for either absence.
The care plan went further than just scheduling. Added two days after his admission, it noted that it was important for R99 to have the opportunity to engage in daily routines that were meaningful and relative to his preferences. Staff documented that it was very important for him to choose how he was bathed, and that he preferred a shower or a bed bath. The facility put that in writing. Then, on at least two occasions, neither option was offered.
A stroke can leave a person unable to reposition themselves, unable to wash their own body, unable to communicate discomfort effectively. For someone in that condition, a bath is not a preference. It is a need that falls entirely on the people around them.
The inspection was a complaint investigation, conducted January 30, 2026. Inspectors reviewed clinical records and spoke with staff. At 11:50 that morning, the nurse educator and infection preventionist, identified as E13, confirmed the findings. That afternoon, inspectors reviewed the case at an exit conference attended by the nursing home administrator, the director of nursing, the assistant director of nursing, and the compliance educator.
Nobody disputed what the records showed.
The violation was cited at the minimal harm level, the lowest rung of the federal harm scale. That classification reflects the inspector's assessment that no serious injury resulted from the missed baths. It does not mean nothing happened. It means what was documented was incomplete, and what was incomplete was two days in a man's life when he needed help and the record is silent on whether anyone came.
The missing documentation is its own problem. Progress notes exist to explain what happened and why. When a scheduled intervention doesn't occur, a note is how staff account for it, whether a resident was sleeping, refused, had a medical appointment, or whether the shift was short-staffed and no one got to him. R99's record had none of that for August 30 or September 3. The nurse educator confirmed it. The administrator and director of nursing sat in the room when inspectors said it out loud.
Complete Care at Hillside is a long-term care facility operating in Wilmington. The January inspection covered two residents for activities of daily living concerns. R99 was the one where inspectors found a problem.
His care plan said his daily routines were meaningful to him. It said his preferences mattered. It said the choice of how he was bathed was very important. Those words were written by his care team, placed into his chart, and then, on two separate scheduled evenings, nothing in the record shows anyone acted on them.
He had been at the facility for less than three weeks when the last missed bath occurred.
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: August 4, 2026 · Our methodology
COMPLETE CARE AT HILLSIDE LLC in WILMINGTON, DE was cited for violations during a health inspection on January 30, 2026.
The resident, identified in inspection documents only as R99, was admitted to Complete Care at Hillside LLC on August 19, 2025.
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.