Complete Care at Hillside: Environment Safety Issues - DE
The resident, identified in inspection records as R103, was admitted to the Wilmington facility on August 19, 2025. Six days later, his admission assessment showed a cognition score of 15 out of 15, indicating his mind was fully intact. He knew what was happening to him.
What happened next took weeks to piece together, partly because R103 himself struggled to describe it clearly at first. A facility incident report from August 26 noted that R103 reported the incident had occurred four days earlier, on August 22, saying a male aide came into his room and "assaulted him by pulling down his underwear." Then R103 corrected himself: it wasn't his underwear, it was his pants. The report noted he was "unclear with this allegation" and said he had been "foggy" since leaving the hospital, that "medications have taken over his mind."
That same day, a follow-up incident report captured a cleaner account. R103 said he was woken up by the aide, identified as E16, "trying to pull my underwear down to get them off." He denied being touched sexually. He said he did not want E16 to care for him again. He did not want police called and said he was not fearful.
Three days later, on August 29, E16 gave a statement. He adamantly denied pulling down R103's underwear or assaulting him in any way. He acknowledged caring for R103 that day but said nothing improper occurred.
The facility's formal response came on September 15, when the Director of Nursing sent correspondence to the state agency. E16, the letter said, had been "educated as to customer service," specifically that he should explain why he has entered a room and let residents know before checking them for incontinence.
Customer service.
No retraining was documented. No formal corrective action was recorded. E16 works every other weekend, and by the time he returned to the facility, R103 had already been discharged.
By January 29, 2026, when a state inspector sat down with R103, the account had settled into something precise and consistent. "I was asleep and felt tugging at my hip," R103 said. "E16 said that I had to take my underwear off. E16 did not touch me sexually or anything but he didn't announce himself and he didn't knock on the door."
That same afternoon, the Director of Nursing confirmed to the inspector that no follow-up training had been given to E16 after the incident.
The inspection, completed January 30, 2026, cited the facility for failing to ensure R103 was treated with dignity. The deficiency was tagged at the level of minimal harm or potential for actual harm, affecting few residents. It is one citation, for one man, in one room, on one night in August.
But the citation captures something the clinical language barely contains: a cognitively intact man, newly admitted, already disoriented by illness and medication, waking in the night to hands at his waist and no explanation. His first attempt to describe it came out confused. His clearer account, days later, was met with a memo about customer service. The aide received no retraining. The facility waited to see if he and R103 would cross paths again. They didn't, because R103 left.
The inspection findings were reviewed with facility leadership, including the Director of Nursing, the Assistant Director of Nursing, a Nurse Educator, and a Corporate Educator, at an exit conference on January 30.
R103 was gone by then. The question of what E16 was told, and what he understood, and whether he has entered another resident's room the same way since, remains open.
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 records as R103, was admitted to the Wilmington facility 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.