Complete Care at Hillside: Environment Safety Issues - DE
Complete Care at Hillside admitted the 105-year-old woman on June 27 with diagnoses including breast cancer and dementia. An LPN completed her admission assessment that evening, but inspection records show no evidence an RN ever conducted the required admission evaluation.
Eleven days later, staff found the resident lying on her side in front of her wheelchair with a lump on the left side of her head. The fall incident report noted "immediate action taken" included neurological checks and assessment.
LPN E23, who was assigned to the resident that day, completed the initial neurological evaluation. During interviews, the nurse said she couldn't remember the specific resident but would have performed "a full body assessment and the neuro checks for the shift" for any patient who fell and hit their head.
However, federal inspectors found no evidence in the resident's electronic medical record that any registered nurse completed either the admission assessment or the post-fall evaluation.
The Corporate Educator told inspectors that "the nurse who is assigned to the resident will do the post fall assessment and any other assessment prompted by entering a change in condition note." But the facility's own staffing records showed only an LPN was assigned to the resident on the day of her fall.
The violation affects how nursing homes ensure appropriate clinical oversight for vulnerable residents. RN assessments provide a higher level of clinical evaluation than those performed by licensed practical nurses, particularly for complex cases involving dementia patients who suffer head injuries.
Federal inspectors classified the deficiency as causing minimal harm with potential for actual harm to 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.
Complete Care at Hillside admitted the 105-year-old woman on June 27 with diagnoses including breast cancer and dementia.
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.