Complete Care at Hillside: Resident Rights Violations - DE
The 105-year-old resident, identified only as R105, had been admitted to the facility in June with breast cancer and dementia diagnoses. On July 8, staff found her lying on her side in front of her wheelchair with a lump on the left side of her head.
Licensed practical nurse E23 completed the neurological evaluation and documented putting the resident on "neurocheck" status. But inspection records show no registered nurse ever conducted the admission assessment or the post-fall evaluation that federal regulations require.
When inspectors interviewed E23 in January, the LPN said she couldn't remember the specific resident but explained her standard practice: "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."
The facility's corporate educator told inspectors that "the nurse who is assigned to the resident will do the post fall assessment." Staffing records confirmed E23 was assigned to R105 when the fall occurred.
Federal regulations require registered nurses to conduct comprehensive assessments, particularly for residents with complex medical conditions like dementia who suffer head injuries. The distinction matters because RNs have additional training in recognizing subtle neurological changes that could indicate serious complications.
Complete Care at Hillside's electronic medical records contained no evidence that any registered nurse had evaluated R105, either at admission or after her fall. The facility's nursing administrator, director of nursing, and nurse educator were all present when inspectors presented their findings during the 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 resident, identified only as R105, had been admitted to the facility in June with breast cancer and dementia diagnoses.
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.