Complete Care at Hillside: Care Standards Violation - DE
The patient, identified as R105 in inspection records, was admitted to Complete Care at Hillside in June with breast cancer and dementia. 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.
E23, an LPN assigned to the patient that day, completed the neurological evaluation and post-fall assessment. Federal regulations require registered nurses to conduct admission assessments and evaluate patients after significant incidents like head injuries.
"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," E23 told inspectors in January.
The Corporate Educator explained 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 inspection of the patient's electronic medical record found no evidence an RN ever completed either the required admission assessment or the post-fall evaluation.
E23 documented the initial neurological assessment at 10:45 AM and noted "neurocheck in effect" on the incident report. The facility's own neurological evaluation flow sheet confirmed the LPN performed the assessment.
The violation affected few residents but represented minimal harm or potential for actual harm, according to federal inspectors who completed their review on January 30. Facility leadership including the administrator, director of nursing, and nurse educator received the findings during an exit conference.
The inspection was conducted in response to a complaint about the facility's nursing assessment practices.
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 patient, identified as R105 in inspection records, was admitted to Complete Care at Hillside in June with 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.