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Complaint Investigation

Complete Care At Brackenville Llc

September 15, 2025 · Hockessin, DE · 100 St. Claire Drive
Citations 3
CMS Rating 4/5
Beds 104
Provider ID 085042
Healthcare Facility
Complete Care At Brackenville Llc
Hockessin, DE  ·  View full profile →
Inspection Summary

COMPLETE CARE AT BRACKENVILLE LLC in HOCKESSIN, DE — inspection on September 15, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Based on record review and interview, it was determined that for one (R2) out of three residents sampled for care plans, the facility failed to develop a person-centered care plan for the refusal of medications.

Findings include:6/27/25 - R2 was admitted to the facility with diagnoses including but not limited to muscle weakness, bladder cancer and ocular myasthenia gravis. R2's admission medications included pyridostigmine bromide oral tablet 60 mg two times a day for the treatment of ocular myasthenia gravis.7/1/25 - R2's clinical records documented a BIMS score of 15, indicating a completely cognitive intact status.6/28/25 - 7/22/25 - R2's clinical records documented twenty-eight (28) episodes of refusal of pyridostigmine bromide tablets out of forty-nine (49) opportunities.9/12/25 11:30 AM - A review of R2's clinical records lacked evidence of a care plan for the refusal of medications.9/12/25 1:00 PM - During an interview, finding was confirmed with E2 (DON).9/15/25 3:15 PM - Findings were reviewed during the exit conference with E1 (NHA), E2 (DON) and E3 (RN).

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/15/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Complete Care at Brackenville LLC

100 St.

Claire Drive Hockessin, DE 19707

SUMMARY STATEMENT OF DEFICIENCIES

accepting medications from the pharmacy. E2 stated, The nurse must sign for any narcotics. If the iv medications must be refrigerated, they are put in the fridge and checked before they are administered.

The pills are checked before they are put on the medication carts.

The facility failed to ensure that R5's iv medication was administered according to accepted standards of clinical practice.9/12/25 2:30 PM - During an interview, finding was confirmed with E2 (DON). 9/15/25 3:15 PM - Findings were reviewed during the exit conference with E1 (NHA), E2 (DON) and E3 (RN).

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/15/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Complete Care at Brackenville LLC

100 St.

Claire Drive Hockessin, DE 19707

SUMMARY STATEMENT OF DEFICIENCIES

they administered 850mg of daptomycin instead of 800mg for two or three doses. 9/12/25 2:30 PM - During an interview, finding was confirmed with E2 (DON). 9/15/25 3:15 PM - Findings were reviewed during the exit conference with E1 (NHA), E2 (DON) and E3 (RN).

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HOCKESSIN, DE, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COMPLETE CARE AT BRACKENVILLE LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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