COMPLETE CARE AT HILLSIDE LLC

WILMINGTON, DE · 106 beds · For profit - Limited Liability company

77 Trust Score
Grade: B LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star staffing rating
  • No fines or penalties on record

Quick Facts

★★★★☆
CMS Overall
★★★☆☆
Health Inspection
16
1.2x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

February 5, 2025

16 deficiencyies
F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0680 No Harm Scope/Severity: C

Quality of Life and Care Deficiencies

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Ensure the activities program is directed by a qualified professional.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0700 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0919 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Make sure that a working call system is available in each resident's bathroom and bathing area.

January 31, 2024

4 deficiencyies
F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

See full violation history →

Staffing

0.73
RN hrs/res/day
1.00
LPN hrs/res/day
2.23
CNA hrs/res/day
3.54
Weekend hrs/res/day
36%
Total nurse turnover
24%
RN turnover

A nurse checks on each resident roughly every 6.1 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: COMPLETE CARE
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  • BAICH-PIETLOCK, DEBRA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2021

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  • COX, VICKIE

    OPERATIONAL/MANAGERIAL CONTROL

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    Individual
  • GRAZIANO, RUTH

    OPERATIONAL/MANAGERIAL CONTROL

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  • MANSFIELD, MELISSA

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  • MCGHEE, KAREN

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  • SILVERBERG, NISANEL

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  • STEIN, SHALOM

    CORPORATE OFFICER

    Since since 06/01/2021

    Individual
  • WELLTOWER OP LLC

    5% OR GREATER SECURITY INTEREST

    Since since 06/01/2021

    Organization

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