Regency Healthcare & Rehab Center
Wilmington · 0.9 mi · 100 beds
Citations0Substantiated0
Complete Care at Hillside LLC
810 SOUTH BROOM STREET, Wilmington, DE, 19805
Nursing home106 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 20 deficiencies against Complete Care at Hillside LLC in Wilmington, Delaware at its most recent standard inspection on 2025-02-06, 4 of them arising from complaints. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
106certified beds
20deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.33
Potential for minimal harmThe least serious band.2
Most recentEDDDEDDDDDDDDDDDDDDC
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2026-01-30 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-01-30 · from a complaint · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2026-01-30 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-01-30 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0700 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0758 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · F0919 · 2025-02-06 · standard survey · No actual harm, potential for more than minimal harm
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · F0680 · 2025-02-06 · standard survey · No actual harm, potential for minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.13974
Nursing staff turnoverShare of nursing staff who left in a year45.1%
Ownership
Who owns Complete Care at Hillside LLC
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PC DE OPCOS LLC | Organization | 100% | since 06/01/2021 |
| PC WTA OPCO HOLDCO LLC | Organization | NO PERCENTAGE PROVIDED | since 06/01/2021 |
| SMS 2021 TRUST | Organization | NO PERCENTAGE PROVIDED | since 06/01/2021 |
| WELLTOWER INC | Organization | NOT APPLICABLE | since 06/01/2021 |
| STEIN, SHALOM | Individual | NOT APPLICABLE | since 06/01/2021 |
| STEIN, SHALOM | Individual | NOT APPLICABLE | since 06/01/2021 |
| BAICH-PIETLOCK, DEBRA | Individual | NOT APPLICABLE | since 06/01/2021 |
| COX, VICKIE | Individual | NOT APPLICABLE | since 06/01/2021 |
| GRAZIANO, RUTH | Individual | NOT APPLICABLE | since 06/01/2021 |
| MANSFIELD, MELISSA | Individual | NOT APPLICABLE | since 06/01/2021 |
| MCGHEE, KAREN | Individual | NOT APPLICABLE | since 06/01/2021 |
| SILVERBERG, NISANEL | Individual | NOT APPLICABLE | since 06/01/2021 |
Part of the COMPLETE CARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Excelcare at Wilmington LLC
Wilmington · 1.2 mi · 150 beds
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Gilpin Hall
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Kentmere Rehabilitation and Healthcare Center
Wilmington · 1.7 mi · 104 beds
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Coral Springs Rehab & Healthcare
Wilmington · 3.5 mi · 169 beds
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Stonegates
Greenville · 3.6 mi · 49 beds
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Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 085013.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction