Complete Care At Hillside LLC
Wilmington, New Castle County, Delaware · CCN 085013 · For-profit (LLC) · part of Complete Care (85 facilities, chain average 3.1 stars)
CMS rates Complete Care At Hillside LLC 4 of 5 overall as of August 2026. 106 certified beds, 95 residents a day on average. 35 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 4.13974 hours per resident per day |
|---|---|
| Registered nurses | 0.6221 hours per resident per day |
| Weekend total | 3.75435 hours per resident per day |
| Nursing staff turnover | 45.1% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-30 complaint survey |
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 · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-16 |
| 2026-01-30 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2026-01-30 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2026-01-30 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2025-02-06 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | 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 · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | 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 · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | 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 · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | 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 · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2025-02-06 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · tag F0680 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-03-12 |
| 2024-02-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-04-09 |
| 2024-02-01 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-04-09 |
| 2024-02-01 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-09 |
| 2024-02-01 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-09 |
| 2024-02-01 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-09 |
| 2024-02-01 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-09 |
| 2023-11-17 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-20 |
| 2023-11-17 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-20 |
| 2023-11-17 complaint survey |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-20 |
| 2022-01-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-02-25 |
| 2022-01-19 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-02-25 |
| 2022-01-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-02-25 |
| 2022-01-19 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · tag F0773 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-02-25 |
| 2022-01-19 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · tag F0808 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-02-25 |
| 2022-01-19 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2022-02-25 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| PC De Opcos LLC Organization | 5% or greater direct ownership interest | 100% | 2021-06-01 |
| PC Wta Opco Holdco LLC Organization | 5% or greater indirect ownership interest | — | 2021-06-01 |
| Sms 2021 Trust Organization | 5% or greater indirect ownership interest | — | 2021-06-01 |
| Welltower Inc. Organization | 5% or greater security interest | — | 2021-06-01 |
| Aurora Guardian Holdco II Co-Borrower, LLC Organization | adp of the snf | — | 2021-06-01 |
| Aurora Guardian Holdco II Mezz Borrower, LLC Organization | adp of the snf | — | 2021-06-01 |
| Aurora Guardian Holdco II, LLC Organization | adp of the snf | — | 2021-06-01 |
| Aurora Guardian II Realty, LLC Organization | adp of the snf | — | 2021-06-01 |
| Aurora Guardian Partners II LLC Organization | adp of the snf | — | 2021-06-01 |
| Hillside Center Realty, LLC Organization | adp of the snf | — | 2021-06-01 |
| J & R Family Investments, LLC Organization | adp of the snf | — | 2021-06-01 |
| L Friedman 2018 Family Trust Organization | adp of the snf | — | 2021-06-01 |
| L Friedman Family Holdings LLC Organization | adp of the snf | — | 2021-06-01 |
| Landau Family Investment Trust Organization | adp of the snf | — | 2021-06-01 |
| M Friedman 2018 Family Trust Organization | adp of the snf | — | 2021-06-01 |
| PC Wta Acquisition LLC Organization | adp of the snf | — | 2021-06-01 |
| PC Wta Multi-State LLC Organization | adp of the snf | — | 2021-06-01 |
| Peace Capital Holdings LLC Organization | adp of the snf | — | 2021-06-01 |
| R&J Family Investments LLC Organization | adp of the snf | — | 2021-06-01 |
| Sms 2021 Trust Organization | adp of the snf | — | 2021-06-01 |
| Welltower Inc. Organization | adp of the snf | — | 2021-06-01 |
| Baich-Pietlock, Debra Individual | adp of the snf | — | 2021-06-01 |
| Cox, Vickie Individual | adp of the snf | — | 2021-06-01 |
| Graziano, Ruth Individual | adp of the snf | — | 2021-06-01 |
| Mansfield, Melissa Individual | adp of the snf | — | 2021-06-01 |
| Mcghee, Karen Individual | adp of the snf | — | 2021-06-01 |
| Silverberg, Nisanel Individual | adp of the snf | — | 2021-06-01 |
| Stein, Shalom Individual | corporate officer | — | 2021-06-01 |
| Stein, Shalom Individual | managing control - governing body | — | 2021-06-01 |
| Baich-Pietlock, Debra Individual | operational/managerial control | — | 2021-06-01 |
| Cox, Vickie Individual | operational/managerial control | — | 2021-06-01 |
| Graziano, Ruth Individual | operational/managerial control | — | 2021-06-01 |
| Mansfield, Melissa Individual | operational/managerial control | — | 2021-06-01 |
| Mcghee, Karen Individual | operational/managerial control | — | 2021-06-01 |
| Silverberg, Nisanel Individual | operational/managerial control | — | 2021-06-01 |
| Stein, Shalom Individual | trustee of the snf | — | 2021-06-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Complete Care At Hillside LLC.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in New Castle County.