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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D23 | E5 | F4 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 23, 2026 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Jan 23, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 23, 2025 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Feb 12, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 12, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Dec 9, 2022 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 23, 2025 | Civil money penalty (fine) | $47,541 | — | 085027|Fine|6116 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D23 | E5 | F4 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 23, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 11, 2026 | |
| Jan 23, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 11, 2026 | |
| Jan 23, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
85 facilities in 8 states. CMS chain ID 157.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| PC De Opcos LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2021 |
| PC Wta Opco Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Sms 2021 Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Shalom Stein | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| PC De Opcos LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2021 |
| PC Wta Opco Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Sms 2021 Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Shalom Stein | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Complete Care at Hillside LLC 810 South Broom Street, Wilmington, DE 19805 CCN 085013 | 106 | Jan 30, 2026 | 36 | — | |
| Complete Care at Brackenville LLC 100 St. Claire Drive, Hockessin, DE 19707 CCN 085042 | 104 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Westminster Village Health 1175 Mckee Road, Dover, DE 19904 CCN 085032 | 1.2 km | 75 | Dec 16, 2025 | 352 IJ | $30k | |
| Cadia Rehabilitation Capitol 1225 Walker Road, Dover, DE 19904 CCN 085048 | 1.8 km | 120 | Jan 27, 2026 | 321 IJ1 harm | $8,018 | |
| Center at Eden Hill, LLC 300 Banning Street, Dover, DE 19904 CCN 085057 | 2.8 km | 80 | May 22, 2026 | 23 | — | |
| Bay Terrace Rehabilitation and Health Center 889 South Little Creek Road, Dover, DE 19901 CCN 085019 | 4 km | 85 | Apr 23, 2026 | 391 IJ1 harm | $35k | |
| Evergreen Post Acute 3034 South Dupont Blvd, Smyrna, DE 19977 CCN 085020 | 10.2 km | 151 | May 11, 2026 | 717 harm | $94k | |
| Delaware Hospital F/T Chronically Ill (Dhci) 100 Sunnyside Road, Smyrna, DE 19977 CCN 085035SFF Candidate | 13.6 km | 175 | Jan 9, 2026 | 163 IJ | $60k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 085027 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 085027 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| 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 · Clinical care |
| D · Potential harm Isolated |
| Corrected Mar 11, 2026 |
| Jan 23, 2026 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Jan 23, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Jan 23, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Jan 23, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Jan 23, 2026 | F-0690 | 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 · Clinical care | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Jan 23, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 11, 2026 | Complaint |
| Jan 23, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Jan 23, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 11, 2026 |
| Jan 23, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0623 | 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 · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 6, 2025 |
| Jan 23, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 6, 2025 |
| Feb 12, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 12, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 12, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 25, 2024 |
| Feb 12, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2024 |
| Feb 12, 2024 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2024 |
| Feb 12, 2024 | F-0657 | 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 · Clinical care | E · Potential harm Pattern | Corrected Mar 6, 2024 | Complaint |
| Feb 12, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2024 |
| Feb 12, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2024 |
| Feb 12, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2024 | Complaint |
| Feb 12, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | C · Minimal Widespread | Corrected Mar 6, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.99 (case-mix index 1.39).
| Jun 1, 2021 |
| Shalom Stein | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
| Vickie Cox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Melissa Mansfield | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Ritu Rastogi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Nisanel Silverberg | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Steven Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 29, 2022 |
| Shalom Stein | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2021 |
| Shalom Stein | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 1, 2021 |
| Welltower Inc | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jul 30, 2021 |
| Aurora Guardian Holdco II Co-Borrower, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Aurora Guardian Holdco II, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Aurora Guardian II Realty, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Aurora Guardian Partners II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Hillside Center Realty, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| J & R Family Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| L Friedman 2018 Family Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| L Friedman Family Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Landau Family Investment Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| M Friedman 2018 Family Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| PC Wta Acquisition LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| PC Wta Multi-State LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Peace Capital Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| R&J Family Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Sms 2021 Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Donna Burns | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 18, 2024 |
| Melissa Mansfield | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Ritu Rastogi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Steven Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 29, 2022 |
| Mar 5, 2026 |
301 harm |
| $17k |