B85

COMPLETE CARE AT BRACKENVILLE LLC

Grade B 85/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

104

Ownership

For profit - Limited Liability company

Total Fines

$16,801

Last Survey

N/A

100 ST. CLAIRE DRIVE, HOCKESSIN, DE 19707
3022345420

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.74h
LPN
0.86h
CNA
1.85h
Total
3.45h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PC DE OPCOS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2021

100%

PC WTA OPCO HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2021

PEACE CAPITAL HOLDINGS LLC (DE)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2021

SMS 2021 TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2021

COX, VICKIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2021

DIFILIPO, REBECCA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2022

INGLIS, RONALD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2021

MANSFIELD, MELISSA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2021

RASTOGI, RITU

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2021

SILVERBERG, NISANEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2021

STEIN, SHALOM

IndividualCORPORATE OFFICERSince Jun 2021

WELLTOWER INC

Organization5% OR GREATER SECURITY INTERESTSince Jun 2021

Penalties & Fines (1)

$16,801total fines
DateTypeDescriptionAmount
Feb 2, 2024Fine$16,801

Health Inspection Deficiencies (40)

September 15, 2025Health3 deficiencies
0656DMinimal harm, Isolated

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

Corrected Oct 30, 2025
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 30, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Oct 30, 2025
February 14, 2025Health5 deficiencies
0554DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Mar 24, 2025
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Mar 24, 2025
0700DMinimal harm, Isolated

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

Corrected Mar 24, 2025
0725DMinimal harm, Isolated

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Mar 24, 2025
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Mar 24, 2025
February 2, 2024Health16 deficiencies1 severe
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Mar 19, 2024
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Mar 19, 2024
0600DMinimal harm, Isolated

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

Corrected Mar 19, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 19, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 19, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 19, 2024
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 19, 2024
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 19, 2024
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Mar 19, 2024
0726DMinimal harm, Isolated

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

Corrected Mar 19, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Mar 19, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 19, 2024
0809EMinimal harm, Pattern

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Nutrition and Dietary Deficiencies

Corrected Mar 19, 2024
0554DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Mar 19, 2024
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 19, 2024
0761DMinimal harm, Isolated

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

Corrected Mar 19, 2024
July 25, 2022Health16 deficiencies1 severe
0656EMinimal harm, Pattern

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

Corrected Sep 13, 2022
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 13, 2022
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Sep 13, 2022
0686GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 13, 2022
0688EMinimal harm, Pattern

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

Corrected Sep 13, 2022
0561DMinimal harm, Isolated

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies

Corrected Sep 13, 2022
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 13, 2022
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 13, 2022
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Sep 13, 2022
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 13, 2022
0685DMinimal harm, Isolated

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Corrected Sep 13, 2022
0791DMinimal harm, Isolated

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Sep 13, 2022
0803DMinimal harm, Isolated

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Sep 13, 2022
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Sep 13, 2022
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 13, 2022
0943DMinimal harm, Isolated

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 13, 2022

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Frequently Asked Questions

What is the CareGrader rating for COMPLETE CARE AT BRACKENVILLE LLC?

COMPLETE CARE AT BRACKENVILLE LLC in HOCKESSIN, Delaware has a CareGrader grade of B (Good), with a composite score of 85 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for COMPLETE CARE AT BRACKENVILLE LLC?

COMPLETE CARE AT BRACKENVILLE LLC has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does COMPLETE CARE AT BRACKENVILLE LLC have?

COMPLETE CARE AT BRACKENVILLE LLC has 40 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has COMPLETE CARE AT BRACKENVILLE LLC been fined?

Yes. COMPLETE CARE AT BRACKENVILLE LLC has $16,801 in total fines from CMS enforcement actions across 1 penalty.

How many beds does COMPLETE CARE AT BRACKENVILLE LLC have?

COMPLETE CARE AT BRACKENVILLE LLC has 104 certified beds with approximately 98 current residents (94% occupancy). The facility is located at 100 ST. CLAIRE DRIVE, HOCKESSIN, Delaware 19707. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.