Complete Care at Bayshore LLC
Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.
based on 66 Google reviews

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What this means for your family
While the facility is frequently praised for its cleanliness and friendly atmosphere, the recent reports of neglect and failure to follow medical orders are concerning. If you are considering this facility, we strongly recommend conducting an unannounced visit and asking specifically how they monitor patient safety alarms and ensure dietary orders are followed by nursing staff.
Google Reviews
Google Reviews
66 reviews on Google“Complete Care at Bayshore LLC receives a high volume of positive feedback regarding its cleanliness, friendly staff, and welcoming environment, particularly from visitors and those touring the facility. However, there are serious, critical reports from family members and former patients alleging neglect, failure to follow medical dietary orders, and slow response times to emergency alarms. Families should weigh the facility's aesthetic appeal and general atmosphere against these significant concerns regarding clinical care and patient safety.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Friendly and welcoming staff
- Engaging activities for residents
- Professional and attentive nursing care (cited in specific positive instances)
Concerns
- Failure to follow doctor-ordered diets (mentioned by 2 reviewers)
- Slow or non-existent response to call bells/alarms (mentioned by 2 reviewers)
- Neglectful patient care and hygiene (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 69 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how much care you put into responding to feedback from families; how do you use those conversations to improve the facility?
- 2We want to make sure all dietary needs are met, so how do you ensure that specific doctor-ordered diets are followed accurately every meal?
- 3With so many residents here, what is your process for ensuring that call bells are answered quickly and no one is left waiting?
- 4Could you tell us more about the daily activities and how you keep the residents engaged and social throughout the week?
- 5What is the protocol for handling medical emergencies or sudden changes in health during the night shift?
- 6The facility looks very clean and well-maintained; how do you manage the daily hygiene and personal care routines for all residents?
Personalized based on this facility's data
Key Review Excerpts
“The care is severely lacking. They don't follow diets as ordered by doctors. They do not provide timely changing of diapers or care. She has choked twice and they don't check when the alarm is sounded.”
“Everybody that works there is so friendly and caring. The place is always clean. The residents always seem happy and there are many activities to keep them busy and entertained!”
“I was there for a week for rehabilitation. I wanted to leave and they wouldn't let me leave like they were holding me hostage. Also I tried to get up and I fell on the floor I' rang the bell, I was on the floor for quite some time before somebody came to help me”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern with 51 deficiencies across six surveys, including eight complaint-triggered violations where families reported problems. The most recurring issues involve medication management, care planning, and fire safety violations. Problems persist across multiple years, with repeated citations for medication services, pressure ulcer care, and building safety requirements appearing in 2022, 2023, and 2024 surveys, suggesting ongoing challenges with correcting fundamental care and safety standards.
Dec 29, 2025Complaint1
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Oct 30, 2024Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Oct 30, 2024Complaint2
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Apr 4, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Feb 14, 2024Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 19, 2023Routine10
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Ownership & Operations
Who Operates This Facility
Complete Care at Bayshore LLC
for profit
Chain Affiliation
Complete Care
85 facilities nationwide
Chain avg rating: 3.2/5 · Rank 34 of 85
Ownership & Management
Owners
Pc Hmh Opco Holdngs LLC
Owner · Organization
Pc Hmh Holdings LLC
Owner (parent company) · Organization
Sms 2021 Trust
Owner (parent company) · Organization
Stein, Shalom
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
66 reviews from families & visitors
Official Website
Visit ccholmdel.com
Medicare data downloads
Original nursing home datasets
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