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Strong Medicare quality ratings; public reviewers often praise clean, well-maintained facility. Still worth an in-person visit.
based on 68 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
Complete Care at Bayshore LLC has a strong overall Medicare rating. Public reviewers frequently mention: clean, well-maintained facility and friendly and welcoming staff. Review the component ratings and current source records before deciding.
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
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Concerns
Rating Trends
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Distribution · 71 analyzed
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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”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
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
Detailed Medicare record · up to 3-year lookback
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
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.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complete Care at Bayshore LLC
for profit
Complete Care
85 facilities nationwide
Chain avg rating: 3.2/5 · Rank 34 of 85
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 this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
68 reviews from families & visitors
Official Website
Visit ccholmdel.com
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Original nursing home datasets
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