Encore at Windsor Hills Assisted Living – Wilmington

Last survey report

September 8, 2025

Survey reports posted

3

Deficiencies cited

18

Reports that include a complaint survey

2

Survey reports (newest first)

• September 8, 2025, Annual Visit & Complaint Survey: 4 deficiencies cited. Report (PDF)
  • Medication Management rule 3225.8.3.2, Scope and severity code: E (as printed on the report), completion date October 17, 2025
    DHCQ: “One medication cart located in the hallway was left unlocked and unattended.”
  • Services rule 3225.12.1.3, Scope and severity code: F (as printed on the report)
    DHCQ: “The facility failed to comply with the Delaware Food Code.”
  • Resident Rights rule 3225.14.1, Scope and severity code: E (as printed on the report)
    DHCQ: “Food service employees wore gloves during dining service violating resident’s dignity in their home environment.”
  • Staffing rule 3225.16.2, Scope and severity code: E (as printed on the report)
    DHCQ: “Five out of fourteen residents reviewed for Accidents, the facility failed to ensure that nursing services met professional standards as evidenced by having LPNs complete the post fall assessment and documentation for residents’ post fall which violates the Delaware State Board of Nursing Scope of Practice.”
• September 10, 2024, Annual Visit & Complaint Survey: 11 deficiencies cited. Report (PDF)
  • Specialized Care for Memory Impairment rule 3225.7.3.6, Scope and severity code: E (as printed on the report)
  • Infection Control rule 3225.9.7, Scope and severity code: D (as printed on the report), completion date October 5, 2024
    DHCQ: “For thee (R6, R7 and 89) out of Set. O2-a Title nine residents reviewed for pneumococcal vaccines, the facility failed to provide evidence of the residents’ pneumococcal vaccine.”
  • Contracts rule 3225.10.10, Scope and severity code: B (as printed on the report), completion date October 5, 2024
  • Resident Assessment rule 3225.11.2, Scope and severity code: E (as printed on the report), completion date October 5, 2024
    DHCQ: “For four out of nine sampled residents for UAl completion, the facility failed to provide evidence that a UAI was completed within 30 days prior to admission.”
  • Resident Assessment rule 3225.11.3, Scope and severity code: D (as printed on the report), completion date October 5, 2024
  Show all 11

  • Resident Assessment rule 3225.11.4, Scope and severity code: E (as printed on the report), completion date October 5, 2024
  • Resident Assessment rule 3225.11.5, Scope and severity code: D (as printed on the report), completion date October 5, 2024
    DHCQ: “For two out of nine sampled residents, the facility failed to provide evidence that a 30-day post admission UAI was completed.”
  • Services rule 3225.12.1.3, Scope and severity code: E (as printed on the report)
    DHCQ: “The facility failed to comply with the Delaware Food Code.”
  • Service Agreements rule 3225.13.1, Scope and severity code: D (as printed on the report)
    DHCQ: “For three of nine sampled residents, the facility failed to complete a Service Agreement within the regulation timeframe, to provide evidence that the resident or family participated in the development of the agreement or that the resident/resident representative was provided a copy.”
  • Service Agreements rule 3225.13.3, Scope and severity code: B (as printed on the report), completion date October 5, 2024
    DHCQ: “For five out of nine sampled residents for the SA (Service Agreement) completion, the facility failed to provide evidence that the resident’s personal attending Physician was identified on the SA.”
  • and 1 more in the report
• September 15, 2022, Annual Visit: 3 deficiencies cited. Report (PDF)
  • Infection Control rule 3225.9.7
    DHCQ: “For four out of eight residents sampled for pneumococcal vaccines, the facility lacked evidence of the residents’ pneumococcal pneumonia vaccines.”
  • Resident Assessment rule 3225.11.3
    DHCQ: “For two out of eight residents sampled for a medical evaluation, the facility lacked evidence of the residents’ medical evaluation was completed within 30 days prior to admission to the Assisted Living Unit.”
  • Resident Assessment rule 3225.11.5
    DHCQ: “For five residents out of eight sampled residents the facility lacked evidence that the initial, the 30-day, ora significant change in condition assessments were completed. 1. 8/23/22 — R2 was admitted to the Memory Care Unit from the health center. AUAI was completed on 6/9/22 when resident was admitted to Independent Living. R2 was hospitalized when a 30-day assessment would have been due.”

See this facility’s reports on the state’s list → (Encore at Windsor Hills Assisted Living – Wilmington)

The reports are scanned PDFs; rule numbers, codes and quoted statements were read from the scans and may contain reading errors, so check the report itself. Older reports may carry the facility’s earlier name; DHCQ files them under the same license number. Rule names are the section headings of the current regulations. This community is licensed for 44 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Delaware Department of Health and Social Services, Division of Health Care Quality, data as of October 16, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.