F-tags by state · Delaware

Most common nursing home citations in Delaware

1,733 health citations were recorded at 44 of 43 rated nursing homes in Delaware over the last three inspection cycles, about 40.3 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.

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  • Source: CMS Care Compare
Citations1,73340.3 per rated facility
Facilities cited44of 43 rated
Actual harm (G–I)553% of citations
Immediate jeopardy (J–L)392% of citations

Top 25 F-tags in Delaware

"State share" is the percentage of rated Delaware nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.

#TagRequirementCategoryCitationsState shareU.S. share
1F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition & dietary7893%76%
2F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of life & care6277%69%
3F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Assessment & care planning5981%42%
4F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Assessment & care planning5677%58%
5F880Provide and implement an infection prevention and control program.Infection control5481%81%
6F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Abuse, neglect & exploitation5367%40%
7F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Assessment & care planning4665%35%
8F641Ensure each resident receives an accurate assessment.Assessment & care planning4467%37%
9F695Provide safe and appropriate respiratory care for a resident when needed.Quality of life & care4463%46%
10F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of life & care4353%44%
11F761Ensure 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 services3765%59%
12F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident rights3551%43%
13F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy services3363%23%
14F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Abuse, neglect & exploitation3249%35%
15F610Respond appropriately to all alleged violations.Abuse, neglect & exploitation3256%28%
16F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy services3253%34%
17F690Provide 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 & care3149%33%
18F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of life & care3149%39%
19F688Provide 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 & care2851%22%
20F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident rights2649%23%
21F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Assessment & care planning2653%15%
22F760Ensure that residents are free from significant medication errors.Pharmacy services2542%25%
23F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident rights2544%30%
24F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident rights2440%39%
25F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Resident rights2240%14%

Citations by category

Quality of life & care444
Assessment & care planning309
Resident rights276
Pharmacy services163
Abuse, neglect & exploitation151
Nutrition & dietary134
Infection control93
Nursing & physician services71
Administration70
Environment & safety22

Citations by survey year

201950
20204
2021183
2022148
2023420
2024586
2025342

Partial years reflect the rolling three-cycle window.

Check a specific Delaware nursing home

The report card lists every citation for one facility with the severity decoded, and ranks it against the other 43 rated facilities in the state.

How this works

Source and method

CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Delaware. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.

Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.

Frequently asked questions

What is the most common nursing home citation in Delaware?
F812 (Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.) is the most-cited F-tag in Delaware, with 78 citations at 40 facilities, or 93% of the state's rated nursing homes, compared with 76% nationally.
How many nursing home citations are there in Delaware?
1,733 health citations across 44 of 43 rated nursing homes in the last three inspection cycles, about 40.3 per facility. 55 involved actual harm and 39 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.

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