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DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI)

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DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) is a government - state facility in SMYRNA, DE with 175 certified beds and a 5-star overall CMS rating. The facility has 11 deficiency records on file. Total penalties: $83K.

100 SUNNYSIDE ROAD, SMYRNA, DE 19977

Phone: 3022231500

Overall Rating

5/5

Health Inspection

3/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
085035
Ownership
Government - State
Provider Type
Medicare and Medicaid
Beds
175
Residents
72
In Hospital
No
County
Kent
Last Inspection
Dec 12, 2024

Staffing Data

RN Hours
2.64 (nat'l avg: 0.68)
LPN Hours
1.83
CNA Hours
5.84
Total Nursing Hours
10.30 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
30.0%
RN Turnover
36.5%

What the CMS Record Reveals About DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI)

DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) operates 175 certified beds in SMYRNA, DE with approximately 72 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $83K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 10.30 total nursing hours per resident day (national average 3.89), with RN coverage at 2.64 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - State" ownership and operating as a "Medicare and Medicaid" provider, DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 30.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

J — Isolated - Jeopardy Oct 3, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 17, 2025

J — Isolated - Jeopardy Feb 24, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 24, 2025

E — Pattern - Minimal harm Feb 22, 2022 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 5, 2022

D — Isolated - Minimal harm Feb 22, 2022 Tag: 0758

Implement 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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 5, 2022

D — Isolated - Minimal harm Feb 22, 2022 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2022

D — Isolated - Minimal harm Feb 22, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2022

D — Isolated - Minimal harm Feb 22, 2022 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2022

B — Pattern - No harm Feb 22, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2022

D — Isolated - Minimal harm Feb 22, 2022 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 5, 2022

D — Isolated - Minimal harm Feb 22, 2022 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 5, 2022

D — Isolated - Minimal harm Feb 22, 2022 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 1.1% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 78.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 4.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 12.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.8% Yes

Penalty History 2 penalties totaling $83K

Date Type Amount
Oct 3, 2025 Fine $66K
Feb 24, 2025 Fine $17K

Frequently Asked Questions

What is the overall CMS rating for DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI)?
DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (3★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI)?
DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) reports 10.30 total nursing hours per resident day (national average: 3.89). RN hours are 2.64 per resident day (national average: 0.68). Nursing staff turnover is 30.0%.
How many beds does DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) have?
DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) has 175 certified beds with approximately 72 residents. The facility is located at 100 SUNNYSIDE ROAD, SMYRNA, DE 19977.
Does DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) have any deficiencies on record?
Yes, DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) has 11 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) received any fines or penalties?
Yes, DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) has received 2 penalties totaling $83K.
Who owns DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI)?
DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) is classified as "Government - State" ownership. The facility type is "Medicare and Medicaid".
When was DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) last inspected?
The most recent health inspection for DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) was on Dec 12, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI)?
DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial