Delaware Hospital F/T Chronically Ill (Dhci)
100 Sunnyside Road, Smyrna, DE 19977
Delaware Hospital F/T Chronically Ill (Dhci), a 175-bed government - state nursing facility in Smyrna, DE, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #32 of 43 rated homes in DE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3022231500
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #32 of 43
- In-state rank among rated DE homes
- 10.25
- Well above average · nurse hrs/day · nat'l 3.86
- 11
- Inspection findings · 3 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Delaware Hospital F/T Chronically Ill (Dhci), a 175-bed government - state nursing facility in Smyrna, DE, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #32 of 43 rated homes in DE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #32 of 43
- In-state rank among rated DE homes
- 10.25
- Nurse hrs/resident-day · national 3.86
- 11
- Inspection findings · 3 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 44 DE nursing homes split by ownership sector
This facility is recorded as Government - State. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 085035
- Ownership
- Government - State
- Provider Type
- Medicare and Medicaid
- Beds
- 175
- Residents
- 73
- In Hospital
- No
- County
- Kent
- Last Inspection
- Jan 9, 2026
- Special Focus
- SFF Candidate
Staffing Data
How the 10.25 total nursing hours per resident-day are staffed:
- RN Hours
- 2.85 (nat'l avg: 0.69)
- LPN Hours
- 1.68
- CNA Hours
- 5.72
- Total Nursing Hours
- 10.25 (nat'l avg: 3.86)
- PT Hours
- 0.06
- Nursing Turnover
- 17.5%
- RN Turnover
- 29.5%
What the CMS Record Reveals About Delaware Hospital F/T Chronically Ill (Dhci)
According to CMS Nursing Home Compare, Delaware Hospital F/T Chronically Ill (Dhci) ranks #32 of 43 rated nursing homes in DE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Delaware Hospital F/T Chronically Ill (Dhci) operates 175 certified beds in Smyrna, DE with approximately 73 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 5★ · quality 4★).
The inspection file contains 11 deficiency records from recent surveys, of which 3 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 $60K against this provider. Reported nurse staffing runs 10.25 total hours per resident day (national average 3.86); RN hours specifically are 2.85 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.
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. Reported nursing staff turnover at this facility is 17.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (11 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 23, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Feb 23, 2026
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 23, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 23, 2026
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 23, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Feb 23, 2026
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: Feb 23, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Category: Nutrition and Dietary Deficiencies
Corrected: Feb 23, 2026
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: Feb 23, 2026
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
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
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.5% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.8% | No |
| 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 | 0.3% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 70.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 14.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.6% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 14.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 45.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 2 penalties totaling $60K
| Date | Type | Amount |
|---|---|---|
| Oct 3, 2025 | Fine | $43K |
| Feb 24, 2025 | Fine | $17K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Delaware Hospital F/T Chronically Ill (Dhci), both outside DE so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside DE (175 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside DE (11.29 here).
Nearby Nursing Homes in DE
43 other nursing homes are on record in DE; 6 are shown here.
Bay Terrace Rehabilitation and Health Center
Dover, DE
Cadia Rehabilitation Broadmeadow
Middletown, DE
Cadia Rehabilitation Capitol
Dover, DE
Cadia Rehabilitation Pike Creek
Wilmington, DE
Cadia Rehabilitation Renaissance
Millsboro, DE
Cadia Rehabilitation Silverside
Wilmington, DE
Understanding Nursing Home Data
What the CMS records show for Delaware Hospital F/T Chronically Ill (Dhci)
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The DE registry aggregates state averages and the highest-rated homes in this cohort. View DE registry
- Peer homes near 175 beds show how CMS stars vary at a similar scale in DE. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Delaware Hospital F/T Chronically Ill (Dhci)?
Where does Delaware Hospital F/T Chronically Ill (Dhci) rank among nursing homes in DE?
What are the staffing levels at Delaware Hospital F/T Chronically Ill (Dhci)?
How many beds does Delaware Hospital F/T Chronically Ill (Dhci) have?
Does Delaware Hospital F/T Chronically Ill (Dhci) have any deficiencies on record?
Has Delaware Hospital F/T Chronically Ill (Dhci) received any fines or penalties?
Who owns Delaware Hospital F/T Chronically Ill (Dhci)?
When was Delaware Hospital F/T Chronically Ill (Dhci) last inspected?
What quality measures are tracked for Delaware Hospital F/T Chronically Ill (Dhci)?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
