Delaware Hospital F/T Chronically Ill (Dhci)

100 Sunnyside Road
Smyrna, DE 19977
Kent County
Phone: 302-223-1500
Provider Number: 085035
Last Inspection: 11/24/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
205
Number of Residents
Number of
Residents
136
Number of Beds Available
Beds Available
69
Percent Occupancy
Percent Occupancy
66%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Government - State
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • DE
  • USA
  • 50
  • 39
  • 38
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 50
  • 27
  • 25
Lower Numbers are Better

Details by Inspection Date

 

11/24/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 1/26/2016
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 1/26/2016
Failed To: Maintain comfortable sound levels. Pattern : Minimal 4 1/26/2016
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 1/26/2016
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 1/26/2016
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 1/26/2016
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 1/26/2016
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/26/2016
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 1/26/2016
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 1/26/2016
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/26/2016
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 1/26/2016
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 1/26/2016
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 1/26/2016
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/26/2016
 

10/16/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 11/14/2014
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/14/2014
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 11/14/2014
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 11/14/2014
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 11/14/2014
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 11/14/2014
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 11/14/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/14/2014
 

11/4/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 1/3/2014
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 1/3/2014
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 1/3/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 1/3/2014
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 1/3/2014
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 1/3/2014
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 1/3/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 1/3/2014


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

6/18/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 7/14/2014
 

2/27/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/18/2014
 

10/16/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/13/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/13/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg DE State Avg
Number of Residents 136 104.50 94.78
Registered Nurses 1.66 1.06 1.02
Licensed Practical / Vocational Nurses 1.04 0.76 0.85
Certified Nursing Assistants 4.32 2.70 2.41
Total Staff Hours 7.02 4.51 4.28

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% DE State Avg%
High Risk Long Stay Residents With Pressure Ulcers 8 4 4
Long Stay Residents Experiencing One or More Falls with Major Injury 1 2 3
Long Stay Residents Who Have Depressive Symptoms 1 1 2
Long Stay Residents Who Lose Too Much Weight 5 4 6
Long Stay Residents Who Received an Antipsychotic Medication 24 16 14
Long Stay Residents Who Self Report Moderate to Severe Pain 7 3 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 4 3
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 3 2
Long Stay Residents Who Were Physically Restrained 3 1 0
Long Stay Residents Whose Need for Help with ADLs has Increased 9 15 15
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 1 2 1
Long Stay Residents With a Urinary Tract Infection 3 4 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 26 43 48
Short Stay Residents Who Self Report Moderate to Severe Pain 24 1 1
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 42 15 13
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 87 14 13
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 24 14