Based on observation, interview and record review, it was determined that the facility failed to ensure that one (R10) of 31 sampled residents, was given the right to self-determination when the resident was not provided an early lunch tray or a bagged lunch prior to his afternoon neurosurgeon appointment until the surveyor intervened. Findings include: Review of R10's clinical record revealed:12/5/25 - R10 was re-admitted to the facility with diagnoses including neck fracture. 4/14/26 - R10's quarterly MDS assessment documented a BIMS score of 5 indicating a severe cognition impairment, had adequate hearing and vision, usually makes self understood and understands others with clear speech. R10 ambulates with a wheelchair and is independent of eating. …
F561 citations in Delaware
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F561 more often than its own record predicts
1.11 times the share F561 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F561 findings written in Delaware, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 1.01× |
| 2024 | 1.40% | 3.40× |
| 2025 | 0.43% | 1.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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