Based on interview, document review and policy review, the facility failed to act promptly to the concerns and /grievance of the resident council to noise level at shift changes, staff use of phones, earbuds when providing care, and choices offered for breakfast meals for nine of nine (R)60, R4, R21, R37, R14, R39, R5, R73, and R76 sampled residents. This failure could place the residents at risk for decreased quality of life and feelings of hopelessness. Findings include: Review of the facility policy titled Grievance Program dated 05/01/2024, documented grievances could be reported verbally or in writing, and the right to receive prompt efforts by the facility to resolve resident grievances. …
F565 citations in Delaware
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F565 more often than its own record predicts
1.58 times the share F565 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F565 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.
Based on resident interviews and review of Resident Council Meeting minutes, it was determined that the facility failed to act promptly upon resident grievances concerning issues of food palatability, or to provide rationale for failure to act upon the grievances. Findings include: Review of Resident Council Meeting minutes revealed the following: 9/25/17 - Breakfast and coffee coming to residents rooms was cold. 10/30/17 - Hot drinks were not always hot and should be served with the meal. 11/27/17 - No food concerns noted. December (YEAR) - Resident Council Meeting canceled due to Norovirus. 1/25/18 - Hot foods are not always even warm, much less hot. Coffee was not always hot. 2/22/18 - Temperature of food continues to be an issue. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2024 | 0.35% | 1.14× |
| 2025 | 0.43% | 1.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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