Based on interview and record review, it was determined that for one (R122) out of eleven residents reviewed for accidents, the facility failed to consult the physician when R122 experienced a change in condition. Based on review of the facility's evidence of correction, the deficient practice was determined to be Past Noncompliance, with substantial compliance achieved effective April 20, 2026. Findings include:Review of R122's clinical record revealed:3/10/26 - R122 was admitted to the facility.3/21/26 7:20 PM - A facility reported incident documented that R122 was found on the floor in his room after an unwitnessed fall and reported to staff that he hit his head during the fall. Staff (RN) completed an assessment and initiated neurological assessments at this time. …
F580 citations in Delaware
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F580 less often than its own record predicts
0.72 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F580 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 | 2.12% | 1.48× |
| 2024 | 1.40% | 0.92× |
| 2025 | 1.06% | 0.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction