Based on observation, interview, and record review, it was determined that for three (second floor, third floor and fourth floor) of three shower rooms, the facility failed to ensure that adequate housekeeping and maintenance services were provided to maintain a clean, sanitary, and home-like environment. Additionally, the hallway carpet on all the units, and the floors of multiple residents' rooms were visibly soiled. Lastly, the facility also failed to ensure that resident care equipment was maintained in good repair and sanitary condition. Findings included: 1. 1/21/26 11:11 AM – During a tour of the second floor, the shower room was observed with cracked tiles, standing water on the floor, discolored walls and water dripping from the shower head. …
F584 citations in Delaware
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F584 less often than its own record predicts
0.51 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F584 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 observation and interview it was determined that the facility failed to ensure a homelike environment when the facility repeatedly utilized an overhead paging system to communicate with other staff. Findings include:During random observations overhead paging for non-emergent communication was heard the following times: 2/12/26 10:45 AM.2/12/26 10:47 AM.2/12/26 11:01 AM.2/13/26 11:58 AM.2/13/26 1:12 PM.2/16/26 1:24 PM.2/16/26 1:59 PM.2/16/26 2:59 PM.2/13/26 9:58 AM - During the facility resident council meeting an anonymous resident confirmed the overhead paging by facility staff was unpleasant. 2/17/26 3:21 PM - During an interview E1 (NHA) confirmed the facility utilized overhead paging to communicate with other staff members. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 1.85% | 0.83× |
| 2024 | 1.40% | 0.66× |
| 2025 | 1.06% | 0.51× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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