Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F585 in Delaware. Pick another state for the same tag.
Against expectation — 2025
Delaware cites F585 more often than its own record predicts
Versus expected share1.33×
1.33 times the share F585 takes of citations nationally.
Share of Delaware citations0.85%
Of every deficiency written in Delaware in 2025, this is the portion that was F585.
Delaware0.85%
National0.64%
Share of all citations that were F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F585 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.
D · No harm, potential for more than minimal, isolatedFebruary 18, 2026
Based on record review and interview, it was determined that for one (R41) of one resident reviewed for grievances, the facility failed to ensure prompt resolution of a grievance regarding missing dentures. Findings include:5/14/25 - A facility provided grievance form completed by E14 (LPN) documented that FM1 reported R41's top dentures were missing. E14 conducted a room sweep and documented that the 11:00 PM - 7:00 AM shift would complete a second room sweep. The concern was reported to the Director of Nursing.5/14/25 - A grievance documented that E28 (Former Social Worker) was in receipt of the grievance and reported receiving an email from the Director of Nursing requesting that E28 contact FM1. …
C · No harm, potential for minimal, widespreadSeptember 20, 2019
Based on review of facility documentation, it was determined that the facility failed to establish a grievance policy that included all of the required components. Findings include:
Review of the facility's Grievance and Concerns/Complaint Policy (revised and adopted on 11/28/16) lacked evidence of the following required components:
- name of the grievance official;
- ensuring notification and/or postings of the grievance official's contact information with whom a grievance can be filed;
- a reasonable expected time frame for completing the review of the grievance;
- ensuring that all written grievance decisions include the date that the written decision was issued;
- the right to obtain a written decision regarding the resident's grievance. …
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