Based on record review, interviews, and facility policy review, the facility failed to ensure residents were free from physical abuse from: 1. one resident (Resident (R) 95) who demonstrated repeated acts of physical violence towards multiple other residents to include residents R24 and R109; and 2. R128's wandering behavior resulted in a resident-to-resident abuse between R128 and R6. The facility's Administrator was informed on [DATE] at 3:40 PM that Immediate Jeopardy (IJ) existed at F600-K Freedom from Abuse and Neglect when the facility failed to implement effective interventions to ensure residents were free from abuse from R95. The facility provided an acceptable removal plan for the Immediate Jeopardy on [DATE] at 12:21 AM. …
F600 citations in Delaware
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F600 less often than its own record predicts
0.89 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F600 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 interview and review of clinical and facility records, it was determined that for two (R13 and R16) out of seven residents reviewed for abuse, the facility failed to ensure each resident remained free from physical and emotional abuse. On the morning of [DATE], R13 was physically and emotionally abused by a staff person, resulting in dehumanization, a psychosocial harm. On [DATE], R16 was physically abused by another resident (R17) in the locked dementia unit. Findings include: 1. …
Based on interviews, record review, and policy review, the facility failed to protect one of seven residents (Resident (R) 36) reviewed for physical abuse by another resident (R21) among 42 sampled residents. This failure had the potential to result in physical and/or psychosocial harm. Findings include: The deficient practice was determined to be past noncompliance related to the facility identifying the resident-to-resident abuse and implementing interventions to prevent reoccurrence of the situation, completed on 06/17/26. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 1.59% | 0.90× |
| 2024 | 2.63% | 1.12× |
| 2025 | 2.34% | 0.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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