Based on interviews, review of the clinical record, hospital record, facility and other documentation as indicated, it was determined that for one (R45) out of 54 sampled residents, the facility failed to develop and implement an abuse policy and procedure that addressed the requirements of the Federal Regulation §483.12(b). Specifically under the Protection requirement, the facility failed to have written procedures that ensured that all residents are protected from physical and psychosocial harm during and after the investigation. This must include: Responding immediately to protect the alleged victim and integrity of the investigation . …
F607 citations in Delaware
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F607 less often than its own record predicts
0.65 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F607 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 review of the facility's Resident Abuse Policies and Procedures, last revised 12/2023, it was determined that the facility failed to develop a written policy and procedure that clearly addressed sections under Identification and Reporting. Findings include: Review of the facility's Resident Abuse Policies and Procedures included, but was not limited to, the following: POLICY . Any allegation of abuse, neglect, mistreatment, injury of unknown origin, suspected commission of a crime, misappropriation of resident property or financial exploitation will be thoroughly investigated and reported . …
Based on review of the facility's abuse policies and procedures and interview, it was determined that the facility failed to develop and implement an abuse policy that included all the requirements. The facility's policy lacked evidence of: established coordination with the QAPI program, required training regarding the signs of abuse and the different types of abuse, and failed to include language regarding the prohibition and prevention of retaliation for reporting. Findings include: 8/25/25 11:30 AM - The facility provided a copy of their Resident Abuse Policy/Procedure for the survey review. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.35× |
| 2024 | 0.18% | 0.23× |
| 2025 | 0.43% | 0.65× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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