Based on interview, record review and review of other facility documentation, it was determined that for two (R1 and R2) out of two residents reviewed for abuse, the facility failed to ensure the protection of all residents from alleged sexual abuse. The facility's failure placed all residents at risk for a serious adverse outcome, by not immediately protecting the resident and allowing the CNA to continue providing care for other residents. An IJ was identified on 6/17/24 and due to the facility's corrective measures this is being cited as past non-compliance with a compliance date 6/14/24. …
F610 citations in Delaware
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F610 more often than its own record predicts
2.11 times the share F610 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F610 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, record review, document review, and policy review, the facility failed to investigate: 1.) incidents of resident to resident physical and/or sexual abuse for three of 17 sampled residents (Resident (R) 82, R136, and R55) reviewed for abuse out of a total sample of 56 after R153 physically assaulted R82, R136, and R155; 2.) injuries of unknown origin for one of three residents (R34) reviewed for accidents out of a total sample of 56; and 3.) a potential incident of neglect for one of three residents (R172) reviewed for accidents out of a total ample of 56. These failures placed residents at continued risk of abuse and neglect.Findings Include: 1. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.79% | 0.62× |
| 2024 | 2.28% | 1.59× |
| 2025 | 3.19% | 2.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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