Based on interview and record review, it was determined that for one (R102) out of thirty-two residents in the investigative sample, the facility failed to complete a comprehensive assessment after R102 had a significant change in status. Findings include: Review of R102's clinical record revealed: 3/1/24 - R102 was admitted to the facility. 11/27/24 - A quarterly MDS was completed for R102. 12/5/24 - A physician's order was written for a consultation with hospice. 12/13/24 - A signed hospice contract documented that R102 was admitted for hospice services. …
F637 citations in Delaware
Assessment after a significant change · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F637 more often than its own record predicts
1.77 times the share F637 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F637 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.
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.86× |
| 2024 | 0.18% | 0.78× |
| 2025 | 0.43% | 1.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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