F655 in Delaware. Pick another state for the same tag.
Against expectation — 2025
Delaware cites F655 less often than its own record predicts
Versus expected share0.32×
0.32 times the national share — cited less often here than elsewhere.
Share of Delaware citations0.21%
Of every deficiency written in Delaware in 2025, this is the portion that was F655.
Delaware0.21%
National0.66%
Share of all citations that were F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F655 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 19, 2025
Based on record review and interview it was determined that for one (R69) out of one reviewed for new admission, the facility failed to ensure that a baseline care plan was completed. Findings include:
Record review for R69 revealed:
11/29/24 - R69 was admitted to the facility.
12/4/24 - A review of R69's clinical record revealed a lack of evidence of a baseline care plan.
2/17/25 12:57 PM - E1 (NHA) confirmed that there was no evidence that R69 had a base line care plan developed and that a summary of the plan was provided to the resident/ resident representative.
2/19/25 1:41 PM - Findings were reviewed during the exit conference with E1and E2 (DON).
B · No harm, potential for minimal, patternNovember 8, 2023
Based on record review and interview it was determined that for three Residents (R) 248, R250 and R314) out of three new admissions reviewed the facility failed to ensure that a baseline care plan summary was provided to the resident/responsible party (RP). Findings include:
The facility policy for baseline care plans, last updated 7/2023, indicated, A written summary of the baseline care plan shall be provided to the resident and representative .
Review of R248, R250 and R314's clinical records revealed:
1. 6/23/22 - R250 was admitted to the facility.
6/24/22 - Baseline care plans were created for R250. The signature section for acknowledgment of summary received by resident/RP was blank.
2. 7/20/22 - R314 was admitted to the facility. …
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