Based on interview and record review, it was determined that for one (R1) out of three residents in the investigative sample, the facility failed to develop a comprehensive resident centered care plan for an identified care area. Findings include:Cross refer F806Review of R1's clinical record revealed:2/12/26 - R1 was admitted to the facility with a diagnosis of Cerebral Palsy. 2/12/26 - An allergy to peanuts was documented as severity severe on the allergy tab in the EMR (electronic medical record).2/13/26 1:00 PM - A physician's order documented that R1 had a regular diet, pureed texture and honey thick consistency. The order also noted R1 had an allergy to peanuts and corn. 3/5/26 - A review of R1's care plan lacked evidence of severe allergy to peanuts. …
F656 citations in Delaware
Comprehensive care plan · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F656 more often than its own record predicts
1.11 times the share F656 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F656 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 | 2.91% | 0.81× |
| 2024 | 2.63% | 0.77× |
| 2025 | 3.83% | 1.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction