Based on record review and interviews, it was determined that for one (R6) out of three residents reviewed for discharge, the facility failed to develop and implement an effective discharge planning process. The facility failed to determine and document the feasibility of R6 returning to live in the community independently. The facility failed to ensure R6's health and safety needs were able to be met at her discharge destination. The facility failed to ensure R6 had the ability to fill her medication prescriptions. The facility failed to ensure that R6's discharge prescriptions for PT/OT, home health aide and nursing were referred to an accepting agency and the first visit by the agency was scheduled for R6. These failures placed R6 in Immediate Jeopardy (IJ). …
F660 citations in Delaware
Discharge planning · Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F660 more often than its own record predicts
5.43 times the share F660 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F660.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F660 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 record review and interview it was determined that for one (R188) out of three residents reviewed for discharge the facility failed implement a discharge planning process that prepared the resident/RP to effectively transition to post-discharge care. Findings include: The facility policy on transfer and discharge undated indicated, Anticipated transfers or discharges - A post discharge plan of care that is developed with the participation of the resident and the residents representative which will assist the resident to adjust to his or her new living environment. Review of R188's clinical record revealed: 5/2/24 - R188 was admitted to the facility. 5/3/24 - A care plan for discharge documented that R188 expressed wish for discharge to home. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 2.26× |
| 2024 | 0.88% | 4.18× |
| 2025 | 0.43% | 5.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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