Based on record review and interview, it was determined that for one (R113) out of one resident reviewed for discharge, the facility failed to have a discharge summary that included a reconciliation of medications. Findings include: Review of R113's clinical record revealed: 11/6/24 - R113 was admitted to the facility with diagnoses, including but were not limited to, dementia, heart failure and difficulty walking. 11/13/24 9:21 AM - E10 (Director of Social Work) documented in a progress note in R113's EMR, DON (Director of Nursing) from [assisted living facility (ALF)] contacted SSD (social services director) to inform that resident is at baseline and is able to be re-admitted to ALF setting. DON requested d/c (discharge) for Thursday 11/14/24 . …
F661 citations in Delaware
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F661 more often than its own record predicts
3.34 times the share F661 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F661 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 |
|---|---|---|
| 2024 | 0.35% | 1.53× |
| 2025 | 0.21% | 3.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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