Based on record review, interview and policy review, the facility failed to ensure residents maintained good hygiene for two (Resident (R) 20 and 75) of five residents reviewed for activities of daily living (ADL) in the sample of 39 residents. This failure has the potential for the residents to develop skin infections, social isolation, and a general decline in health.Findings included:1. Review of R20's Record of admission located in the Profile tab of the electronic medical record (EMR) revealed admission date 11/26/24 with diagnoses including major depressive disorder, Parkinson's disease, dizziness, anxiety, and difficulty in walking.Review of R20's Care Plan Report, dated 04/23/25 in the Care Plan tab in the EMR revealed, [R20] had an ADL self-care performance deficit due to activity… …
F676 citations in Delaware
Activities of daily living · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F676 more often than its own record predicts
1.43 times the share F676 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F676.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F676 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 | 0.53% | 1.45× |
| 2025 | 0.43% | 1.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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