Based on interview and record review, it was determined that for three (R11, R13 and R26) out of eight residents reviewed for activities of daily living (ADLs), the facility failed to provide necessary services for personal hygiene care of dependent residents. R13, who had a perineal wound, returned from dialysis incontinent of bowel and requested to be changed. As a result of R13's toileting hygiene care request being deferred by staff until after dinner, R13 sat in a soiled incontinence brief for an additional two hours, resulting in dehumanization, a psychosocial harm. R26 was left soiled for four hours after requesting staff assistance. In addition, the facility failed to ensure that R11, a dependent resident, received the necessary services to maintain grooming and personal hygiene. …
F677 citations in Delaware
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F677 less often than its own record predicts
0.75 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F677 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 observation, interview, and record review, it was determined that for three residents (R13, R76, and R137) out of eight residents reviewed for ADL's, the facility failed to provide care and services reviewed for dependent residents. Findings include:1. Review of R13's clinical record revealed: 6/24/26 - R13 was admitted to the facility with dementia. 6/30/26 - An annual MDS documented that R13 was severely cognitively impaired and was dependent on staff for bathing and hygiene. 7/2026 - The CNA's task list documented that R13's shower days were Tuesday and Thursday. 7/20/26 9:15 AM - The resident was observed with visible facial hair growth and an untrimmed beard. 7/21/26 10:00 AM - The resident was observed with visible facial hair growth and an untrimmed beard. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 2.65% | 0.95× |
| 2024 | 2.28% | 0.94× |
| 2025 | 1.70% | 0.75× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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