Based on record review and interview, it was determined that for one (R155) out of one resident reviewed for hydration, the facility failed to ensure that R155 was offered sufficient fluids to maintain proper hydration. This failure resulted in harm with R155 being transferred to the hospital on [DATE] with diagnoses of dehydration and AKI (acute kidney injury). Findings include:The BUN (blood urea nitrogen) lab measures the amount of urea nitrogen in the blood. The BUN is directly related to the metabolic function of the liver and the excretory function of the kidney . BUN levels also may vary according to the state of hydration, with increased levels seen in dehydration and decreased levels seen in overhydration. Mosby's Diagnostic and Laboratory Test Reference 2023. …
F692 citations in Delaware
Nutrition and hydration · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F692 more often than its own record predicts
1.12 times the share F692 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F692 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 interview and record review, it was determined that for one (R67) out of three residents reviewed for hydration, the facility failed to offer sufficient hydration. Findings include:The facility policy on hydration last updated 12/24/24 indicated, To enable all residents to be hydrated. Facilities will have a process in place to ensure that all residents receive sufficient amounts of fluids, based on individual needs, to maintain proper hydration and health. Review of R67's clinical record revealed: 11/14/25 - R67 was admitted to the facility with multiple diagnoses including mild cognitive impairment. 11/14/25 - A baseline care plan created for R67 indicated a risk of hydration concerns. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.79% | 0.63× |
| 2024 | 1.40% | 1.18× |
| 2025 | 1.28% | 1.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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