Based on record review and interview, it was determined that for one (R85) out of three residents reviewed for pain, the facility failed to provide pain management according to professional standards of practice. R85 was not provided pain medication, causing unrelieved pain for approximately sixty four hours resulting in harm. Findings include: Cross refer F657. April 2002 - The pain management standards by the American Geriatrics Society included: appropriate assessment and management of pain; assessment in a way that facilitates regular reassessment and follow-up; same quantitative pain assessment scales should be used for initial and follow up assessment; set standards for monitoring and intervention; and collect data to monitor the effectiveness and appropriateness of pain management. …
F697 citations in Delaware
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F697 more often than its own record predicts
1.09 times the share F697 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F697 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 (R141) out of one resident reviewed for pain, the facility failed to provide pain management according to professional standards of practice Findings include:Review of R141's clinical record revealed:[DATE] - R141 was admitted to the facility with a diagnosis of spondylopathy cervical region and muscle weaknessXXX[DATE] - A quarterly MDS assessment documented that R141was alert and oriented. Additionally, the MDS documented that R141 had painXXX[DATE] - A baseline care plan was initiated for potential for pain and actual for spinal stenosis of the cervical region, mobility impairment, spondylopathy, and chronic pain syndromeXXX[DATE] - A progress note revealed R141 had a surgical cervical fusionXXX[DATE] - A physician's… …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 0.72× |
| 2024 | 1.23% | 1.67× |
| 2025 | 0.85% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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