Based on interview and record review, it was determined that for two (R5 and R19) out of four residents reviewed for physician visits, the facility failed to ensure that the physician reviewed R5's total program of care including medications.R5's Eliquis (anticoagulant-medication that works to prevent clotting of blood) was not re-started following R5's outpatient procedure on [DATE]. The facility's failure to ensure the physician/providers had a process to track residents on anticoagulants placed R5 in immediate jeopardy (IJ) of a serious adverse outcome. R5 had chronic atrial fibrillation, which placed him at risk for developing clots; R5 has been prescribed eliquis since [DATE] in order to prevent the development of clots. …
F711 citations in Delaware
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F711 more often than its own record predicts
1.73 times the share F711 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F711.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F711 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 (R72) out of thirty-five residents reviewed for physician services, the facility failed to ensure that the physician reviewed the residents' total program of care. Findings include: Review of R72's clinical record revealed: 2/5/25 - R72 was admitted to the facility with diagnosis including, but was not limited to, acute respiratory failure with hypoxia. 2/13/25 10:30 AM - E4 documented in R72's EMR physician progress note, . Assessment/Plan: . has been weaned off O2 . This physician note inaccurately documented that R72 had been weaned off of her supplemental oxygen. 2/13/25 11:16 AM - E35 (LPN) documented in R72's EMR progress notes, Resident continues on O2 at 4L N/C. Pulse ox is at 99 at rest. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 1.06% | 9.99× |
| 2024 | 0.88% | 7.20× |
| 2025 | 0.21% | 1.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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