Based on observation, interview, and record review it was determined that for one (R1) out of three residents reviewed for change in condition the facility failed to ensure that licensed nursing staff had the skill set to recognize an emergent situation. R1 had a choking episode that progressed to respiratory distress which compromised R1's breathing. Nursing staff failed to provide competent nursing care for R1 that included assessments and interventions for a resident that had a change in respiratory status. Additionally, R1 was a full code and staff failed to initiate CPR on R1's behalf. The facility's failure resulted in R1's in death. Due to this failure an Immediate Jeopardy (IJ) was called at 2:20 PM on 7/3/25. …
F726 citations in Delaware
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F726 more often than its own record predicts
1.06 times the share F726 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F726 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 (R38) out of two residents reviewed for accidents, the facility failed to timely notify the provider when R38's ankle pain was reported to staff. Findings include:Review of R38's clinical record revealed:3/25/24 - R38 was admitted to the facility with diagnoses including age-related osteoporosis and left lower leg amputation.4/5/24 - R38's care plan documented dependence on two staff persons with mechanical lift for sit to stand transfers.10/2/25 - A quarterly assessment documented R38 had a BIMS of 10, indicating moderately impaired cognition. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 0.86× |
| 2024 | 0.53% | 0.80× |
| 2025 | 0.64% | 1.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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