Based on interview and review of facility documentation, it was determined that the facility failed to ensure that a performance review was completed at least every twelve months for one (E19) out of five sampled employees. Findings include:4/10/26 10:00 AM - Review of the staff performance evaluations revealed that E19 (CNA) had a hire date of 3/29/22. A record review revealed lack of evidence of a performance evaluation for the past year and was confirmed by E4 (HR). 4/10/26 12:00 PM - Finding was discussed with E1 (NHA)4/10/26 3:10 PM - Finding was reviewed with E1 (NHA), E2 (DON) and E3 (CEO) during the Exit Conference.
F730 citations in Delaware
Nurse aide performance review · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F730 less often than its own record predicts
0.62 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware in 2025, this is the portion that was F730.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F730 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 review of facility documentation, it was determined that the facility failed to ensure performance appraisals were completed at least every 12 months for 6 (E20, E21, E22, E23, E24 and E25) out of 6 sampled CNAs. Findings include: Review of the latest performance appraisals for 6 randomly selected CNAs revealed the following hire date and (last performance appraisal date): - E20: 3/14/16 (6/15/17) - E21: 4/1/09 (none) - E22: 3/18/09 (7/6/17) - E23: 3/19/12 (2/9/17) - E24: 1/21/14 (6/26/18) - E25: 4/25/11 (6/21/17) E1 (NHA) confirmed the inability to locate any performance appraisals for E21 and that rest of the appraisals were not completed timely. This findings was reviewed with E1 and E2 (DON) during the exit conference on 8/8/18 beginning at 3:15 PM.
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 2.12% | 6.05× |
| 2024 | 0.88% | 2.48× |
| 2025 | 0.21% | 0.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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