Based on interview and facility record review, it was determined that the facility failed to ensure that it has an active governing body that is responsible for establishing and implementing policies regarding the management of the facility. Findings include:Review of facility documents revealed:12/15/25 - A [NAME] of Sale between O1(former facility owner) and O2 (new facility owner) was made and entered into. 1/12/26 9:00 AM - A request for the names and contact information of the members of the governing body was made to E1 (Interim NHA). 1/12/26 2:46 PM - E1 confirmed that the facility did not have the names and contact information of the members of the governing body.1/12/26 3:30 PM - Findings were reviewed with E1 and E2 (DON) during the Exit Conference.
F837 citations in Delaware
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Delaware cites F837 more often than its own record predicts
1.92 times the share F837 takes of citations nationally.
Of every deficiency written in Delaware in 2024, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F837 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.
What else Delaware surveyors cite →
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