Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F842 in Delaware. Pick another state for the same tag.
Against expectation — 2025
Delaware cites F842 more often than its own record predicts
Versus expected share1.24×
1.24 times the share F842 takes of citations nationally.
Share of Delaware citations2.77%
Of every deficiency written in Delaware in 2025, this is the portion that was F842.
Delaware2.77%
National2.24%
Share of all citations that were F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F842 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.
D · No harm, potential for more than minimal, isolatedAugust 11, 2026
Based on interview and record review, it was determined that for one (R1) out of three residents reviewed for respiratory care, the facility failed to accurately document R1's edema on the daily skilled charting. Findings include: Cross refer F838 The facility's policy and procedure entitled Skilled Nursing Documentation, last reviewed 1/13/26, revealed:- POLICY: It is the policy of Cadia Healthcare to maintain clinical resident records in accordance with accepted professional standards and practices.- PROCEDURE: Resident care is documented in the electronic medical record. Documentation is completed at least daily to support skilled services. Documentation must reflect the clinical and medical necessity for the resident's stay. …
B · No harm, potential for minimal, patternOctober 2, 2024
Based on interview and record review, it was determined that for three (R6, R26 and R116) out of 46 sampled residents, the facility failed to clinical records are complete and accurately documented. Findings include:
1. R26's clinical record revealed:
1/17/24 at 11:21 AM - A Medical Progress Note documented by E50 (NP) documented, . Assessment and Plan .
1. Protein malnutrition- encourage PO intake (sic) monitor CMP.
2. Muscle weakness-PT/OT.
3. MDD-Mirtazapine 7.5mg GDR not appropriate at this time.
4. GERD- D/C (discontinue) Omeprazole 20mg to trial symptoms and need for medication.
5. HTN- Monitor BP Q shift Lasix 40mg Amlodipine 5mg.
6. Constipation monitor BM Miralax, Fleet enema, MOM, Senna, Biscodyl, Colace.
7. CAD- ASA 81mg.
8. Anemia- Iron 325mg monitor CBC.
9. …
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