Based on record review and interview, it was determined that for two (R3 and R31) out of five residents reviewed for arbitration agreements, the facility failed to ensure that R3 and R31 were capable of understanding the arbitration agreement prior to signing it. Findings include: Basic Interview for Mental Status (BIMS) test is a standardized cognitive assessment tool mandatory in long-term care facilities in accordance with the Centers for Medicare and Medicaid Services (CMS). The BIMS score interpretation categorizes scores into groups by cognitive status. Any score of 13 to15 is classified as intact indicating normal cognitive response. …
F847 citations in Delaware
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F847 more often than its own record predicts
1.44 times the share F847 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F847.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F847 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.
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 1.73× |
| 2024 | 0.35% | 2.12× |
| 2025 | 0.21% | 1.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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