Based on interview and review of facility documents, it was determined that the facility failed to identify and correct R11's significant medication errors involving blood sugar checks, heparin and insulin injections. Findings include:Cross refer 7605/8/26 3:15 PM - During QAPI interview, E1 (NHA) confirmed that the facility failed to identify and correct quality issues for R11's nutrition and hydration status requiring emergent hospitalization on 3/26/26.5/8/26 3:50 AM - In a follow up interview, E1 further confirmed that facility failed to identify and correct R11's significant medication errors involving blood sugar checks, heparin and insulin injections from 2/15/26 to 3/18/26. 5/11/26 12:30 PM - Findings were reviewed with E1 (NHA), E2 (DON) and E4 (CRN) during the Exit Conference.
F865 citations in Delaware
QAPI program · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F865 citations were recorded in Delaware for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Delaware surveyors wrote
F865 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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