Based on interview and review of facility documentation, it was determined that the facility failed to inform residents, their representatives, and families after infections of COVID-19 of one resident on 1/1/23 and one staff member on 1/16/23 by 5:00 PM the next calendar day. Findings include: 1/19/23 - In response to the Survey's Entrance Conference request for facility documentation, the facility provided a handwritten response that stated: The facility's mechanism use to inform residents, their representatives and families of confirmed or suspected COVID-19 activity in the facility is via (by) email. Review of the facility's line listing for the past four weeks revealed: -1/1/23, one resident tested positive for COVID-19; and -1/16/23, one staff person tested positive for COVID-19. …
F885 citations in Delaware
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Delaware cites F885 more often than its own record predicts
5.12 times the share F885 takes of citations nationally.
Of every deficiency written in Delaware in 2023, this is the portion that was F885.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F885 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 staff interview, facility documentation and CMS guidance, it was determined that the facility failed to provide written documentation regarding how residents and/or their representatives and the families are to receive updates concerning a single confirmed infection of COVID-19 5:00 PM the next calendar day following the occurrence. Total census 100. The findings included: Review of COVID-19 Focused Infection Control (FIC) Survey Entrance Conference Worksheet (11/2020) revealed the following: 13. …
What else Delaware surveyors cite →
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