Based on observation and interview, it was determined that the facility failed to have an adequately equipped system to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area. The immediate jeopardy (IJ) was identified on 3/8/18 at 3:08 PM and abated on 3/8/18 at 6:30 PM. Findings include: 3/8/18 at approximately 1:00 PM - During an interview with E10 (DOM) , E10 stated upon his employment in (MONTH) of 2014, he was informed by the previous DOM of a dead spot in the residents bathroom call bell reset switch. …
F919 citations in Delaware
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F919 more often than its own record predicts
1.43 times the share F919 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F919 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 observation and interview, for two (R50 and R51) out of three residents reviewed for environment, it was determined that the facility failed to ensure the call system was accessible when each residents' call bell was observed closed inside the residents' bedside table drawers. Findings include:1. Review of R50's clinical record revealed: 6/13/19 - R50 was admitted to the facility with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right side.6/1/26 - A quarterly MDS assessment documented that R50 had an upper extremity impairment on one side and a BIMS score of 8, indicating a moderately impaired cognition.6/23/26 3:46 PM - R50 was observed laying in bed. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2024 | 0.53% | 1.19× |
| 2025 | 0.64% | 1.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction