Based on interview and observation, it was determined that the facility failed to ensure adequate outside ventilation by means of windows, or mechanical ventilation, or a combination of the two in the Arcadia unit. Findings include: 7/21/23 3:00 PM - EHS (Environmental Health Specialist) toured the Arcadia unit. 7/21/23 3:45 PM - During an interview with E39 (Director of Maintenance), it was stated that Arcadia's hall AC unit was out of service and the facility was waiting on a back ordered part to have replaced. 7/21/23 3:50 PM - E39 confirmed poor ventilation on the Arcadia unit. Findings were reviewed with E1 (NHA), E2 (DON), E4 (RCD) and E18 (VPO) at the Exit Conference on 7/31/23 at 2:00 PM.
F923 citations in Delaware
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Delaware cites F923 more often than its own record predicts
8.59 times the share F923 takes of citations nationally.
Of every deficiency written in Delaware in 2023, this is the portion that was F923.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F923 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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