Based on record review and interview, it was determined that for one (R65) out of thirty-five sampled residents, the facility failed to provide and evaluate staff for appropriate competencies and skill sets regarding R65's LVAD (left ventricular assist device) as identified in the resident assessment. Findings include: 5/19/25 1:30 PM - A review of the facility assessment, Section III Resources Needed documented the facility as having Special Care Needs population regarding: dialysis, hospice, ostomy care, tracheostomy care, bariatric care, palliative care, end of life care and LVAD (left ventricular assist device). 5/19/25 4:21 PM - During an interview, E1 (NHA) stated, I don't have competencies for the LVAD. …
F940 citations in Delaware
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F940 more often than its own record predicts
4.35 times the share F940 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F940.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F940 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% | 3.31× |
| 2024 | 0.18% | 1.85× |
| 2025 | 0.43% | 4.35× |
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