Based on interview and review of facility documentation, it was determined that for seven (E14, E15, E16, E17, E18, E20 and E21) out of seven facility staff reviewed, the facility failed to ensure that the required QAPI (Quality Assurance and Performance Improvement) training was completed. Findings include:1/12/26 1:30 PM - Review of the facility training records revealed a lack of evidence of QAPI training for the following facility staff:2/4/25 - E14's first day in the facility as RN (Registered Nurse).4/1/25 - E15's first day in the facility as RN.3/18/25 - E16's first day in the facility as CNA (Certified Nurse Aide).9/16/25 - E17's first day in the facility as CNA.6/10/25 - E18's first day in the facility as CNA.9/30/25 - E20's first day in the facility as Maintenance Tech.11/18/25 -… …
F944 citations in Delaware
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F944 more often than its own record predicts
4.66 times the share F944 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F944.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F944 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 interview and review of facility documentation, it was determined that for six (E12, E15, E16, E21, E27 and E28) out of ten staff reviewed, the facility failed to ensure that the required QAPI (Quality Assurance And Performance Improvement) training was completed. Findings include: 8/27/24 - Review of the employee training records revealed a lack of evidence of QAPI training of the following staff: 11/18/21- E12 (RN) was hired by the facility. 1/20/22 - E28 (CNA) was hired by the facility. 3/7/23 - E15 (LPN) was hired by the facility. 7/25/23 - E16 (CNA) was hired by the facility. 8/8/23 - E21 (H) was hired by the facility. 10/3/23 - E27 (CNA) was hired by the facility. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 8.59× |
| 2024 | 0.53% | 5.66× |
| 2025 | 0.43% | 4.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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