Based on record review and interview it was determined that for two (E29 and E30) out of six employees reviewed for required training the facility failed to ensure that infection control training was completed and consistent with policy standards. Findings include: The facility policy on Infection Prevention and Control Plan last updated 2024, indicated there would be ongoing education for all facility personnel. 1/15/25 - A review of the facility's training worksheet lacked evidence of ongoing infection control training for the following staff: E29 date of hire 4/10/23 most recent infection control training completed on 4/10/23. E30 date of hire 10/23/23 most recent infection control training completed on 10/23/23. 1/22/25 10:46 AM - During an interview E1 (NHA) confirmed the findings. …
F945 citations in Delaware
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F945 more often than its own record predicts
3.84 times the share F945 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F945 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 |
|---|---|---|
| 2024 | 0.18% | 3.74× |
| 2025 | 0.21% | 3.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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