Based on interview and review of facility documentation, it was determined that for four (E16, E18, E20, and E21) out of four facility staff reviewed, the facility failed to ensure that the required Corporate Compliance and Ethics training was completed. Findings include:1/12/26 1:30 PM - Review of the facility training records revealed a lack of evidence of Corporate Compliance and Ethics training for the following facility staff:3/18/25 - E16's first day in the facility as CNA (Certified Nurse Aide).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 - E21's first day in the facility as Restorative Aide/CNA.1/12/26 2:00 PM - Findings were discussed with E1 (Interim NHA).1/12/26 3:30 PM - Findings were reviewed with E1… …
F946 citations in Delaware
Administration Deficiencies
Provide training in compliance and ethics.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F946 more often than its own record predicts
4.19 times the share F946 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F946.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F946 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% | 11.31× |
| 2024 | 0.35% | 7.62× |
| 2025 | 0.21% | 4.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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