Deficiency Index

Delaware Bay Rehabilitation and Healthcare Center

Georgetown, Delaware · CCN 085029

27 surveys since 2010, 13 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
181
Surveys
27
Harm or worse
13
Immediate jeopardy
3
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file23/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
139
Ownership
For profit - Limited Liability company
Chain
VENZA CARE MANAGEMENT
County
Sussex · rural
Medicare-certified since
1985

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 32 for-profit facilities in Delaware.

Last survey on record

Oct 22, 2025

383 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.003.90
Registered-nurse hours per resident day0.57—
Annual nurse turnover49.3%41.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$62,618 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ25.3%K—L—
Actual harmG25.3%H—I—
No harm, potential for more than minimalD2668.4%E821.1%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 38 of the 181 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6442×

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

From the most serious findings on record at Delaware Bay Rehabilitation and Healthcare Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF760Jul 31, 2025

    Based on record review and interview, it was determined that for two (R129 and R123) out of two residents reviewed for a change in condition, the facility failed to ensure residents were free from experiencing a significant medication error. For R129, staff administered another resident's medication resulting in the need for emergency medical intervention of Narcan for opioid overdose and transport to hospital for further medical intervention. The facility's failure placed R129 at risk for a serious adverse outcome including anaphylaxis, depressed respiratory status, and even death related to administration of a significant medication in error. Due to this failure an Immediate Jeopardy was called on 7/19/25 at 9:55 AM. […]

  • Immediate jeopardy, isolatedF760Aug 9, 2024

    Based on record review and interview, the facility failed to ensure for four (R13, R88, R108 and R165) residents of seven reviewed were free from a significant medication error when staff failed to administer insulin. Additionally, staff failed to conduct finger stick blood sugar monitoring, some of which included sliding scale insulin coverage based on the results. The facility's failure placed the residents at risk for a serious adverse outcome, hypogycemia and hyperglycemia. Due to this failure an Immedicate Jeopardy (IJ) was called on 8/2/24 at 1:40 PM. The IJ waws abated on 8/6/24 at 3:05 PM. […]

  • Immediate jeopardy, isolatedF760Jun 4, 2021

    Based on record review, staff interview, and review of other facility documentation, it was determined that the facility failed to ensure that one (R1) out of eight residents reviewed for medication errors were free from significant medication errors. R1 received another resident's medication causing harm, which required R1 to be transferred to the hospital where R1 became unresponsive and hypotensive in the emergency department requiring hospitalization for treatment and monitoring. This was identified as a past non-compliance Immediate Jeopardy situation. […]

  • Actual harm, isolatedF686Oct 22, 2025

    Based on interview and record review, it was determined that for one (R1) out of three (3) residents reviewed for pressure ulcer (PU), the facility failed to ensure that R1 received the necessary treatment and services, consistent with professional standards of practice, to prevent pressure ulcers (PU's) from developing. R1 had an avoidable unstageable PU develop on bilateral buttocks at the facility causing harm to the resident. Findings include: Cross refer F692 Review of R1's clinical record revealed: 8/25/25 - A progress note from the hospital documented that R1 had a stage II pressure ulcer to the sacrum measuring 4.5 cm L x 0.5 cm W. A wound photograph provided from hospital revealed R1's sacrum open, pink in color, matching the measurements. […]

  • Actual harm, isolatedF692Oct 22, 2025

    Based on record review and interview, it was determined that for one (R1) out of one resident reviewed for hydration, the facility failed to ensure that R1 was offered sufficient fluids to maintain proper hydration. This failure resulted in harm when R1 was transferred to the hospital on 9/25/25 with a diagnosis of metabolic acidosis, hypokalemia and AKI (acute kidney injury) and elevated lab values indicative of dehydration. Findings include:Cross refer F686The BUN (blood urea nitrogen) lab measures the amount of urea nitrogen in the blood. The BUN is directly related to the metabolic function of the liver and the excretory function of the kidney . […]

Read 29 findings in full →The most serious and the most recent: 29 of 181 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 22, 2025Complaint2 findings · 2 harm
  • Jul 31, 2025Standard and complaint7 findings · 1 harm
  • Aug 9, 2024Standard and complaint19 findings · 1 harm
  • Jun 6, 2023Standard and complaint11 findings
  • Nov 29, 2022Complaint3 findings · 1 harm
  • Jun 4, 2021Complaint1 finding · 1 harm
  • Apr 21, 2021Standard and complaint9 findings
  • Jan 27, 2021Infection control1 finding
Show the 19 earlier surveys
  • Sep 24, 2020Complaint3 findings
  • Jul 8, 2020Infection control1 finding
  • Apr 28, 2020Infection control1 finding
  • May 21, 2019Standard24 findings
  • Mar 12, 2019Complaint1 finding · 1 harm
  • Jul 18, 2018Standard and complaint11 findings · 1 harm
  • May 11, 2017Standard and complaint17 findings · 1 harm
  • May 13, 2016Standard8 findings
  • Apr 2, 2015Standard7 findings
  • Sep 16, 2014Complaint3 findings
  • Feb 3, 2014—6 findings
  • Mar 20, 2013—12 findings
  • Feb 21, 2013—2 findings · 1 harm
  • Dec 5, 2012—2 findings
  • Aug 9, 2012—5 findings · 1 harm
  • Dec 14, 2011—10 findings · 1 harm
  • Aug 10, 2011—9 findings · 1 harm
  • Mar 28, 2011—2 findings
  • Sep 21, 2010—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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