Delaware Court Health Care Center

In the surveyor’s words

From the most serious findings on record at Delaware Court Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF837Oct 19, 2023

  Based on Board of Executives of Long-Term Services and Supports (BELTS) website review review and staff interview, and BELTS Representative interview, the facility failed to ensure the Administrator had an active license. This affected all 52 residents in the facility during the annual survey. The census was 52. Findings include: Review of the Board of Executives of Long-Term Services and Supports (BELTS) website on [DATE] revealed the facility's Administrator's license had expired on [DATE]. Interview on [DATE] at 11:55 A.M., with the Administrator revealed he was unaware his license had expired until surveyor notification during the annual survey. […]

• No harm, potential for more than minimal, widespreadF880Oct 19, 2023

  Based on record review, policy review and staff interviews, the facility failed to ensure an infection surveillance plan was in place for identifying, tracking, and monitoring outbreaks. This had the potential to affect all 52 residents. Facility census was 52. Findings include: Review of the infection control tracking logs revealed resident infections were monitored for location with a facility map, but signs symptoms, labs and cultures were not included. There was no evidence of the use of evidence-based surveillance criteria to define infections and determine appropriateness of treatment options. There was no evidence the facility determined percentage of nosocomial (community based infections) for facility each month as a tracking tool. […]

• No harm, potential for more than minimal, widespreadF908Oct 19, 2023

  Based on observation and staff interviews, the facility failed to ensure the plumbing equipment was maintained in a safe and sanitary conditions . This had the potential to affect 50 of 50 residents who receive meals from the kitchen. excluding two (#3 and #305) residents who recive tube feeding. The faciltiy census was 52. Findings include: Tour of the kitchen on 10/16/23 at 9:30 A.M., revealed a red plastic coffee can under the three compartments sink on the right side. The pipe had a slow drip. Observations on 10/18/23 from 11:18 A.M. to 11:45 A.M., while observing puree food preparation, the kitchen floor became flooded, instantly water appeared from the floor under the three compartments sink to the far right under the oven and to the far left of the walk in freezer. […]

• No harm, potential for more than minimal, patternF565Feb 9, 2026

  Based on record review, observation, resident and staff interview, the facility failed to address resident concerns brought up at the resident council meetings. This affected four Residents (#23, #27, #30, and #44). Facility census was 59. Findings Include:1. Review of the medical record for Resident #23 revealed an admission date of 09/09/25. Diagnoses included atrial fibrillation, pulmonary disease, dysphagia and fracture of the right foot. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) of 15 indicating intact cognition. 2. Review of the medical record for Resident #27 revealed an admission date of 10/02/24. Diagnoses included dementia, pulmonary disease, dysphagia and heart disease. […]

• No harm, potential for more than minimal, patternF584Feb 9, 2026

  Based on observations, interviews and facility policy review, the facility failed to ensure residents resided in a safe, clean and comfortable environment. This affected six residents (#3, #9, #27, #33, #41 and #50) of seven ( #21) reviewed for environmental concerns. The census was 59Findings Include:A facility tour conducted on 01/28/26 at 8:15 A.M. revealed all resident rooms, and the resident private dining room had a Packaged Terminal Air Conditioner (PTAC) unit (a self-contained heating and cooling unit in which offer individual room control ) . The temperature outside on this day was cold with daily highs in the mid to low teens and lows near or below zero Fahrenheit.Observation on 01/28/26 at 8:30 A.M. […]