Delaware Hospital F/T Chronically Ill (Dhci)

In the surveyor’s words

From the most serious findings on record at Delaware Hospital F/T Chronically Ill (Dhci), in the surveyor’s own words.

• Immediate jeopardy, patternF689Jan 9, 2026

  Based on document review, interviews, observations, and facility policy review, the facility failed to ensure that four of 10 residents (Residents (R) 5, R4, R71, and R6) reviewed for unsupervised smoking, smoked safely. In addition, all residents refused to don (put on) a smoking apron for protection and would hold onto their cigarettes and/or lighters instead of nursing staff securing the smoking paraphernalia safely. In addition, R34 was identified as a resident who smoked and had a lighter in her room. R34 used an oxygen concentrator, while in her room and while her lighter was kept in her room. […]

• Immediate jeopardy, isolatedF689Oct 3, 2025

  Based on observation, interview, record review and other facility documentation, it was determined that for two (R1and R2) out of three residents sampled for accidents, the facility failed to ensure that R1 and R2 received adequate supervision to prevent accidents. R1, a severely cognitively impaired resident, was able to elope from the building on 9/26/25 during the 11:00 PM to 7:00 AM shift. R1 was found on 9/26/25 at 8:38 AM, approximately 17-20 miles from the facility. This failure put R1 at immediate risk for severe injury or death due to exposure to traffic and environmental hazards while walking on the road unsupervised. An immediate jeopardy (IJ) was called at 12:30 PM on10/1/25. The facility abated the IJ on 10/2/25 at 3:00 PM. […]

• Immediate jeopardy, isolatedF689Feb 24, 2025

  Based on observation, interview, and record review, it was determined that for one (R1) out of three residents reviewed for accident hazards and falls, the facility failed to ensure that R1 received adequate hands-on assistance and supervision to prevent a fall to the extent possible. R1, a cognitively impaired and dependent resident sustained a fall on [DATE] when two staff members improberly used a mechanical lift to perform a transfer. The facility's failure caused R1 to suffer a subdural hematoma and two (2) lacerations to her scalp. R1 was sent emergently to the hospital. Due to this failure, an Immediate Jeopardy (IJ) was called at 10:30 AM on [DATE]. […]

• No harm, potential for more than minimal, widespreadF803Jan 9, 2026

  Based on observation, interview, and record review, the facility failed to utilize menus with portion sizes for regular, mechanical soft, and puree diets for two of two meals. This failure could potentially cause residents to become malnourished or experience weight loss or weight gain.Findings include:Review of the week-two menus for Spring 2025 did not include portion sizes for the regular, mechanical soft and pureed diets.Review of the individual resident's pre-selected menu sheets for lunch on 01/06/26 and 01/07/26 did not include portion sizes.Review of the facility diet type report, dated 01/09/26, provided by the facility, revealed 35 regular diets, 18 mechanical soft diets, and nine pureed diets.On 01/06/26 at 12:10 PM, the tray line on the 200 unit was observed in progress. […]

• No harm, potential for more than minimal, patternF656Jan 9, 2026

  Based on observation, record review, review of facility policy, and staff interviews, the facility failed to develop a person-centered comprehensive plan of care with measurable goals and plans for four of five residents (Resident (R) 2, R5, R1, and R24) reviewed for care plans, out of a survey sample of 28. The failure to develop a care plan increased the risk for care to be incomplete and/or inconsistent related to the residents taking psychotropic medications.Findings include: 1. Review of R2's electronic medical record (EMR) titled admission Record located under the Profile tab indicated the facility admitted the resident on 09/23/25. […]