Delhi Rehabilitation and Nursing Center
Delhi, New York · CCN 335876
13 surveys since 2018, 2 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
- 69
- Surveys
- 13
- Harm or worse
- 2
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 176
- Ownership
- For profit - Limited Liability company
- Chain
- PERSONAL HEALTHCARE MANAGEMENT
- County
- Delaware · rural
- Medicare-certified since
- 2018
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 259 for-profit facilities with 128 or more beds in New York.
Last survey on record
Jul 24, 2026
108 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.37 | 3.37 |
| Registered-nurse hours per resident day | 0.39 | — |
| Annual nurse turnover | 44.2% | 33.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.0% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D3162.0% | E1836.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6093×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5832×
Keep residents' personal and medical records private and confidential.
- F6362×
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
In the surveyor’s words
From the most serious findings on record at Delhi Rehabilitation and Nursing Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF609Jul 13, 2026
Based on interviews and record review conducted during survey, the facility failed to report reasonable suspicion of a crime committed in the facility to the State Survey Agency and one or more law enforcement entities, within required timeframes for Resident #4 and Resident #5. Specifically, on 03/23/2026, through staff reporting and an investigation, the facility discovered that Licensed Practical Nurse #2 falsely entered medication orders for Resident #4 without provider authorization, discontinued the orders, and diverted (removed) the medication for personal use in December 2025 and attempted to do so again in March 2026 for Resident #5. There was no documented evidence the facility reported the incidents to the Department of Health or local law enforcement, as required. […]
- No harm, potential for more than minimal, patternF761Jul 30, 2024
Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice for 3 of 3 medication carts, and 2 (Elm and Aspen units) of 3 medication storage rooms reviewed. Specifically, (a.) opened medications had no open and/or expiration dates; (b.) stock medication open and expiration dates were not legible; (c.) personal items were stored in double locked cabinet with controlled substances; (d.) a pre-poured medication cup was noted in medication cart; and (e.) a narcotic was not signed out correctly when administered. […]
- No harm, potential for more than minimal, patternF804Jul 30, 2024
Based on observations, record reviews, and interviews during the recertification and abbreviated (NY00322544) survey, the facility did not ensure that food and drink were palatable and attractive for 19 (Resident #s 1, 11, 12, 23, 26, 60, 62, 63, 65, 66, 71, 74, 76, 78, 108, 127, 131,145, and 150) of 32 residents reviewed for palatable and attractive food and drink. Specifically, residents complained of food being cold, unattractive, and not palatable in general during the resident council meeting. Additionally, 3 units (Aspen, Fir, and Chestnut) of 6 units served food that was not palatable and was not appetizing in appearance. […]
- No harm, potential for more than minimal, patternF812Jul 30, 2024
Based on observation, record review, and interviews during the recertification survey, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the automatic dishwashing machine was not in good repair and did not provide a sanitizing final rinse, and equipment required cleaning. This is evidenced by: During observations on 7/22/24 at 11:19 AM, the thermometer on the automatic dishwashing machine was not functioning, and the concentration of sanitizing chemical in the final rinse of the automatic dishwashing machine final rinse was zero parts per million of available chlorine. The directions on the bottle of sanitizing chemical concentrate state the concentration is to be between 50 and 100 ppm. […]
- No harm, potential for more than minimal, patternF923Jul 30, 2024
Based on observation and interviews during the recertification survey, the facility did not provide adequate outside ventilation by means of windows, or mechanical ventilation, or a combination of the two. Specifically, components of the heating and air conditioning system were not repaired or replaced as necessary. This is evidenced by: During observations on 7/24/2024 from 8:00 AM through 3:00 PM and on 7/25/2024 at 10:25 AM, the air quality in the Family Conference Room was humid and stuffy. During an interview on 7/25/2024 at 10:27 AM, Director of Maintenance #1 stated for about one year, the closed loop air handler servicing the Family Conference Room had a clogged water line which interfered with the functioning of the system. […]
Read 21 findings in full →The most serious and the most recent: 21 of 69 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 24, 2026Complaint1 finding
- Jul 13, 2026Complaint3 findings · 1 harm
- Jul 30, 2024Standard and complaint11 findings
- Sep 8, 2023Complaint2 findings
- Mar 22, 2023Complaint2 findings
- Feb 2, 2022Standard and complaint17 findings
- Jan 7, 2022Complaint4 findings
- Feb 12, 2021Infection control2 findings
Show the 5 earlier surveys
- Dec 11, 2020Infection control1 finding
- Sep 18, 2019Standard and complaint18 findings · 1 harm
- Sep 13, 2019Complaint2 findings
- May 20, 2019Complaint2 findings
- Feb 16, 2018Standard4 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction