Deficiency Index

Encore at Foulk

Wilmington, Delaware · CCN 085060

4 surveys since 2022, 1 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
34
Surveys
4
Harm or worse
1
Immediate jeopardy
0
The record, 2022–2026
’22’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file1/4

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

The facility

Certified beds
46
Ownership
For profit - Limited Liability company
Chain
Independent
County
New Castle
Medicare-certified since
2022
Ownership changed
In the last 12 months

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

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

Last survey on record

Apr 13, 2026

210 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 day3.913.90
Registered-nurse hours per resident day1.14—
Annual nurse turnover13.3%41.9%

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

Enforcement

Fines
$13,544 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 jeopardyJ—K—L—
Actual harmG18.3%H—I—
No harm, potential for more than minimalD1083.3%E—F18.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 12 of the 34 citations on record.

In the surveyor’s words

From the most serious findings on record at Encore at Foulk, in the surveyor’s own words.

  • Actual harm, isolatedF689Feb 26, 2024

    Based on record review and interview, it was determined that for one (R1) out of six residents reviewed for accident hazards and falls, the facility failed to ensure R1's environment was free from accident hazards as possible. On 6/28/23, while being driven back to the facility in a borrowed transport van from another facility, an accident occurred which resulted in R1 sustaining multiple fractures. The unsafe facility transport caused R1 harm. Based on review of the facility's evidence to correct the non-compliance and the facility's substantial compliance at the time of the current survey, the deficiency was determined to be past non-compliance as of 7/5/23. […]

  • No harm, potential for more than minimal, widespreadF812Feb 26, 2024

    Based on observation, staff interview and review of other documentation, it was determined that the facility failed to ensure food was stored in a sanitary manner; failed to ensure the dishwasher operated at the correct temperature level to sanitize the residents' dishes; failed to maintain dishwasher temperature logs; failed to ensure food stored in a container was maintained in a clean and sanitary manner and failed to ensure the kitchen area was maintained in a sanitary condition, and failed to maintain refrigerator temperature logs. […]

  • No harm, potential for more than minimal, patternF814May 27, 2022

    Based on observation, it was determined that the facility did not properly ensure that the facility was properly maintained to prevent pests. Finding include: During the initial kitchen tour on 5/19/2022 at approximately 10:00 AM, the outside dumpster was observed to be in disrepair with a hole on the top which could allow pests to enter. This finding was reviewed and confirmed by E32 (Food Service Director) on 5/19/22 at approximately 11:50 AM.

  • No harm, potential for more than minimal, patternF814May 27, 2022

    Based on observation, it was determined that the facility did not properly ensure that the facility was properly maintained to prevent pests. Finding include: During the initial kitchen tour on 5/19/2022 at approximately 10:00 AM, the outside dumpster was observed to be in disrepair with a hole on the top which could allow pests to enter. This finding was reviewed and confirmed by E32 (Food Service Director) on 5/19/22 at approximately 11:50 AM.

  • No harm, potential for more than minimal, patternF880May 27, 2022

    Based on observation, interview, and review of facility documentation, the facility failed to ensure that staff were fit tested for N-95 masks creating an unsafe environment by not implementing appropriate infection control practices as recommended by the Centers for Disease Control and Prevention (CDC). Findings include: 9/3/21 (last reviewed) - On the CDC website, the document entitled Fit Test FAQ included, You should be fit tested at least annually to ensure your respirator continues to fit you properly. 2/2/22 (last updated) - On the CDC website, the document entitled Strategies for Optimizing the Supply of N95 Respirators included, .Proper use of respiratory protection by HCP requires a comprehensive program (including medical clearance, training, and fit testing) . […]

Read 20 findings in full →The most serious and the most recent: 20 of 34 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 13, 2026Standard2 findings
  • Mar 21, 2025Standard2 findings
  • Feb 26, 2024Standard and complaint8 findings · 1 harm
  • May 27, 2022Standard22 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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