Deficiency Index

The Moorings at Lewes

Lewes, Delaware · CCN 085053

17 surveys since 2009. The first finding at harm level was recorded in 2016.

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

Citations on record
126
Surveys
17
Harm or worse
5
Immediate jeopardy
1
The record, 2009–2024
’09’10’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/17

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

The facility

Certified beds
40
Ownership
Non profit - Corporation
Chain
SPRINGPOINT SENIOR LIVING
County
Sussex · rural
Medicare-certified since
2008

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=9, floor 20).

Last survey on record

Jan 22, 2024

1,022 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 day4.384.66
Registered-nurse hours per resident day1.29—
Annual nurse turnover42.2%32.2%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD150.0%E150.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 2 of the 126 citations on record.

In the surveyor’s words

From the most serious findings on record at The Moorings at Lewes, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF812Jan 22, 2024

    Based on observation and interview it was determined that the facility failed to ensure that food was properly stored, prepared and served in a manner that protects residents from foodborne illness and food contact surfaces are maintained in a sanitary condition. Findings include: 1/18/24 12:15 PM- During a tour of the kitchen, the surveyor observed E6 (District Dining Manager) test the sanitizer level of the solution in three red sanitizing buckets. When E6 tested the sanitizing solution, the test strips from two out of three buckets indicated that the level of chemical concentration in the buckets was not at a sufficient level to provide proper sanitization. […]

  • No harm, potential for more than minimal, patternF868Jul 29, 2021

    Based on interview and review of facility documentation, it was determined that the facility failed to ensure that the quality assessment and assurance committee (QAA) met at least quarterly to and included all the required members. Findings include: 8/23/17 (latest revision) - The facility's policy for the QAPI (Quality Assurance Performance Improvement) Program states that each (name of the corporation) facility will form a QAPI Committee that meets monthly and will include the Medical Director. 7/27/21 8:30 AM - A review of the attendance sheets from all QAPI committee meetings since 1/1/20, provided by E1 (NHA), revealed that the facility had no QAPI meetings during the months of January through September 2020. […]

  • No harm, potential for more than minimal, isolatedF758Jan 22, 2024

    Based on record review and interview it was determined that for one (R11) out of five residents reviewed for unnecessary medications, the facility failed to limit an as needed (PRN) psychotropic medication to 14 days. Findings include: Review of R11's medical record revealed: 2/14/23 - R11 was admitted to the facility. 1/2/24 - R11 had a Physician's order for clonazepam tablet 0.5 mg give 1 tablet by mouth PRN (as needed), two times a day for agitation and anxiety. There was no end date to the order. […]

  • No harm, potential for more than minimal, isolatedF558Dec 22, 2022

    Based on observation, interview and record review, it was determined that for one (R3) out of one resident(s) sampled for accommodation of needs, the facility failed to ensure that R3's call bell was within reach. Findings include: The following observations were made of R3: 3/18/21 - Record review indicated that R3 was admitted to the facility with a history of a stroke with left sided weakness. 10/18/22 - A quarterly MDS assessment documented that R3 was cognitively intact and required assistance for transfers. […]

  • No harm, potential for more than minimal, isolatedF688Dec 22, 2022

    Based on observation, interview and record review, it was determined that for one (R3) out of one resident reviewed for positioning, the facility failed to ensure that appropriate treatment and services were provided to maintain and/or increase range of motion. Findings include: The following was reviewed in R3's clinical record: 3/18/21 - R3 was admitted to the facility with a history of a stroke with left sided weakness. 1/26/22 - A Quarterly Occupational Therapy screen for services documented there were no changes and therapy services were not indicated at this time for R3. […]

Read 25 findings in full →The most serious and the most recent: 25 of 126 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 22, 2024Standard2 findings
  • Dec 22, 2022Standard2 findings
  • Jul 29, 2021Standard5 findings
  • Oct 28, 2020Infection control1 finding
  • Oct 21, 2019Standard12 findings
  • Apr 8, 2019Complaint6 findings · 1 harm
  • Oct 24, 2018Standard and complaint20 findings · 2 harm
  • Jan 17, 2018Standard and complaint5 findings · 1 harm
Show the 9 earlier surveys
  • Nov 10, 2016Standard14 findings
  • Jun 17, 2016Complaint5 findings · 1 harm
  • Nov 10, 2015Standard16 findings
  • Oct 6, 2014Standard6 findings
  • Dec 18, 2013Standard5 findings
  • Oct 10, 2012—16 findings
  • May 21, 2012—1 finding
  • Jun 15, 2011—7 findings
  • Oct 26, 2009—3 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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