Federal inspection record · CMS data as of October 1, 2026
Bay Terrace Rehabilitation And Health Center
889 South Little Creek Road, Dover, DE · (302) 674-0566
- Certified beds
- 85
- Residents per day
- 73
- Ownership
- For-Profit
- Chain
- Prestige Healthcare Administrative Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1979
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Delaware.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Delaware homes
Bay Terrace Rehabilitation And Health Center carries 79.5 inspection points. That is fewer than 44% of Delaware's 43 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Delaware: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–57 pts
- 3★ 57–80 pts
- 2★ 80–139.25 pts
- 1★ over 139.25 pts
Bars show every rated home in Delaware by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care15E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
Resident Rights6D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Keep residents' personal and medical records private and confidential.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning6E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Dispose of garbage and refuse properly.
Pharmacy Service3D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- C
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Inspection history
2026-04-23
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-02-19
22 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2024-02-23
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h of nursing staff time a day, 48 min of it from a registered nurse.
This home
4 h
Delaware average
4 h 29 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 29% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$34,838 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-24 | Fine | $14,901 |
| 2025-04-11 | Fine | $9,113 |
| 2024-12-02 | Fine | $10,824 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.1 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 1.5 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 99.1% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better | 100.0% | 98.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.3% | 2.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms35.8 pts worse | 46.4% | 10.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts better | 3.3% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication19.1 pts better | 2.8% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.2 pts better | 7.4% | 10.6% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9 pts better | 3.1% | 12.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.5 pts better | 6.8% | 12.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.9% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better | 18.3% | 19.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 4.2% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13 pts better | 97.5% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better | 7.2% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.0% | 0.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.1 pts better | 96.5% | 88.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.9 pts worse | 29.6% | 22.7% | 23.4% |
·
Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Btrc Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Apex Global Solutions LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Copper De Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Ellenbogen, Moss | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Gold De Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Olowo, Abimbola | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pa & De Noble Parentco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Silver De Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Star De I Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Star De I Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Studd, Anne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Studd, Anne | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1E
- E
Conduct risk assessment and an All-Hazards approach.
·
Other homes nearby
-
Center At Eden Hill, LLC
Dover, DE · Veritas Management Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 29 min
- Fines
- $0
-
Complete Care At Silver Lake LLC
Dover, DE · Complete Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 59 min
- Fines
- $47,541
-
Cadia Rehabilitation Capitol
Dover, DE · Cadia Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 59 min
- Fines
- $8,018