Cycle 1
Health 2024-06-13 · Fire 2024-06-13
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Dover, DE
Center At Eden Hill, LLC
5-star overall rating with 5-star inspections with 8 recent health deficiencies
300 Banning Street, Dover, DE
(302) 677-7100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
72
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Veritas Management Group
Operator or chain grouping
Approved since
2018-05-23
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.36
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
1.18
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.68
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
5.22
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.54
RN + LPN hours · state 2.04 · national 1.54
Weekend hours
4.40
Weekend nurse staffing · state 4.04 · national 3.43
Weekend RN hours
0.75
Weekend registered nurse coverage · state 0.72 · national 0.47
Physical therapist
0.33
Reported PT staffing · state 0.15 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
4.37
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,417
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.89
Composite VBP score used to determine payment impact.
Payment multiplier
1.0039
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 22.31% · Performance 16.85% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
2.64
Baseline 6.82% · Performance 7.05% · Measure score 2.64 · Achievement 2.64 · Improvement 0
Total nurse turnover
3.74
Baseline 52.52% · Performance 48.39% · Measure score 3.74 · Achievement 3.74 · Improvement 1
Adjusted total nurse staffing
3.58
Baseline 5 hours · Performance 4.10 hours · Measure score 3.58 · Achievement 3.58 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.44% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 729 · Observed rate 11.66% · Lower 95% interval 9.2% |
| Discharge to community | 66.1% |
50.57%
15.5 pts better
|
Better than the National Rate · Eligible stays 771 · Observed rate 59.92% · Lower 95% interval 62.88% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.83% |
95.27%
4.6 pts better
|
Numerator 599 · Denominator 600 |
| Falls with major injury | 1.17% |
0.77%
0.4 pts worse
|
Numerator 7 · Denominator 600 |
| Discharge self-care score | 69.2% |
53.69%
15.5 pts better
|
Numerator 301 · Denominator 435 |
| Discharge mobility score | 72.18% |
50.94%
21.2 pts better
|
Numerator 314 · Denominator 435 |
| Pressure ulcers or injuries, new or worsened | 0.33% |
2.29%
2 pts better
|
Numerator 2 · Denominator 600 · Adjusted rate 0.36% |
| Healthcare-associated infections requiring hospitalization | 7.05% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 561 · Observed rate 7.13% · Lower 95% interval 5.34% |
| Staff COVID-19 vaccination coverage | 1.63% |
8.2%
6.6 pts worse
|
Numerator 3 · Denominator 184 |
| Staff flu vaccination coverage | 26.02% |
42%
16 pts worse
|
Numerator 51 · Denominator 196 |
| Discharge function score | 68.28% |
56.45%
11.8 pts better
|
Numerator 297 · Denominator 435 |
| Transfer of health information to provider | 99.4% |
95.95%
3.5 pts better
|
Numerator 493 · Denominator 496 |
| Transfer of health information to patient | 97.73% |
96.28%
1.5 pts better
|
Numerator 86 · Denominator 88 |
| Resident COVID-19 vaccinations up to date | 9.23% |
25.2%
16 pts worse
|
Numerator 30 · Denominator 325 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
83.5%
8.9 pts better
|
81.7%
10.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 90.4% · Q3 92.3% · Q4 93.8% · 4Q avg 92.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
11.2%
4 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 7.0% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
0.9%
0.8 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.3% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.7% |
83.1%
9.6 pts better
|
79.7%
13 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.3% |
21.5%
1.2 pts better
|
23.9%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 20.6% · Expected 24.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-23 · Fire 2023-06-23
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-08-13 · Fire 2021-08-13
12 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-06-23
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-07-17
E · Potential for more than minimal harm
2023-06-23
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-17
D · Potential for more than minimal harm
2021-08-13
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2021-09-17
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-20
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2025-07-03
D · Potential for more than minimal harm
2025-05-20
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-03
D · Potential for more than minimal harm
2025-05-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-03
D · Potential for more than minimal harm
2024-06-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-08-01
D · Potential for more than minimal harm
2023-06-23
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2023-07-12
F · Potential for more than minimal harm
2021-08-13
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2021-09-17
E · Potential for more than minimal harm
2021-08-13
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-09-17
E · Potential for more than minimal harm
2021-08-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-09-17
D · Potential for more than minimal harm
2021-08-13
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-09-17
D · Potential for more than minimal harm
2021-08-13
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-09-17
D · Potential for more than minimal harm
2021-08-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-09-17
D · Potential for more than minimal harm
2021-08-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-09-17
D · Potential for more than minimal harm
2021-08-13
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-09-17
D · Potential for more than minimal harm
2021-08-13
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-09-17
D · Potential for more than minimal harm
2021-08-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-17
D · Potential for more than minimal harm
2021-08-13
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2021-09-17
C · Minimal harm
2021-08-13
F574 · Resident Rights Deficiencies
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2021-09-17
Penalties and ownership
What sits behind the stars
Ownership
Esmas, Bartolome
Corporate Director · Individual
Kelly, Julie
Operational/Managerial Control · Individual
Murdock, Monte
Operational/Managerial Control · Individual
Veritas Management Group LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Cadia Rehabilitation Capitol
Dover, DE
3-star overall rating with 3-star inspections with $8,018 in total fines with 9 recent health deficiencies
#2
Bay Terrace Rehabilitation And Health Center
Dover, DE
3-star overall rating with 3-star inspections with $19,937 in total fines with 18 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Complete Care At Silver Lake LLC
Dover, DE
3-star overall rating with 2-star inspections with $47,541 in total fines with 15 recent health deficiencies
Jump out