Cycle 1
Health 2025-07-31 · Fire 2024-08-09
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Georgetown, DE
Delaware Bay Rehabilitation And Healthcare Center
2-star overall rating with 2-star inspections with $62,618 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
110 W. North Street, Georgetown, DE
(302) 856-4574
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
139
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Venza Care Management
Operator or chain grouping
Approved since
1985-07-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 3 overall / 3 health / 4 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.60
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 2.04 · national 1.54
Weekend hours
3.62
Weekend nurse staffing · state 4.04 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.72 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.15 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
59%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,581
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.45
Baseline 23.77% · Performance 23.13% · Measure score 0.45 · Achievement 0 · Improvement 0.45
Healthcare-associated infections
0
Baseline 8.02% · Performance 9.22% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.64
Baseline 55.66% · Performance 44.71% · Measure score 4.64 · Achievement 4.64 · Improvement 3.05
Adjusted total nurse staffing
2.86
Baseline 4.03 hours · Performance 3.89 hours · Measure score 2.86 · Achievement 2.86 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.17% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 257 · Observed rate 14.4% · Lower 95% interval 10.02% |
| Discharge to community | 54.19% |
50.57%
3.6 pts better
|
No Different than the National Rate · Eligible stays 232 · Observed rate 48.71% · Lower 95% interval 48.16% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 180 · Denominator 180 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 180 |
| Discharge self-care score | 43.94% |
53.69%
9.8 pts worse
|
Numerator 58 · Denominator 132 |
| Discharge mobility score | 41.67% |
50.94%
9.3 pts worse
|
Numerator 55 · Denominator 132 |
| Pressure ulcers or injuries, new or worsened | 3.33% |
2.29%
1 pts worse
|
Numerator 6 · Denominator 180 · Adjusted rate 2.78% |
| Healthcare-associated infections requiring hospitalization | 9.22% |
7.12%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 168 · Observed rate 10.71% · Lower 95% interval 6.49% |
| Staff COVID-19 vaccination coverage | 73.25% |
8.2%
65 pts better
|
Numerator 115 · Denominator 157 |
| Staff flu vaccination coverage | 13.47% |
42%
28.5 pts worse
|
Numerator 26 · Denominator 193 |
| Discharge function score | 48.48% |
56.45%
8 pts worse
|
Numerator 64 · Denominator 132 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 41 · Denominator 41 |
| Transfer of health information to patient | 98.99% |
96.28%
2.7 pts better
|
Numerator 98 · Denominator 99 |
| Resident COVID-19 vaccinations up to date | 4.17% |
25.2%
21 pts worse
|
Numerator 4 · Denominator 96 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.8
0.1 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.4
0.1 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
95.7%
4.3 pts worse
|
93.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.9% · Q2 84.7% · Q3 90.2% · Q4 96.8% · 4Q avg 91.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.1% |
97.4%
2.3 pts worse
|
95.5%
0.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
3.2%
2.8 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 6.1% · Q3 6.5% · Q4 3.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
6.5%
5.8 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
5.6%
1.7 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 4.8% · Q3 6.1% · Q4 9.5% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.0% |
21.1%
0.1 pts better
|
19.6%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 22.3% · Q3 19.5% · Q4 23.0% · 4Q avg 21.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
12.0%
3.2 pts worse
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 17.8% · Q3 14.5% · Q4 13.5% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.5% |
17.5%
3 pts worse
|
16.3%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 28.6% · Q3 21.9% · Q4 18.1% · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.6% |
14.7%
4.9 pts worse
|
14.9%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 22.4% · Q3 19.0% · Q4 20.5% · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.7%
0.1 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
2.0%
0.8 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 1.1% · Q3 2.3% · Q4 2.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.6% |
21.6%
3 pts worse
|
19.8%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 26.5% · Q3 21.3% · Q4 30.1% · 4Q avg 24.6% |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
4.4%
0.4 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 2.5% · Q3 4.4% · Q4 3.7% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.3% |
83.5%
3.2 pts worse
|
81.7%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 80.2% · Q2 73.6% · Q3 80.3% · Q4 87.1% · 4Q avg 80.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
11.2%
1.9 pts worse
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 13.0% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
0.9%
1.4 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.2% · Q4 4.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.0% |
83.1%
9.1 pts worse
|
79.7%
5.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
21.5%
4.4 pts worse
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 25.3% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-09 · Fire 2023-06-06
19 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-06-06 · Fire 2021-04-21
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-15
E · Potential for more than minimal harm
2023-06-06
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-20
E · Potential for more than minimal harm
2023-06-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-20
D · Potential for more than minimal harm
2023-06-06
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-06-30
E · Potential for more than minimal harm
2021-04-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-04-30
Inspection history
Recent health citations
G · Actual harm
2025-10-22
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-02
G · Actual harm
2025-10-22
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-12-02
J · Immediate jeopardy
2025-07-31
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-20
E · Potential for more than minimal harm
2025-07-31
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-07-31
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-07-31
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 2025-09-16
D · Potential for more than minimal harm
2025-07-31
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-07-31
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-07-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-16
J · Immediate jeopardy
2024-08-09
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-23
E · Potential for more than minimal harm
2024-08-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-08
E · Potential for more than minimal harm
2024-08-09
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-10-23
E · Potential for more than minimal harm
2024-08-09
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 2024-10-23
E · Potential for more than minimal harm
2024-08-09
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-10-23
E · Potential for more than minimal harm
2024-08-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-23
E · Potential for more than minimal harm
2024-08-09
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
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 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
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 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-09
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 2024-10-23
D · Potential for more than minimal harm
2024-08-09
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-10-23
E · Potential for more than minimal harm
2023-06-06
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 2023-06-30
D · Potential for more than minimal harm
2023-06-06
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-06-06
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 2023-06-30
D · Potential for more than minimal harm
2023-06-06
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-06-06
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 2023-06-30
D · Potential for more than minimal harm
2023-06-06
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 2023-06-30
D · Potential for more than minimal harm
2023-06-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-06-06
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-06-06
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-06-06
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-06-06
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 2023-06-30
Penalties and ownership
What sits behind the stars
$62,618
2024-08-09
Fine
Fine · fine $62,618
Fine
Ownership
Chesapeake SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Apfel, Stephen
5% Or Greater Indirect Ownership Interest · Individual
Ch Chesapeake Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Chesapeake Opco Manager LLC
Operational/Managerial Control · Organization
Cw Chesapeake Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Georgetown SNF Realty LLC
5% Or Greater Mortgage Interest · Organization
Goodman, Menucha
Operational/Managerial Control · Individual
Goodman, Menucha
Corporate Officer · Individual
Gwin, Suzanna
Operational/Managerial Control · Individual
Herzka, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Kline, Julie
Operational/Managerial Control · Individual
Madison, Adam
Operational/Managerial Control · Individual
Moses Strauss Family 2022 Trust
5% Or Greater Indirect Ownership Interest · Organization
Ms Chesapeake Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Ss Chesapeake Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Strauss, Susan
Operational/Managerial Control · Individual
Susan Strauss Family 2022 Trust
5% Or Greater Indirect Ownership Interest · Organization
Venza Care Management LLC
Operational/Managerial Control · Organization
Wolofsky, Chava
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
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#2
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2-star overall rating with 2-star inspections with $13,627 in total fines with 21 recent health deficiencies
#3
Willowbrooke Court Skilled Center At Manor House
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5-star overall rating with 5-star inspections with 3 recent health deficiencies
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