Delmar, DE

Delmar Nursing & Rehabilitation Center

4-star overall rating with 4-star inspections with $23,998 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

101 Delaware Ave., Delmar, De. 19940-1110, Delmar, DE

(302) 846-3077

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

109

Certified beds

Average residents

84

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Eden Healthcare

Operator or chain grouping

Approved since

1992-08-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.84

Registered nurse staffing

LPN hours / resident day

0.48

Licensed practical nurse staffing

Aide hours / resident day

2.36

Nurse aide staffing

Weekend hours

3.43

Weekend nurse staffing

RN turnover

47%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
1.8
0.4 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.4
0.2 pts better
1.8
0.6 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.7%
4.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.4%
2.6 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
3.2%
0.8 pts better
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.4%
6.5%
6.1 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.2%
5.6%
1.6 pts worse
5.4%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.7%
21.1%
2.6 pts worse
19.6%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.4%
12.0%
1.4 pts worse
16.7%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.7%
0.1%
0.6 pts worse
0.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 19.1%
17.5%
1.6 pts worse
16.3%
2.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.0%
14.7%
1.7 pts better
14.9%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.9%
0.7%
3.2 pts worse
1.0%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.1%
2.0%
0.9 pts better
1.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.2%
21.6%
4.4 pts better
19.8%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.8%
4.4%
2.4 pts worse
5.1%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.9%
83.5%
7.4 pts better
81.7%
9.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 18.1%
11.2%
6.9 pts worse
12.0%
6.1 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
0.9%
0.3 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.7%
83.1%
6.6 pts better
79.7%
10 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.6%
21.5%
5.1 pts worse
23.9%
2.7 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-26 · Fire 2024-09-26

3 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-10-06 · Fire 2023-10-06

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-03-16 · Fire 2022-03-16

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-26

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-11-27

E · Potential for more than minimal harm 2024-09-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-12-23

E · Potential for more than minimal harm 2022-03-16

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2022-04-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-09-26

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-09-26

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 2024-11-27

D · Potential for more than minimal harm 2024-09-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-27

G · Actual harm 2023-10-06

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-11-03

F · Potential for more than minimal harm 2023-10-06

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 2023-11-27

D · Potential for more than minimal harm 2023-10-06

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 2023-11-27

D · Potential for more than minimal harm 2023-10-06

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 2023-11-27

D · Potential for more than minimal harm 2023-10-06

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 2023-11-27

D · Potential for more than minimal harm 2023-10-06

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-06

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 2023-11-27

D · Potential for more than minimal harm 2023-10-06

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-11-27

C · Minimal harm 2023-10-06

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 2023-11-27

F · Potential for more than minimal harm 2022-03-16

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 2022-04-23

E · Potential for more than minimal harm 2022-03-16

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 2022-04-23

D · Potential for more than minimal harm 2022-03-16

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2022-04-07

D · Potential for more than minimal harm 2022-03-16

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 2022-04-23

D · Potential for more than minimal harm 2022-03-16

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-03-16

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-03-16

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 2022-04-23

D · Potential for more than minimal harm 2022-03-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-03-16

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-04-23

Penalties and ownership

What sits behind the stars

$23,998 2023-10-06

Fine

Fine · fine $23,998

Fine

Ownership

Farkovits, Joshua

5% Or Greater Direct Ownership Interest · Individual

19% 13 facilities 2015-05-01
Fensterman, Jordan

5% Or Greater Direct Ownership Interest · Individual

19% 7 facilities 2015-05-01
Fuchs, Bernard

5% Or Greater Direct Ownership Interest · Individual

19% 8 facilities 2015-05-01
Gellis, Louis

5% Or Greater Direct Ownership Interest · Individual

19% 10 facilities 2015-05-01
Lahasky, Ephram

5% Or Greater Direct Ownership Interest · Individual

19% 60 facilities 2015-05-01
Gellis, Louis

Operational/Managerial Control · Individual

0% 10 facilities 2015-05-01
Okronley, Marie

W-2 Managing Employee · Individual

0% 1 facilities 2015-05-01

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