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)
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
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
Chain footprint
7 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 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
0.84
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
3.68
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 2.04 · national 1.54
Weekend hours
3.43
Weekend nurse staffing · state 4.04 · national 3.43
Weekend RN hours
0.63
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
0.94
CMS adjusted RN staffing hours
Adjusted total hours
4.11
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,742
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.17
Composite VBP score used to determine payment impact.
Payment multiplier
0.9889
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.76
Baseline 23.40% · Performance 20.05% · Measure score 4.76 · Achievement 2.98 · Improvement 4.76
Healthcare-associated infections
2.42
Baseline 9.54% · Performance 8.21% · Measure score 2.42 · Achievement 0 · Improvement 2.42
Total nurse turnover
3.77
Baseline 55.81% · Performance 48.28% · Measure score 3.77 · Achievement 3.77 · Improvement 1.93
Adjusted total nurse staffing
3.12
Baseline 3.99 hours · Performance 3.97 hours · Measure score 3.12 · Achievement 3.12 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.8% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 133 · Observed rate 14.29% · Lower 95% interval 8.77% |
| Discharge to community | 48.79% |
50.57%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 117 · Observed rate 43.59% · Lower 95% interval 41.86% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 67.37% |
95.27%
27.9 pts worse
|
Numerator 64 · Denominator 95 |
| Falls with major injury | 1.05% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 95 |
| Discharge self-care score | 60.56% |
53.69%
6.9 pts better
|
Numerator 43 · Denominator 71 |
| Discharge mobility score | 76.06% |
50.94%
25.1 pts better
|
Numerator 54 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 1.05% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 95 · Adjusted rate 1.11% |
| Healthcare-associated infections requiring hospitalization | 8.21% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 10.34% · Lower 95% interval 4.96% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 127 |
| Staff flu vaccination coverage | 56.44% |
42%
14.4 pts better
|
Numerator 92 · Denominator 163 |
| Discharge function score | 78.87% |
56.45%
22.4 pts better
|
Numerator 56 · Denominator 71 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 47 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 11.54% |
25.2%
13.7 pts worse
|
Numerator 6 · Denominator 52 |
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 · Adjusted 1.4 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| 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 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 4Q avg 100.0% |
| 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 · Q1 2.8% · Q2 1.4% · Q3 4.3% · Q4 1.4% · 4Q avg 2.4% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% |
| 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 · Q1 9.2% · Q2 3.1% · Q3 5.4% · Q4 10.9% · 4Q avg 7.2% |
| 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 · Q1 26.8% · Q2 22.5% · Q3 26.9% · Q4 18.6% · 4Q avg 23.7% |
| 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 · Q1 13.2% · Q2 15.7% · Q3 14.9% · Q4 9.8% · 4Q avg 13.4% · Used in QM five-star |
| 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 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| 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 · Q1 36.3% · Q2 18.0% · Q3 6.2% · Q4 14.9% · 4Q avg 19.1% · Used in QM five-star |
| 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 · Q1 12.7% · Q2 10.0% · Q3 10.0% · Q4 19.0% · 4Q avg 13.0% · Used in QM five-star |
| 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 · Q1 8.9% · Q2 3.3% · Q3 1.2% · Q4 2.1% · 4Q avg 3.9% · Used in QM five-star |
| 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 · Q1 2.9% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| 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 · Q1 20.4% · Q2 15.0% · Q3 14.6% · Q4 18.7% · 4Q avg 17.2% |
| 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 · Q1 8.4% · Q2 8.4% · Q3 5.1% · Q4 5.1% · 4Q avg 6.8% · Used in QM five-star |
| 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 · Q1 97.0% · Q2 90.7% · Q3 95.5% · Q4 81.3% · 4Q avg 90.9% |
| 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 · Adjusted 18.1% · Observed 17.2% · Expected 10.6% · Used in QM five-star |
| 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 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| 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 · 4Q avg 89.7% |
| 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 · Adjusted 26.6% · Observed 28.1% · Expected 25.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Fensterman, Jordan
5% Or Greater Direct Ownership Interest · Individual
Fuchs, Bernard
5% Or Greater Direct Ownership Interest · Individual
Gellis, Louis
5% Or Greater Direct Ownership Interest · Individual
Lahasky, Ephram
5% Or Greater Direct Ownership Interest · Individual
Gellis, Louis
Operational/Managerial Control · Individual
Okronley, Marie
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Deer's Head Center
Salisbury, MD
4-star overall rating with 5-star inspections with $41,265 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Wicomico Nursing Home
Salisbury, MD
3-star overall rating with 3-star inspections with $28,343 in total fines with 7 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
#3
Bay Harbor Post Acute Healthcare Center
Salisbury, MD
1-star overall rating with 1-star inspections with $13,090 in total fines with 51 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
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