Federal inspection record · CMS data as of October 1, 2026

Encore At West Meadow L.l.c.

255 Possum Park Road, Newark, DE · (302) 366-0160

  • Special Focus Facility

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
110
Residents per day
85
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 17, 1982

1

How this home got 2 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Delaware.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Delaware homes

Encore At West Meadow L.l.c. carries 202.75 inspection points. That is fewer than 5% of Delaware's 43 rated homes.

5★4★3★2★1★05102550100200inspection points → fewer is better on the leftThis home · 202.75 pts · 1★

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

54 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 3 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 35 4 pts
E 9 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 1 0 pts

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 (4)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 25, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 16, 2026

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 12, 2026 · Standard inspection · Quality of Life and Care · F689 · Corrected November 17, 2025

  3. G

    Ensure that residents are free from significant medication errors.

    October 29, 2025 · Complaint inspection · Pharmacy Service · F760 · Corrected August 8, 2025

  4. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 28, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 7, 2024

Everything else, by area of care

Administration10F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    January 12, 2026 · Standard · F838 · Corrected February 26, 2026

  2. E

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    January 12, 2026 · Standard · F944 · Corrected February 26, 2026

  3. E

    Provide training in compliance and ethics.

    January 12, 2026 · Standard · F946 · Corrected February 26, 2026

  4. E

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    January 12, 2026 · Standard · F949 · Corrected February 26, 2026

  5. D

    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

    January 12, 2026 · Standard · F843 · Corrected February 26, 2026

  6. D

    Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

    January 12, 2026 · Standard · F844 · Corrected February 26, 2026

  7. D

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    January 12, 2026 · Standard · F941 · Corrected February 26, 2026

  8. C

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    January 12, 2026 · Standard · F837 · Corrected February 26, 2026

  9. E

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    August 28, 2024 · Complaint · F949 · Corrected October 7, 2024

  10. B

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    August 28, 2024 · Complaint · F944 · Corrected October 7, 2024

Quality of Life and Care10D
  1. D

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

    January 12, 2026 · Standard · F695 · Corrected February 26, 2026

  2. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    January 12, 2026 · Standard · F745 · Corrected February 26, 2026

  3. D

    Provide or obtain dental services for each resident.

    January 12, 2026 · Standard · F791 · Corrected February 26, 2026

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 26, 2024 · Standard · F684 · Corrected January 23, 2025

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 26, 2024 · Standard · F689 · Corrected January 23, 2025

  6. 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.

    November 26, 2024 · Standard · F690 · Corrected January 23, 2025

  7. D

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

    November 26, 2024 · Standard · F695 · Corrected January 23, 2025

  8. D

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

    October 19, 2023 · Complaint · F686 · Corrected December 6, 2023

  9. 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.

    October 19, 2023 · Complaint · F688 · Corrected December 6, 2023

  10. D

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

    October 19, 2023 · Complaint · F695 · Corrected December 6, 2023

Resident Rights9E
  1. E

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    January 12, 2026 · Standard · F553 · Corrected February 26, 2026

  2. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    January 12, 2026 · Standard · F557 · Corrected February 26, 2026

  3. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    January 12, 2026 · Standard · F561 · Corrected February 26, 2026

  4. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 12, 2026 · Standard · F580 · Corrected February 26, 2026

  5. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    January 12, 2026 · Standard · F627 · Corrected February 26, 2026

  6. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    November 26, 2024 · Standard · F553 · Corrected January 23, 2025

  7. D

    Keep residents' personal and medical records private and confidential.

    November 26, 2024 · Standard · F583 · Corrected January 23, 2025

  8. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    November 26, 2024 · Standard · F625 · Corrected January 23, 2025

  9. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 19, 2023 · Complaint · F580 · Corrected December 6, 2023

Resident Assessment and Care Planning6E
  1. D

    Ensure each resident receives an accurate assessment.

    January 12, 2026 · Standard · F641 · Corrected February 26, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 12, 2026 · Standard · F656 · Corrected February 26, 2026

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    January 12, 2026 · Standard · F657 · Corrected February 26, 2026

  4. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    October 29, 2025 · Complaint · F658 · Corrected November 28, 2025

  5. D

    Ensure each resident receives an accurate assessment.

    November 26, 2024 · Standard · F641 · Corrected January 23, 2025

  6. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    November 26, 2024 · Standard · F657 · Corrected January 23, 2025

Pharmacy Service5D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    October 29, 2025 · Complaint · F755 · Corrected November 28, 2025

  2. 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.

    November 26, 2024 · Standard · F758 · Corrected January 23, 2025

  3. D

    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.

    November 26, 2024 · Standard · F761 · Corrected January 23, 2025

  4. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    October 19, 2023 · Complaint · F757 · Corrected December 6, 2023

  5. D

    Ensure that residents are free from significant medication errors.

    October 19, 2023 · Complaint · F760 · Corrected December 6, 2023

Nutrition and Dietary3F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 12, 2026 · Standard · F812 · Corrected February 26, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 26, 2024 · Standard · F812 · Corrected January 23, 2025

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 19, 2023 · Standard · F812 · Corrected December 6, 2023

Infection Control2F
  1. F

    Provide and implement an infection prevention and control program.

    January 12, 2026 · Standard · F880 · Corrected February 26, 2026

  2. E

    Implement a program that monitors antibiotic use.

    January 12, 2026 · Standard · F881 · Corrected February 26, 2026

Freedom from Abuse, Neglect, and Exploitation2E
  1. E

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 28, 2024 · Complaint · F609 · Corrected October 7, 2024

  2. D

    Respond appropriately to all alleged violations.

    August 28, 2024 · Complaint · F610 · Corrected October 7, 2024

Nursing and Physician Services2D
  1. D

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    October 19, 2023 · Complaint · F728 · Corrected December 6, 2023

  2. D

    Observe each nurse aide's job performance and give regular training.

    October 19, 2023 · Complaint · F730 · Corrected December 6, 2023

Environmental1D
  1. D

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    January 12, 2026 · Standard · F909 · Corrected February 26, 2026

Inspection history

  1. 2026-01-12

    28 health deficiencies · 2 fire-safety deficiencies

    Top issue: Administration (8 deficiencies)

  2. 2024-11-26

    12 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2023-10-19

    14 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 50 min of nursing staff time a day, 51 min of it from a registered nurse.

This home

3 h 50 min

Delaware average

4 h 29 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 40% of nursing staff and 35% 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

$51,090 in federal fines on record over the past three years.

DatePenaltyAmount
2026-06-25Fine$10,631
2026-01-12Fine$14,901
2025-10-29Fine$9,110
2024-08-28Fine$16,448

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts better1.11.81.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better0.31.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better100.0%96.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better100.0%98.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better0.5%2.9%3.2%
Percentage of long-stay residents who have depressive symptoms10.6 pts better0.0%10.6%13.5%
Percentage of long-stay residents who lose too much weightAbout the same5.5%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.3 pts better13.6%21.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication4 pts better6.6%10.6%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.6 pts worse14.7%12.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3 pts better9.3%12.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse0.7%0.4%0.7%
Percentage of long-stay residents with a urinary tract infection1 pts worse2.9%1.9%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts better18.7%19.3%18.3%
Percentage of long-stay residents with pressure ulcers1.8 pts worse5.2%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.6 pts better96.1%84.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better9.2%10.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better0.2%0.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.2 pts better97.6%88.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts worse25.3%22.7%23.4%

·

Who owns and runs it

62 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
255 Possum Park Rd Owner LLCAdp Of The SNF · Organization0%1 facilities
Aliza Schwab 2024 Nevada TrustAdp Of The SNF · Organization0%2 facilities
Asbs De Opco Holdings LLCIndirect Ownership Interest · Organization0%2 facilities
Asbs De Opco Holdings LLCOperational/Managerial Control · Organization0%2 facilities
Asbs De Opco Holdings LLCAdp Of The SNF · Organization0%2 facilities
Asbs De Propco Holdings, LLCAdp Of The SNF · Organization0%1 facilities
Avraham Satt 2025 Famliy TrustAdp Of The SNF · Organization0%2 facilities
Balt Port Holdco LLCAdp Of The SNF · Organization0%2 facilities
Balt Port LLCAdp Of The SNF · Organization0%2 facilities
Barax, HarryManaging Control - Governing Body · Individual0%3 facilities
Barax, HarryOperational/Managerial Control · Individual0%3 facilities
Barax, HarryTrustee Of The SNF · Individual0%3 facilities
Barax, HarryAdp Of The SNF · Individual0%3 facilities
Barbara Satt 2025 Famliy TrustAdp Of The SNF · Organization0%2 facilities
Brus, RobertOperational/Managerial Control · Individual0%1 facilities
Brus, RobertAdp Of The SNF · Individual0%1 facilities
Candice Barax 2025 Family TrustAdp Of The SNF · Organization0%2 facilities
Cassidy, DebraOperational/Managerial Control · Individual0%1 facilities
Cassidy, DebraAdp Of The SNF · Individual0%1 facilities
Chantal Cornfield 2025 Family TrustIndirect Ownership Interest · Organization0%2 facilities
Cmc De Opco Holdings LLCIndirect Ownership Interest · Organization0%2 facilities
Cmc De Opco Holdings LLCOperational/Managerial Control · Organization0%2 facilities
Cmc De Opco Holdings LLCAdp Of The SNF · Organization0%2 facilities
Cornfield, ChantalOperational/Managerial Control · Individual0%2 facilities
Cornfield, ChantalTrustee Of The SNF · Individual0%2 facilities
Cornfield, ChantalAdp Of The SNF · Individual0%2 facilities
Daniel Norman 2025 Family TrustAdp Of The SNF · Organization0%2 facilities
Donovan, KellyOperational/Managerial Control · Individual0%1 facilities
Donovan, KellyAdp Of The SNF · Individual0%1 facilities
Elliot Schwab 2024 Nevada TrustAdp Of The SNF · Organization0%2 facilities
Encore Port Holdings LLCDirect Ownership Interest · Organization0%2 facilities
Encore Port Realty LLCAdp Of The SNF · Organization0%2 facilities
Endears De Opco Holdings LLCIndirect Ownership Interest · Organization0%2 facilities
Endears De Opco Holdings LLCOperational/Managerial Control · Organization0%2 facilities
Endears De Opco Holdings LLCAdp Of The SNF · Organization0%2 facilities
Endears De Propco Holdings, LLCAdp Of The SNF · Organization0%2 facilities
Hammond, LucyOperational/Managerial Control · Individual0%1 facilities
Hammond, LucyAdp Of The SNF · Individual0%1 facilities
Harry Barax 2025 Family TrustAdp Of The SNF · Organization0%2 facilities
Hbde Opco Holdings LLCIndirect Ownership Interest · Organization0%2 facilities
Hbde Opco Holdings LLCOperational/Managerial Control · Organization0%2 facilities
Hbde Opco Holdings LLCAdp Of The SNF · Organization0%2 facilities
Hbde Propco Holdings, LLCAdp Of The SNF · Organization0%2 facilities
Max Cornfield 2025 Family TrustIndirect Ownership Interest · Organization0%2 facilities
Norman, DanielManaging Control - Governing Body · Individual0%3 facilities
Norman, DanielOperational/Managerial Control · Individual0%3 facilities
Norman, DanielTrustee Of The SNF · Individual0%3 facilities
Norman, DanielAdp Of The SNF · Individual0%3 facilities
Nyberg, JeffreyOperational/Managerial Control · Individual0%2 facilities
Nyberg, JeffreyAdp Of The SNF · Individual0%2 facilities
Osundina, FlorainOperational/Managerial Control · Individual0%1 facilities
Osundina, FlorainAdp Of The SNF · Individual0%1 facilities
Port De Holdco LLCAdp Of The SNF · Organization0%2 facilities
Port De Holdco Mezz LLCAdp Of The SNF · Organization0%2 facilities
Port De Jv LLCAdp Of The SNF · Organization0%2 facilities
Quinones, JeanntteOperational/Managerial Control · Individual0%2 facilities
Quinones, JeanntteAdp Of The SNF · Individual0%2 facilities
Rebecca Norman 2025 Family TrustAdp Of The SNF · Organization0%2 facilities
Satt, AvrahamManaging Control - Governing Body · Individual0%4 facilities
Satt, AvrahamOperational/Managerial Control · Individual0%4 facilities
Satt, AvrahamTrustee Of The SNF · Individual0%4 facilities
Satt, AvrahamAdp Of The SNF · Individual0%4 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 12, 2026 · K353 · Corrected March 17, 2026

  2. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    November 26, 2024 · K321 · Corrected April 1, 2025

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    November 26, 2024 · K353 · Corrected April 1, 2025

Egress2F
  1. F

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    January 12, 2026 · K225 · Corrected March 17, 2026

  2. E

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    November 26, 2024 · K225 · Corrected April 1, 2025

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    November 26, 2024 · K511 · Corrected April 1, 2025

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure proper usage of power strips and extension cords.

    November 26, 2024 · K920 · Corrected April 1, 2025

·

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    Worst citation, 3 yrs
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  3. Worst citation, 3 yrs
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