Cycle 1
Health 2026-01-09 · Fire 2024-12-18
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lewes, DE
The Moorings At Lewes
5-star overall rating with 5-star inspections
17028 Cadbury Circle, Lewes, DE
(302) 645-6400
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
40
Certified beds
Average residents
34
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Springpoint Senior Living
Operator or chain grouping
Approved since
2008-01-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 3 health / 5 staffing / 4 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
1.63
Registered nurse staffing · state 1.03 · national 0.68
LPN hours / resident day
0.67
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
4.56
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.30
RN + LPN hours · state 2.04 · national 1.54
Weekend hours
4.27
Weekend nurse staffing · state 4.04 · national 3.43
Weekend RN hours
1.41
Weekend registered nurse coverage · state 0.72 · national 0.47
Physical therapist
0.24
Reported PT staffing · state 0.15 · national 0.07
Adjusted RN hours
1.62
CMS adjusted RN staffing hours
Adjusted total hours
4.50
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
21%
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
2,228
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.82
Composite VBP score used to determine payment impact.
Payment multiplier
1.0050
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.37
Baseline 16.79% · Performance 19.87% · Measure score 3.37 · Achievement 3.37 · Improvement 0
Healthcare-associated infections
6.86
Baseline 5.17% · Performance 5.79% · Measure score 6.86 · Achievement 6.86 · Improvement 0
Total nurse turnover
5.91
Baseline 43.18% · Performance 39.53% · Measure score 5.91 · Achievement 5.91 · Improvement 1.49
Adjusted total nurse staffing
4.19
Baseline 5.49 hours · Performance 4.27 hours · Measure score 4.19 · Achievement 4.19 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.14% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 156 · Observed rate 10.9% · Lower 95% interval 7.85% |
| Discharge to community | 67.38% |
50.57%
16.8 pts better
|
Better than the National Rate · Eligible stays 167 · Observed rate 64.07% · Lower 95% interval 61% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.37% |
95.27%
3.1 pts better
|
Numerator 121 · Denominator 123 |
| Falls with major injury | 0.81% |
0.77%
About the same
|
Numerator 1 · Denominator 123 |
| Discharge self-care score | 36.78% |
53.69%
16.9 pts worse
|
Numerator 32 · Denominator 87 |
| Discharge mobility score | 51.72% |
50.94%
0.8 pts better
|
Numerator 45 · Denominator 87 |
| Pressure ulcers or injuries, new or worsened | 1.63% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 123 · Adjusted rate 1.85% |
| Healthcare-associated infections requiring hospitalization | 5.78% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 120 · Observed rate 3.33% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 6.29% |
8.2%
1.9 pts worse
|
Numerator 9 · Denominator 143 |
| Staff flu vaccination coverage | 45.7% |
42%
3.7 pts better
|
Numerator 69 · Denominator 151 |
| Discharge function score | 48.28% |
56.45%
8.2 pts worse
|
Numerator 42 · Denominator 87 |
| Transfer of health information to provider | 97.14% |
95.95%
1.2 pts better
|
Numerator 34 · Denominator 35 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 67 · Denominator 67 |
| Resident COVID-19 vaccinations up to date | 49.21% |
25.2%
24 pts better
|
Numerator 31 · Denominator 63 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.8
1.1 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 1.1 · Expected 3.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.4
0.8 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.8 · Expected 2.1 · 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 | 0.0% |
3.2%
3.2 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
6.5%
3.7 pts better
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.8% · Q4 0.0% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 2.4% |
5.6%
3.2 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.4% |
21.1%
17.7 pts better
|
19.6%
16.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 5.0% · Q3 4.2% · Q4 4.2% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.3% |
12.0%
0.7 pts better
|
16.7%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3% · 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 | 21.1% |
17.5%
3.6 pts worse
|
16.3%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.0% |
14.7%
3.7 pts better
|
14.9%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 19.0% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.7%
0.5 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.3% |
2.0%
1.3 pts worse
|
1.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.5% · Q3 4.0% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.0% |
21.6%
2.6 pts better
|
19.8%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 14.1% · Q4 15.3% · 4Q avg 19.0% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
4.4%
1 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.7% · Q3 2.9% · Q4 3.3% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
83.5%
13.2 pts better
|
81.7%
15 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 93.6% · Q3 98.6% · Q4 100.0% · 4Q avg 96.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
11.2%
3.2 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.8% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
0.9%
0.6 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.2% · Q3 2.1% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.7% |
83.1%
15.6 pts better
|
79.7%
19 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| 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 24.4% · Expected 21.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-12-18 · Fire 2024-01-22
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2024-01-22 · Fire 2022-12-22
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-01-22
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 2024-02-21
D · Potential for more than minimal harm
2024-01-22
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 2024-02-21
Penalties and ownership
What sits behind the stars
Ownership
Argondizza, Anthony
Corporate Officer · Individual
Cafferty, Maureen
Corporate Officer · Individual
Midgett, Garrett
Operational/Managerial Control · Individual
Midgett, Garrett
Corporate Officer · Individual
Springpoint Senior Living Inc
Operational/Managerial Control · Organization
Woodward, David
Operational/Managerial Control · Individual
Woodward, David
Corporate Officer · Individual
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