Inspection Reports for Delaware Hospital for the Chronically Ill

An unannounced Revisit Survey to the Complaint Survey ending October 3, 2025, was conducted at this facility on December 3, 2025.

The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care as of November 17, 2025.

The visit was a revisit to a complaint survey ending October 3, 2025.

An unannounced complaint survey was conducted at Delaware Hospital for the Chronically Ill from September 30, 2025, through October 3, 2025, based on observations, interviews, record reviews, and other documentation.

The facility failed to provide adequate supervision and assistive devices to prevent accidents, specifically related to resident R1 who eloped from the building and was found walking on the highway. The facility also failed to ensure adequate supervision to prevent R2's fall with injury. Multiple deficiencies were documented related to elopement risk and fall prevention.

The complaint investigation was substantiated as the facility failed to prevent elopement of resident R1 and failed to prevent a fall with injury for resident R2. The investigation included interviews, clinical record reviews, video recordings, and observations confirming the deficiencies.

An unannounced Follow-Up to a Complaint Survey ending February 24, 2025, was conducted at this facility on March 24, 2025.

The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities as of March 24, 2025. No deficiencies were identified at the time of the survey.

Follow-Up to a Complaint Survey ending February 24, 2025.

An unannounced complaint survey was conducted at the Delaware Hospital for the Chronically Ill from February 19, 2025, through February 24, 2025, based on observations, interviews, and clinical record reviews.

The facility failed to ensure adequate supervision and assistance during resident transfers, resulting in a resident sustaining a fall with serious injuries including a subdural hematoma and scalp lacerations. The facility was cited for not providing the recommended two-person hands-on assistance during a mechanical lift transfer.

The complaint investigation was substantiated. The facility failed to provide adequate supervision and assistance to prevent a resident fall on 02/14/2025, which resulted in serious injury and hospitalization. Immediate Jeopardy was called on 02/20/2025 and was abated on 02/22/2025.

A Recertification with Complaints survey was conducted by Healthcare Management Solutions, LLC on behalf of the State of Delaware, Department of Health and Social Services, Division of Health Care Quality from 12/09/24 through 12/12/24.

The facility was found to be not in compliance with 42 CFR 483.73 related to emergency preparedness policies and procedures, including deficiencies in tracking staff and residents during emergencies, policies for evacuation and managing residents who refuse to evacuate, medical documentation systems, emergency officials contact information, and emergency preparedness training and testing.

This was a Recertification with Complaints survey conducted due to complaints. The facility was found not in compliance with emergency preparedness requirements.

An unannounced complaint survey was conducted at the facility on June 18, 2024.

No deficient practice was identified during the survey.

The survey was complaint-related and no deficient practice was identified, indicating no substantiated deficiencies.

An unannounced annual and complaint survey was conducted at the facility from January 3, 2024 through January 10, 2024.

No deficiencies were identified at the time of the survey. The facility was found to be in substantial compliance with 42 CFR Part 483 Subpart B Requirements for Long Term Care Facilities as of January 10, 2024.

The survey included a complaint investigation component, but no deficiencies or substantiated complaints were identified.

An unannounced Annual, Complaint, and Emergency Preparedness survey was conducted at Delaware Hospital f/t Chronically Ill (DHCI) from February 14, 2022 through February 22, 2022.

The survey identified multiple deficiencies across various regulatory requirements including accounting and records, reporting of alleged violations, abuse investigations, accuracy of assessments, coordination of PASARR and assessments, development and implementation of comprehensive care plans, dialysis monitoring, psychotropic medication management, and food safety. Corrective actions and plans of correction were provided by the facility.

The complaint investigation revealed failures in reporting and investigating abuse allegations timely and thoroughly for multiple residents. The facility failed to immediately report abuse allegations to the state survey agency and failed to investigate abuse allegations adequately. Corrective actions included staff education and policy revisions.

An unannounced Complaint Survey was conducted by the State of Delaware Division of Health Care Quality, Office of Long Term Care Residents Protection from March 10, 2021 through March 16, 2021 to investigate allegations of mistreatment and compliance with regulatory requirements.

The facility failed to ensure that a resident was free from physical restraints used for staff convenience and failed to immediately report allegations of mistreatment. The facility also failed to provide required training on abuse, neglect, exploitation, and misappropriation of resident property to staff. Corrective actions and training plans were implemented.

The complaint investigation found that the facility failed to immediately report an allegation of mistreatment of one resident (R3) and failed to ensure the resident was free from physical restraint tied to the bed for staff convenience. The facility was also found deficient in training staff on abuse, neglect, exploitation, and misappropriation of resident property.

An unannounced complaint survey was conducted at the facility from July 22, 2019 through July 24, 2019 to investigate allegations of verbal/emotional abuse by staff to residents.

The facility failed to immediately report an allegation of verbal/emotional abuse to the state survey agency for one resident out of three sampled. The facility also failed to prevent further potential abuse during an ongoing investigation and did not reassign staff accused of abuse promptly. The Nursing Home Administrator and QA Administrator implemented refresher training and updated policies to address these deficiencies.

The complaint investigation found that the facility failed to immediately report an allegation of verbal/emotional abuse for one resident (R1) out of three sampled residents. The allegation could not be substantiated, but the facility did not report it within the required two-hour timeframe. The facility also failed to prevent further potential abuse during the investigation and did not reassign the accused staff promptly. Refresher training and policy updates were implemented.