DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) has 175 certified beds in SMYRNA, Delaware. The CMS overall rating is 2 of 5, compared with the Delaware average of 3.3. The CMS health inspection rating is 1 of 5, compared with the Delaware average of 2.7. The CMS staffing rating is 5 of 5. The latest standard health survey on Jan 9, 2026 lists 9 deficiencies, compared with the Delaware average of 6.7. CMS records a fine of $42,602 dated Oct 3, 2025. CMS records a fine of $17,345 dated Feb 24, 2025.

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CMS nursing homes in Delaware

CMS nursing home

DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI)

SMYRNA, DE

CMS CCN 0850353022231500Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 085035.

At a glance

CMS research snapshot

CMS overall rating

2 of 5

CMS health inspection rating

1 of 5

CMS staffing rating

5 of 5

CMS quality-measure rating

4 of 5

CMS ownership-change history

No attached CMS ownership-change event.

CMS Special Focus Facility

CMS currently identifies Special Focus Facility or candidate status in the loaded Provider Information extract. That is a CMS designation, not a Trust Hub watchlist.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

MDS quality observations are in the CMS extract.
Inspection evidence is in the CMS extract.
Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

STATE OF DELAWAREOrganizationINDIRECT OWNERSHIP INTEREST1% ownership interest
STATE OF DELAWAREOrganizationINDIRECT OWNERSHIP INTEREST

Operators

CAHALL, LAUREENIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
CAHALL, LAUREENIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
STEWART, GERALDINEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
STEWART, GERALDINEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
TEETER, TAMMYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
TEETER, TAMMYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
CAHALL, LAUREENIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
STEWART, GERALDINEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
TEETER, TAMMYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Managers

GROFF, SANDRAIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
PETERSON, WILLIAMIndividual owner · CURRENTW-2 MANAGING EMPLOYEE

Enrollment organizations

STATE OF DELAWAREOrganization · CURRENTMedicare-enrolled legal organization
STATE OF DELAWAREOrganization · UNKNOWNMedicare-enrolled legal organization

Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

STATE OF DELAWAREOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST

Ownership change history

CMS ownership-change records

No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures: STALE · source as of 2026-08-01
nursing-home-provider-information: STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners: AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership: CURRENT · source as of 2026-08-24

Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

CMS is the source for national nursing-home evidence.
Trust Hub does not create the CMS star ratings.
Ownership evidence does not measure care quality.
CMS CHOW records document reported ownership-change events.
Missing evidence is not interpreted as zero.
UNKNOWN ownership history is not interpreted as divestiture.

Ownership evidence is not a quality measure.
Missing evidence is not a zero score.
CMS ratings are CMS ratings, not Trust Hub ratings.
UNKNOWN ownership does not prove an owner left.
CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS overall

2 of 5

Health inspection

1 of 5

Staffing

5 of 5

Quality measures

4 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds: 175
Ownership descriptor: Government - State
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 3022231500CMS Provider Information

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Special Focus Facility candidate

CMS currently identifies this nursing home as a Special Focus Facility candidate. Candidate status is not the same as being designated a Special Focus Facility.

CMS field value: SFF Candidate. Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

NPI 1538123583 · enrollment O20100125000580
NPI 1538123583 · enrollment O20100125000580

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 70.383275
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 98.648649
Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 1.742160 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.000000
Percentage of long-stay residents who lose too much weight (Long Stay): 1.773050
Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 14.184397
Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 13.227513 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who were physically restrained (Long Stay): 0.348432
Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 7.178436 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 8.695652 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.242921 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a urinary tract infection (Long Stay): 3.484321 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 14.049740
Percentage of long-stay residents with pressure ulcers (Long Stay): 4.758380 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 45.454545
Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 9 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 9

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

2024-12-12 · tag 0018 · scope/severity F — Establish procedures for tracking staff and patients during an emergency.
2024-12-12 · tag 0031 · scope/severity F — Provide emergency officials' contact information.
2024-12-12 · tag 0036 · scope/severity F — Establish emergency prep training and testing.
2024-12-12 · tag 0020 · scope/severity D — Establish policies and procedures including evacuation.
2024-12-12 · tag 0023 · scope/severity D — Establish policies and procedures for medical documentation.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Inspections

The latest standard inspection on Jan 9, 2026 cited 9 deficiencies.

View inspection evidence

Ownership

CMS-published records list 27 ownership or control parties.

View ownership evidence

Enforcement record

CMS records show a $42,602 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: Government - StateCMS

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

2 CMS-reported ownership organizations
CMS reports 22 individual ownership interests

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 27
Organizations shown: 5
Individuals shown: 22
Latest ownership source update: Aug 17, 2026

CMS-published ownership and control parties

CAHALL, LAUREEN
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, CURTIS
Individual · ADP OF THE SNF
Association date reported to CMS: May 23, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
STATE OF DELAWARE
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 1983
Other facilities connected through this exact CMS organization identity: 0 across DE.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
STEWART, GERALDINE
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
TEETER, TAMMY
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 2, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
STEWART, GERALDINE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
STATE OF DELAWARE
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 1983
Other facilities connected through this exact CMS organization identity: 0 across DE.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
CAHALL, LAUREEN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 25, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
STEWART, GERALDINE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
TEETER, TAMMY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 2, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
CAHALL, LAUREEN
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, CURTIS
Individual · ADP OF THE SNF
Association date reported to CMS: May 23, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
STATE OF DELAWARE
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 1983
Other facilities connected through this exact CMS organization identity: 1 across DE.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
STEWART, GERALDINE
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
TEETER, TAMMY
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 2, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
ERHART, CAROL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Oct 20, 2020
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
PETERSON, WILLIAM
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 8, 2010
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
STEWART, GERALDINE
Individual · CORPORATE DIRECTOR
Published ownership percentage: 1%
Association date reported to CMS: Mar 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
CANNON, JOHN
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 19, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
SATTERLY, LISA
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
STATE OF DELAWARE
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Sep 1, 1983
Other facilities connected through this exact CMS organization identity: 1 across DE.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
CAHALL, LAUREEN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 25, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
STEWART, GERALDINE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
TEETER, TAMMY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 2, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
GROFF, SANDRA
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Aug 27, 2012
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
PETERSON, WILLIAM
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Mar 8, 2010
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
STATE OF DELAWARE
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 1 across DE.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect STATE OF DELAWARE to 2 facilities. Which policies and staffing decisions are managed centrally versus locally?

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Jan 9, 2026
Survey type: Health Standard
Linked findings: 9
Highest linked CMS classification: K — Pattern; Immediate jeopardy to resident health or safety

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Aug 1, 2026
CMS provider ID: 085035
Source record locator: csv-row:19874:ccn:085035

View official CMS source

Jan 9, 2026 — Health Standard — 9 linked findings

F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57729:ccn:085035
View official CMS source
F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57727:ccn:085035
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57725:ccn:085035
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57730:ccn:085035
View official CMS source
F0700 — Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57731:ccn:085035
View official CMS source
F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57732:ccn:085035
View official CMS source
F0803 — Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57726:ccn:085035
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57733:ccn:085035
View official CMS source
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 23, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57728:ccn:085035
View official CMS source

Oct 3, 2025 — Health Complaint — 1 linked finding

F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Nov 17, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57734:ccn:085035
View official CMS source

Feb 24, 2025 — Health Complaint — 1 linked finding

F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
085035
Source record locator
csv-row:57735:ccn:085035
View official CMS source

Dec 12, 2024 — Fire Safety Standard — 0 linked findings