Delmar Nursing & Rehabilitation Center

101 E. DELAWARE AVENUE
Delmar, DE 19940
(302) 846-3077
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 109
Number of Residents: 99
Percent of Occupied Beds: 91%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 5 Star Overall Rating
Health Inspection: 3 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 5 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20070905 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20071114
20070905 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern Minimal harm or potential for actual harm 20071114
20070905 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20071210
20070905 Health Quality Care Deficiencies Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. Isolated Minimal harm or potential for actual harm 20071114
20070905 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20071210
20070905 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern Minimal harm or potential for actual harm 20071114
20070905 Health Quality Care Deficiencies Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. Isolated Minimal harm or potential for actual harm 20071114
20070905 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20071114
20070905 Health Quality Care Deficiencies Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated Actual harm 20071114
20070905 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Actual harm 20071114
20070905 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern Minimal harm or potential for actual harm 20071114
20070905 Health Administration Deficiencies Set up or keep a group of people to review and ensure quality. Widespread Minimal harm or potential for actual harm 20071114
20070905 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Widespread Minimal harm or potential for actual harm 20071114
20080422 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Minimal harm or potential for actual harm 20080623
20080422 Health Pharmacy Service Deficiencies Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Pharmacy Service Deficiencies Properly mark drugs and other similar products. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Pharmacy Service Deficiencies 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Pattern Minimal harm or potential for actual harm 20080623
20080422 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Quality Care Deficiencies Give the right treatment and services to residents who have mental or social problems adjusting. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Quality Care Deficiencies Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Quality Care Deficiencies Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Pattern Minimal harm or potential for actual harm 20080623
20080422 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Minimal harm or potential for actual harm 20080623
20080422 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20080623
20080605 Fire Safety Electrical Deficiencies properly installed electrical wiring and equipment. Isolated Minimal harm or potential for actual harm 20080731
20090824 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20091027
20100715 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20100909
20100715 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20100909
20100715 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Minimal harm or potential for actual harm 20100909
20100715 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20100909
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 97
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 97
Percent of long-stay residents whose need for help with daily activities has increased: 9
Percent of long-stay residents who have moderate to severe pain: 1
Percent of high-risk long-stay residents who have pressure sores: 4
Percent of low-risk long-stay residents who have pressure sores: 2
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 10
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 30
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 4
Percent of long-stay residents who spend most of their time in bed or in a chair: 5
Percent of long-stay residents whose ability to move about in and around their room got worse: 6
Percent of long-stay residents who had a urinary tract infection: 4
Percent of long-stay residents who lose too much weight: 5
Percent of short-stay residents given influenza vaccination during the flu season: 96
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 96
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 5
Percent of short-stay residents who have pressure sores: 10
# of Residents: 99
# RN Hours per Resident: 0.57
# LPN Hours per Resident: 0.91
# CNA Hours per Resident: 2.46
Total Staff Hours per Resident: 1.48