Gilpin Hall: Abuse Reporting Failures - DE
Federal inspectors found identical violations in both medication rooms they examined on August 27 and 28. On the second floor, the controlled substances box sat on top of the refrigerator. On the third floor, inspectors found the box inside the refrigerator but not permanently attached.
When inspectors returned the next morning, nothing had changed. The second-floor box remained on the refrigerator top. The third-floor box stayed loose inside the refrigerator.
Federal regulations require controlled substance storage boxes to be permanently affixed to prevent theft. The boxes at Gilpin Hall could be picked up and carried away.
A registered nurse told inspectors on August 28 that "controlled substances that have to be refrigerated are kept in the refrigerators and counted every shift." The nurse did not address why the boxes weren't secured.
Controlled substances include powerful painkillers, sedatives, and other medications with high abuse potential. Federal law requires nursing homes to store these drugs in locked compartments that are permanently mounted to prevent removal.
The violation affected medication security across multiple floors of the facility. Inspectors documented the same problem in both medication rooms they examined, suggesting a facility-wide failure to follow drug storage requirements.
During the exit conference on August 29, inspectors reviewed their findings with the nursing home administrator, director of nursing, and assistant director of nursing.
The inspection was conducted in response to a complaint. Federal records show the violation posed minimal harm to residents but violated accepted professional standards for controlled substance storage.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Gilpin Hall from 2025-08-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
GILPIN HALL in WILMINGTON, DE was cited for abuse-related violations during a health inspection on August 29, 2025.
Federal inspectors found identical violations in both medication rooms they examined on August 27 and 28.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.