Delaware Bay Rehab: Nutrition Harm to Resident - DE
The wound care doctor was supposed to see the resident on September 9. She didn't. The resident had been taken to an outside appointment that day, and nobody rescheduled. The doctor finally assessed the wound on September 16 and ordered Silvadene cream.
By that point, a nurse had already documented what she found on September 11: the edges of the buttocks wounds were starting to lift. The center of the wound was hard and necrotic.
A low air loss mattress, the kind designed to relieve pressure on wounds exactly like this one, had been initiated by nursing staff on September 4. The order to actually put it in place wasn't entered until September 17. Inspectors found no evidence the mattress was in use during those 13 days.
The doctor returned on September 23. She noted purulent drainage in her wound assessment. She did not change the treatment. She did not order anything oral to address the infection.
The wound that had arrived as a Stage II, a category describing broken skin without exposed tissue, was reclassified as unstageable on both the right and left buttocks. Unstageable means the wound is covered in dead tissue so thick that the true depth cannot be determined.
Federal inspectors cited the facility for causing actual harm to the resident. The finding was reviewed with the director of nursing during the exit conference on October 22.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Delaware Bay Rehabilitation and Healthcare Center from 2025-10-22 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
DELAWARE BAY REHABILITATION AND HEALTHCARE CENTER in GEORGETOWN, DE was cited for violations during a health inspection on October 22, 2025.
The wound care doctor was supposed to see the resident on September 9.
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.