Delaware Bay Rehab: Pressure Ulcer Harm Found - DE
Federal inspectors found no evidence in the resident's medical records of efforts to address decreased oral fluid intake. Staff never consulted the attending physician about the declining hydration status or ordered interventions to increase fluid consumption.
The Director of Nursing confirmed during interviews that the provider was not consulted regarding the resident's decreased intake. No interventions were ordered to increase hydration despite the documented decline.
A Licensed Practical Nurse told inspectors that staff did not report the decreased intake during the relevant time period. The nurse stated that the dietician usually follows residents closely regarding intake and hydration status.
The facility's dietician confirmed reviewing the resident's nutritional status on September 3 and again on September 24. She addressed nutritional needs based on low oral food intake and the presence of a wound, adding liquid protein and nutritional supplements to the resident's regimen.
However, the dietician confirmed she did not address the resident's hydration status or provide suggestions for increasing fluid intake.
The lack of monitoring and interventions directly led to the resident's hospitalization. Medical records show the resident was admitted with acute kidney injury and metabolic acidosis, conditions directly related to decreased fluid intake.
Federal inspectors determined the facility's failure to monitor hydration and implement appropriate interventions resulted in actual harm to the resident. The findings were reviewed with the Director of Nursing during the exit conference on October 22.
The resident's hospitalization could have been prevented with proper monitoring of fluid intake and timely medical consultation when decreased hydration was first observed.
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: June 20, 2026 · Our methodology
DELAWARE BAY REHABILITATION AND HEALTHCARE CENTER in GEORGETOWN, DE was cited for violations during a health inspection on October 22, 2025.
Federal inspectors found no evidence in the resident's medical records of efforts to address decreased oral fluid intake.
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.