Newark Manor: Abuse Response Failures - DE
State inspectors found Newark Manor Nursing Home using bed rails inappropriately on at least two residents in October, including one man with a contracted left hand who couldn't grab the right-side rail to reposition himself in bed.
The resident told inspectors he was unable to reach the rail with his contracted hand. Staff confirmed he required assistance for turning, yet the facility kept the rail up anyway. During incontinence care observed by inspectors, the man needed two staff members to help him roll in bed.
A second resident had bilateral bed rails despite a physician's order authorizing only one rail on the right side. Inspectors observed him sleeping with his right elbow bent over the raised rail and his hand trapped under his head. His left hand was clenched in a fist on his chest.
When staff provided incontinence care, this resident could only grab the left rail with his right hand but couldn't use the right-side rail with his left hand. He also required two staff members for turning and repositioning.
The facility's environmental services supervisor admitted during interviews that Newark Manor had no evidence of preventive maintenance or safety checks on any bed rails currently in use. The supervisor provided manufacturer guidelines but couldn't document that staff followed them.
Bed rails function as restraints when residents cannot lower them independently. Federal regulations require nursing homes to ensure restraints are used appropriately with ongoing monitoring to prevent injury.
The violations were reviewed with the nursing home administrator and director of nursing during an exit conference on October 24.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Newark Manor Nursing Home from 2025-10-24 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
NEWARK MANOR NURSING HOME in NEWARK, DE was cited for abuse-related violations during a health inspection on October 24, 2025.
The resident told inspectors he was unable to reach the rail with his contracted hand.
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.