Newark Manor: Bed Rail Safety Violations - DE
Federal inspectors documented the unsafe bed rail practices at Newark Manor Nursing Home during an October complaint investigation, finding two residents whose physical limitations made the equipment ineffective or potentially dangerous.
The first resident required two-person assistance to roll left and right in bed due to his contracted left hand. During an afternoon observation on October 23, inspectors watched as a certified nursing assistant removed a therapy device from the man's contracted hand before providing incontinence care. The resident told inspectors he couldn't grab the right bed rail with his left hand to help turn himself.
The nursing assistant confirmed the resident needed staff help for turning, yet the bed rail remained in place.
A second resident faced similar problems with bed rail positioning. Despite having a physician's order from July specifying he could use only a right-side "bed enabler" for turning assistance, inspectors found him with both bed rails raised.
During morning observations, the man was sleeping with his right elbow bent over the raised right bed rail, his hand tucked under his head. His left hand was clenched in a fist on his chest.
Later that morning, during incontinence care requiring two staff members, inspectors watched the resident grab the left bed rail with his right hand. But he couldn't use the right-side rail with his left hand and still needed full staff assistance for turning.
The facility's environmental services coordinator admitted during interviews that Newark Manor had no documentation of preventive maintenance or safety checks for any bed rails currently in use. The coordinator provided manufacturer guidelines but couldn't show evidence of required equipment inspections.
Inspectors presented their findings to the nursing home administrator and director of nursing during an exit conference the following afternoon.
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 violations during a health inspection on October 24, 2025.
The first resident required two-person assistance to roll left and right in bed due to his contracted left 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.