Newark Manor: Bed Rail Safety Violations - DE
The nursing assistant, identified in inspection records as E10, said the response was unusual for the resident, referred to as R1. E10 reported the complaint of pain to the assigned nurse immediately.
A second nursing assistant, E11, told inspectors that R1 could not turn herself in bed. R1 always kept her hands together, E11 said, with her left elbow bent.
Federal inspectors who visited Newark Manor Nursing Home on October 24, 2025, found that the facility had failed to identify R1's right-sided bed rail as a potential accident hazard. The deficiency was cited under F0689, the federal tag covering accidents and supervision, and was classified as causing actual harm to the resident.
The findings were reviewed that afternoon with the facility's nursing home administrator and director of nursing.
Bed rails have been a documented source of serious injury and death in nursing homes for decades. Residents can become trapped between the rail and the mattress, or between the rail and the bed frame, particularly those with limited mobility or who cannot reposition themselves. R1, by her caregivers' own account, was exactly that kind of resident: unable to turn in bed, arms held in a fixed position.
The facility had the information. Two aides knew how R1 moved and how R1 didn't. Nobody connected it to the rail on her right side until she said it hurt.
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: August 5, 2026 · Our methodology
NEWARK MANOR NURSING HOME in NEWARK, DE was cited for violations during a health inspection on October 24, 2025.
The nursing assistant, identified in inspection records as E10, said the response was unusual for the resident, referred to as R1.
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.