Delaware Bay Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
(9/11/25), E3 stated the edges of the buttocks wounds were starting to lift but the center of the wound was hard and necrotic. E3 confirmed that Resident R1 did not see E8 (WC MD) on 9/9/25 due to Resident R1 being at an appointment. E8 (WC MD) assessed Resident R1 and ordered the Silvadene on 9/16/25. E8 assessed Resident R1 on 9/23/25 but did not change the treatment and did not order anything orally for the purulent drainage noted
on the wound assessment. E3 stated she initiated the LLAM on 9/4/25 and confirmed the order was not put
in until 9/17/25. There was lack of evidence that the low air loss was initiated on 9/4/25. Resident R1 entered the facility with a stage II sacral wound and within 15 days was diagnosed with an unstageable pressure ulcer
on the right and left buttocks. 10/22/25 - Findings reviewed with E2 (DON) during exit conference.? ?
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/22/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Delaware Bay Rehabilitation and Healthcare Center
110 W. North Street Georgetown, DE 19947
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0692
F 0692 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
10/21/25 11:05 AM - Review of Resident R1's EMR progress notes lacked evidence of efforts to address Resident R1's decreased oral fluid intake including approaches to increase hydration and consultation with the doctor.10/21/25 1:45 PM - During an interview, E2 (DON) confirmed that the provider was not consulted regarding Resident R1's decreased intake and no interventions were ordered to increase hydration. 10/22/25 12:34 PM - During an interview, E9 (LPN UM) stated that staff did not report decreased intake for Resident R1 during the aforementioned dates. E9 stated that the dietician usually follows resident's closely regarding intake and hydration status. 10/22/25 2:57 PM - During an interview, E10 (Dietician) confirmed that she reviewed Resident R1's nutritional status on 9/3/25 and again on 9/24/25. E10 confirmed that she reviewed Resident R1's intake and addressed nutritional needs based on low oral intake (food) and the presence of the wound. E10 confirmed that a liquid protein supplement and nutritional supplement were added to Resident R1's regimen. E10 confirmed that she did not address Resident R1's hydration status or provide suggestions how to increase it. The lack of monitoring and interventions led to Resident R1 being sent out for further evaluation. Resident R1 was admitted to the hospital with a diagnosis of AKI and metabolic acidosis which is directly related to a decreased intake of fluids resulting in harm to Resident R1. 10/22/25 3:15 PM - Findings were reviewed with E2 (DON) during the exit conference.
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DELAWARE BAY REHABILITATION AND HEALTHCARE CENTER in GEORGETOWN, DE inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GEORGETOWN, DE, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from DELAWARE BAY REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.