Delaware Bay Rehabilitation And Healthcare Center
DELAWARE BAY REHABILITATION AND HEALTHCARE CENTER in GEORGETOWN, DE — inspection on October 22, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
(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 R1 did not see E8 (WC MD) on 9/9/25 due to R1 being at an appointment. E8 (WC MD) assessed R1 and ordered the Silvadene on 9/16/25. E8 assessed 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. 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.? ?
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Delaware Bay Rehabilitation and Healthcare Center
110 W.
North Street Georgetown, DE 19947
SUMMARY STATEMENT OF DEFICIENCIES
10/21/25 11:05 AM - Review of R1's EMR progress notes lacked evidence of efforts to address 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 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 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 R1's nutritional status on 9/3/25 and again on 9/24/25. E10 confirmed that she reviewed 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 R1's regimen. E10 confirmed that she did not address R1's hydration status or provide suggestions how to increase it.
The lack of monitoring and interventions led to R1 being sent out for further evaluation. 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 R1. 10/22/25 3:15 PM - Findings were reviewed with E2 (DON) during the exit conference.
Facility ID: