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Complaint Investigation

Delaware Bay Rehabilitation And Healthcare Center

October 22, 2025 · Georgetown, DE · 110 W. North Street
Citations 2
CMS Rating 2/5
Beds 139
Provider ID 085029
Healthcare Facility
Delaware Bay Rehabilitation And Healthcare Center
Georgetown, DE  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0686
Quality of Life and Care Deficiencies
Actual Harm

(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:

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.


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