Seaford Center
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Based on record review and interview, it was determined that for one (Resident R113) out of thirty residents reviewed
in the investigative sample, the facility failed to develop a care plan to address an identified concern.
Findings include: Review of Resident R113's clinical record revealed:10/11/24 - Resident R113 was admitted to the facility.3/20/25 12:00 AM - A wound note by E12 (Wound NP) documented that Resident R113 was non-compliant with turning and repositioning and tells staff to leave her alone.3/27/25 3:59 AM - A wound note by E12 (Wound NP) documented that Resident R113 was non-compliant with turning and repositioning and tells staff to leave her alone.9/4/25 11:08 AM - During an interview, E12 (Wound NP) stated that Resident R113 would refuse to have her wounds touched and resisted care.9/4/25 12:09 PM - During an interview, E16 (NP) stated that Resident R113 was resistant to care and refused to get out of bed.9/4/25 11:43 AM - During an interview, E17 (wound nurse) stated that Resident R113 was behavioral, resistant to care and would refuse to allow staff to turn and reposition her.9/4/25 12:25 PM - A review of Resident R113's care plan lacked evidence for refusals of care that included individualized objectives, goals, and timeframes to meet Resident R113's needs.9/5/25 10:40 AM - During
an interview, E18 (CNA) stated that Resident R113 was very behavioral, would constantly refuse care and refuse to get out of bed.9/5/25 10:51 AM - During an interview, E6 (RN) stated that Resident R113 refused care and treatments and confirmed that a care plan for refusals should have been completed for her.9/9/25 2:00 PM - Findings were reviewed with E1 (NHA) and E3 (Quality Manager) during the exit conference.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
SEAFORD CENTER in SEAFORD, 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 SEAFORD, 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 SEAFORD CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.