Delaware Hospital F/t Chronically Ill (dhci)
DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) in SMYRNA, DE — inspection on October 3, 2025.
Found 1 citation. 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
jeopardy to resident health or safety
Policy, documented, .The facility will ensure that the resident environment is safe and free of hazards.
That each resident receives adequate supervision and assistance to prevent falls or minimize the risk for fall related injuries.3/14/25 - R2's quarterly MDS documented a BIMS score of 00, indicating an inability to conduct a cognitive interview. R2 was non-ambulatory and completely dependent on staff for all activities of daily living.5/11/25 8:57 PM - A facility incident report submitted to the Division documented, Resident fell from the bed to the floor during care and sustained a right eyebrow cut/swollen and Rt [right] knee abrasion.
Provider was notified and resident sent to the ER for evaluation.5/13/25 11:00 AM - R2's clinical record documented, Resident seen today for decreased ROM [range of motion] to right knee.
Right knee noted with swelling and warm to touch.
Resident moaned and grimaced when the right knee was touched.
Right knee tender to touch, resident unable to flex knee to 90 degrees. X-ray of right knee ordered.5/13/25 8:40 PM - R2's clinical record documented, .Showed that the resident's right femur is fractured.Send the resident out via 911.5/16/25 11:35 AM - The facility's 5 day follow up report to the Division documented, .admitted for right knee surgery due to a right femur fracture.
She [R2] had surgery and returned on 5/16/25.10/1/25 2:00 PM - The facility's post fall investigation documented, [R2] was not care planned for falls because she is unable to move herself. E6 (CNA) interview statement documented, .[R2] does not move at all and cannot scoot because she is heavy. E6 advised that she turned [R2] on her right side as she reached for a washcloth.
Resident was being turned towards the window and as she reached for the washcloth R2 rolled off the bed.
She fell face down on the floor.
The facility failed to provide adequate supervision to prevent R2's fall with injury.10/2/25 1:30 PM - A review of the facility's actions after R2's fall revealed:- R2's care plan was revised and updated for 2 staff members assistance with bed mobility.- All nursing staff were trained on fall prevention during resident care.
The training included not rolling the resident away from the staff's body.
Ensure that the resident is in the middle of the bed before turning him/her away from your body (if you must turn the resident away from you.)- The certified nursing assistant (CNA) involved in the fall was required to re-take new hire orientation, which included shadowing another CNA before she could return to provide resident care independently.- The fall was discussed and reviewed at the fall committee meeting on 5/16/25 and at QAPI meetings 6/30/25 and 7/28/25.- A review of all falls since 5/11/25 during the fall committee meeting and QAPI meetings revealed no falls relating to resident's positioning in bed or during care.10/2/25 3:30 PM -
During an interview, findings were confirmed with E2 (DON).10/3/25 1:30 PM - Findings were reviewed with E1 (NHA), E2 (DON) and E3 (ADON) at the exit conference.
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