Delaware Hospital F/T Chronically Ill (dhci)
100 Sunnyside Road, Smyrna, DE 19977 · Kent County · 175 certified beds · avg 73 residents/day · certified since Jan 1, 1989
SFF Candidate
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Jan 9, 2026 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 23, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 3, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 17, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 24, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 24, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 9, 2026 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 9, 2026 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jan 9, 2026 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 9, 2026 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 3, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 24, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 2 | 2 | J ▲ |
| 2026 | 9 | 1 | K ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $59,947.
| Date | Type | Amount / length |
|---|---|---|
| Oct 3, 2025 | Fine | $42,602 |
| Feb 24, 2025 | Fine | $17,345 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Delaware avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 11.29 | 4.67 | 3.95 | top 2% in Delaware; top 1% in the U.S. |
| Registered Nurse hours | 3.14 | 1.04 | 0.69 | top 2% in Delaware; top 1% in the U.S. |
| Weekend total nurse staffing | 9.40 | 4.18 | 3.50 | top 2% in Delaware; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.85 | 0.64 | 0.48 | top 2% in Delaware; top 1% in the U.S. |
| Total nursing staff turnover (%) | 17.5 | 41.3 | 45.8 | top 2% in Delaware; top 2% in the U.S. |
| RN turnover (%) | 29.5 | 41.2 | 42.9 | top 25% in Delaware; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 10.25, RN 2.85, weekend 8.54. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| State of Delaware | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/1983 |
| Cahall, Laureen | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/25/2026 |
| Cahall, Laureen | Individual | ADP of the SNF | NOT APPLICABLE | 03/25/2026 |
| Harris, Curtis | Individual | ADP of the SNF | NOT APPLICABLE | 05/23/2026 |
| State of Delaware | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/1983 |
| Stewart, Geraldine | Individual | Corporate Director | NOT APPLICABLE | 03/01/2025 |
| Stewart, Geraldine | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Stewart, Geraldine | Individual | ADP of the SNF | NOT APPLICABLE | 03/25/2026 |
| Teeter, Tammy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2019 |
| Teeter, Tammy | Individual | ADP of the SNF | NOT APPLICABLE | 12/02/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Evergreen Post Acute | 2.1 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | |
| Westminster Village Health | 8.4 mi | Dover, DE | ★★★★☆ | 3/5 | |
| Complete Care at Silver Lake LLC | 8.4 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Cadia Rehabilitation Capitol | 8.9 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Center at Eden Hill, LLC | 10.1 mi | Dover, DE | ★★★★★ | 4/5 | |
| Bay Terrace Rehabilitation and Health Center | 10.6 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Cadia Rehabilitation Broadmeadow | 12.3 mi | Middletown, DE | ★☆☆☆☆ | 1/5 | SFF |
| Preferred Care at Cumberland | 19.9 mi | Bridgeton, NJ | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 085035.