Westminster Village Health
1175 McKee Road, Dover, DE 19904 · Kent County · 75 certified beds · avg 55 residents/day · certified since Feb 11, 1987
Part of chain: PRESBYTERIAN SENIOR LIVING (11 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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, one-off · Oct 8, 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: Oct 1, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Nov 1, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Dec 16, 2022 (Past Non-Compliance)
All citations in the current public record (33)
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 |
|---|---|---|
| Dec 16, 2025 | F · Potential for harm, facility-wide | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Dec 16, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 16, 2025 | D · Potential for harm, one-off | 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. |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Dec 16, 2025 | 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. |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility did not keep complete, dated laboratory records in residents' files. |
| Dec 16, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Oct 8, 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 |
| Oct 31, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 31, 2024 | 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. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Oct 31, 2024 | D · Potential for harm, one-off | 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. |
| Oct 31, 2024 | C · Minimal risk, facility-wide | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 16, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Sep 16, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 1, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 1, 2023 | F · Potential for harm, facility-wide | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint |
| Nov 1, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Nov 1, 2023 | 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. |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Nov 1, 2023 | D · Potential for harm, 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 |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 1 | J ▲ |
| 2024 | 9 | 0 | E |
| 2025 | 13 | 1 | J ▲ |
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 $30,494.
| Date | Type | Amount / length |
|---|---|---|
| Oct 8, 2025 | Fine | $14,901 |
| Nov 1, 2023 | Fine | $15,593 |
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) | 4.74 | 4.67 | 3.95 | top 23% in Delaware; top 18% in the U.S. |
| Registered Nurse hours | 1.29 | 1.04 | 0.69 | top 19% in Delaware; top 8% in the U.S. |
| Weekend total nurse staffing | 4.32 | 4.18 | 3.50 | top 23% in Delaware; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.81 | 0.64 | 0.48 | top 23% in Delaware; top 11% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 41.3 | 45.8 | top 29% in Delaware; top 24% in the U.S. |
| RN turnover (%) | 33.3 | 41.2 | 42.9 | top 33% in Delaware; top 33% 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 4.33, RN 1.18, weekend 3.95. 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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Phi | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/11/1997 |
| Birdsall, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Bowser, Nicole | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/01/2011 |
| Chottiner, Lawrence | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Davis, Danny | Individual | Corporate Officer | NOT APPLICABLE | 04/21/2018 |
| Elliott, Brenda | Individual | Corporate Director | NOT APPLICABLE | 12/31/2021 |
| Goldstein, Terry | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Hoffman, Cynthia | Individual | Corporate Officer | NOT APPLICABLE | 06/02/2021 |
| Kelly, Sharon | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Kinard, Joseph | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Kinard, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Krieger, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| McAlister, Dyan | Individual | Corporate Officer | NOT APPLICABLE | 12/17/2016 |
| Paxton, Stuart | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Reimann, Susan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Reimann, Susan | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Rhodes, Cheryl | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Scott, William | Individual | Corporate Director | NOT APPLICABLE | 12/31/2021 |
| Seibert, Joseph | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Shropshire, Jennifer | Individual | Corporate Director | NOT APPLICABLE | 06/01/2017 |
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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Cadia Rehabilitation Capitol | 0.5 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Complete Care at Silver Lake LLC | 0.8 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Center at Eden Hill, LLC | 1.8 mi | Dover, DE | ★★★★★ | 4/5 | |
| Bay Terrace Rehabilitation and Health Center | 3.0 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Evergreen Post Acute | 6.2 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | |
| Delaware Hospital F/T Chronically Ill (dhci) | 8.4 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | SFF |
| Delaware Veterans Home | 17.4 mi | Milford, DE | ★★★★☆ | 2/5 | abuse |
| Milford Center | 19.6 mi | Milford, DE | ★★☆☆☆ | 2/5 | |
| Polaris Healthcare and Rehabilitation Center | 19.7 mi | Milford, DE | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 085032.