Encore at West Meadow L.L.C.
255 Possum Park Road, Newark, DE 19711
Encore at West Meadow L.L.C. is a nursing home in Newark, Delaware. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS star ratings
- 2 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (302) 366-0160
- Last standard health inspection
- January 12, 2026 (9 months ago)
- Certified beds
- 110
- Residents per day, on average
- 85.4
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Encore at West Meadow LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the Delaware average (54 vs 37).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Name
CMS lists a new legal business name for this home.
Fine
CMS changed the fine from June 25, 2026 from $16,355 to $10,631.
CMS update of October 8, 2026
Name
CMS lists a new name for this home. It was ENCORE AT PARKSIDE.
Fine
CMS changed the fine from January 12, 2026 from $22,925 to $14,901.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Name
CMS lists a new name for this home. It was ENCORE AT WEST MEADOW.
Staffing
Total nurse staffing reported to CMS went from 4.5 to 3.5 hours per resident per day.
Fine
CMS changed the fine from October 29, 2025 from $14,015 to $9,110.
1 citation
Health inspection on June 25, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
9 of 44 Delaware homes (20%) got a citation at the immediate jeopardy level in 2026.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 16, 2026.
CMS has cited this home for F0689 4 times since 2024.
Fine
June 25, 2026 (4 months ago)
CMS fine of $10,631 on June 25, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
CMS update of March 25, 2026
Name
CMS lists a new legal business name for this home.
CMS update of February 25, 2026
Staffing
Total nurse staffing reported to CMS went from 5.1 to 4.6 hours per resident per day.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Name
CMS lists a new name for this home. It was MILLCROFT LIVING.
24 citations
Health inspection on January 12, 2026
CMS lists this as a standard inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
9 of 44 Delaware homes (20%) got a citation at the immediate jeopardy level in 2026.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 17, 2025.
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
CMS lists it as corrected on February 26, 2026.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 26, 2026.
Citation F0553. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on February 26, 2026.
CMS has cited this home for F0553 2 times since 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 26, 2026.
CMS has cited this home for F0812 3 times since 2023.
Citation F0881. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on February 26, 2026.
Citation F0944. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS lists it as corrected on February 26, 2026.
CMS has cited this home for F0944 2 times since 2024.
Citation F0946. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide training in compliance and ethics.
CMS lists it as corrected on February 26, 2026.
Citation F0949. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
CMS lists it as corrected on February 26, 2026.
CMS has cited this home for F0949 2 times since 2024.
Citation F0557. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
CMS lists it as corrected on February 26, 2026.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on February 26, 2026.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on February 26, 2026.
CMS has cited this home for F0580 2 times since 2023.
Citation F0627. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
CMS lists it as corrected on February 26, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on February 26, 2026.
CMS has cited this home for F0641 2 times since 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on February 26, 2026.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on February 26, 2026.
CMS has cited this home for F0657 2 times since 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on February 26, 2026.
CMS has cited this home for F0695 3 times since 2023.
Citation F0745. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide medically-related social services to help each resident achieve the highest possible quality of life.
CMS lists it as corrected on February 26, 2026.
Citation F0791. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain dental services for each resident.
CMS lists it as corrected on February 26, 2026.
Citation F0843. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
CMS lists it as corrected on February 26, 2026.
Citation F0844. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
CMS lists it as corrected on February 26, 2026.
Citation F0909. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
CMS lists it as corrected on February 26, 2026.
Citation F0941. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
CMS lists it as corrected on February 26, 2026.
Citation F0837. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
CMS lists it as corrected on February 26, 2026.
2 citations
Fire safety inspection on January 12, 2026
CMS lists this as a standard inspection.
Citation K0225. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on March 17, 2026.
CMS has cited this home for K0225 2 times since 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 17, 2026.
CMS has cited this home for K0353 2 times since 2024.
Fine
January 12, 2026 (9 months ago)
CMS fine of $14,901 on January 12, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
3 citations
Health inspection on October 29, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
15 of 44 Delaware homes (34%) got a citation at the actual harm level in 2025.
Citation F0760. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on August 8, 2025.
CMS has cited this home for F0760 2 times since 2023.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on November 28, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on November 28, 2025.
Fine
October 29, 2025 (1 year ago)
CMS fine of $9,110 on October 29, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Ownership
CMS no longer lists a chain for this home.
Health citation
CMS removed citation F0625 from the health inspection on November 26, 2024.
Health citation
CMS removed citation F0758 from the health inspection on November 26, 2024.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
12 citations
Health inspection on November 26, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 23, 2025.
Citation F0553. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on January 23, 2025.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on January 23, 2025.
Citation F0625. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
CMS lists it as corrected on January 23, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on January 23, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on January 23, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 23, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 23, 2025.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on January 23, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on January 23, 2025.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on January 23, 2025.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on January 23, 2025.
5 citations
Fire safety inspection on November 26, 2024
CMS lists this as a standard inspection.
Citation K0225. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on April 1, 2025.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 1, 2025.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 1, 2025.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on April 1, 2025.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on April 1, 2025.
5 citations
Health inspection on August 28, 2024
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
9 of 44 Delaware homes (20%) got a citation at the immediate jeopardy level in 2024.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 7, 2024.
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on October 7, 2024.
Citation F0949. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
CMS lists it as corrected on October 7, 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on October 7, 2024.
Citation F0944. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS lists it as corrected on October 7, 2024.
Fine
August 28, 2024 (2 years ago)
CMS fine of $16,448 on August 28, 2024.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
9 citations
Health inspection on October 19, 2023
CMS lists this as a standard inspection and a complaint inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 6, 2023.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on December 6, 2023.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on December 6, 2023.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS lists it as corrected on December 6, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on December 6, 2023.
Citation F0728. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
CMS lists it as corrected on December 6, 2023.
Citation F0730. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Observe each nurse aide's job performance and give regular training.
CMS lists it as corrected on December 6, 2023.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on December 6, 2023.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on December 6, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ENCORE PORT HOLDINGS LLCDirect ownership interest · not applicable · since 12/15/2025
- ASBS DE OPCO HOLDINGS LLCIndirect ownership interest · not applicable · since 12/15/2025
- CHANTAL CORNFIELD 2025 FAMILY TRUSTIndirect ownership interest · not applicable · since 12/15/2025
- CMC DE OPCO HOLDINGS LLCIndirect ownership interest · not applicable · since 12/15/2025
- ENDEARS DE OPCO HOLDINGS LLCIndirect ownership interest · not applicable · since 12/15/2025
- HBDE OPCO HOLDINGS LLCIndirect ownership interest · not applicable · since 12/15/2025
- MAX CORNFIELD 2025 FAMILY TRUSTIndirect ownership interest · not applicable · since 12/15/2025
- ASBS DE OPCO HOLDINGS LLCOperational/managerial control · not applicable · since 12/15/2025
- CMC DE OPCO HOLDINGS LLCOperational/managerial control · not applicable · since 12/15/2025
- ENDEARS DE OPCO HOLDINGS LLCOperational/managerial control · not applicable · since 12/15/2025
- HBDE OPCO HOLDINGS LLCOperational/managerial control · not applicable · since 12/15/2025
- BARAX, HARRYOperational/managerial control · not applicable · since 12/15/2025
- BRUS, ROBERTOperational/managerial control · not applicable · since 12/15/2025
- CASSIDY, DEBRAOperational/managerial control · not applicable · since 12/15/2025
- CORNFIELD, CHANTALOperational/managerial control · not applicable · since 12/15/2025
- DONOVAN, KELLYOperational/managerial control · not applicable · since 12/15/2025
- HAMMOND, LUCYOperational/managerial control · not applicable · since 12/15/2025
- NORMAN, DANIELOperational/managerial control · not applicable · since 12/15/2025
- NYBERG, JEFFREYOperational/managerial control · not applicable · since 12/15/2025
- OSUNDINA, FLORAINOperational/managerial control · not applicable · since 12/15/2025
- QUINONES, JEANNTTEOperational/managerial control · not applicable · since 01/19/2026
- SATT, AVRAHAMOperational/managerial control · not applicable · since 12/15/2025
Questions
When was Encore at West Meadow L.L.C. last inspected?
CMS lists January 12, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Encore at West Meadow L.L.C. have?
CMS lists 54 health citations since October 19, 2023. CMS also calls these deficiencies.
Has Encore at West Meadow L.L.C. been fined?
CMS lists 4 fines in the past three years, $51,090 in total.
What is the CMS star rating of Encore at West Meadow L.L.C.?
Its CMS overall star rating is 2 of 5.
Is Encore at West Meadow L.L.C. a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility candidate.