Delaware Hospital F/T Chronically Ill (Dhci)
100 Sunnyside Road, Smyrna, DE 19977
Delaware Hospital F/T Chronically Ill (Dhci) is a nursing home in Smyrna, 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.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionJanuary 9, 2026 (10 months ago)
- Health citations since February 24, 202511 (Delaware average 37)
- Fines in the past three years2, $59,947 in total
- CMS flagsSpecial Focus Facility candidate
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CMS flags
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.
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 July 29, 2026
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Fine
CMS changed the fine from October 3, 2025 from $65,540 to $42,602.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on January 9, 2026
9 citationsCMS lists this as a standard inspection.
Severity K 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.
Show the 9 citations
Citation F0689. Severity K: immediate jeopardy, pattern.
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 February 23, 2026.
CMS has cited this home for F0689 3 times since 2025.
Citation F0803. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS lists it as corrected on February 23, 2026.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
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 23, 2026.
Citation F0883. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on February 23, 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 23, 2026.
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 23, 2026.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS lists it as corrected on February 23, 2026.
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 February 23, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 23, 2026.
CMS update of December 15, 2025
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.
Health inspection on October 3, 2025
1 citationCMS 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.
10 of 44 Delaware homes (23%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $42,602 on October 3, 2025.
Show the 1 citation
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.
CMS update of September 24, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from not rated by CMS to 5 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 5 of 5 to not rated by CMS.
Ownership
CMS ownership records list new owners for this home.
Health inspection on February 24, 2025
1 citationCMS 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.
10 of 44 Delaware homes (23%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $17,345 on February 24, 2025.
Show the 1 citation
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 March 24, 2025.
Fire safety inspection on December 12, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0018. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish procedures for tracking staff and patients during an emergency.
CMS lists it as corrected on January 31, 2025.
Citation E0031. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide emergency officials' contact information.
CMS lists it as corrected on January 31, 2025.
Citation E0036. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish emergency prep training and testing.
CMS lists it as corrected on January 31, 2025.
Citation E0020. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures including evacuation.
CMS lists it as corrected on January 31, 2025.
Citation E0023. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures for medical documentation.
CMS lists it as corrected on January 31, 2025.
CMS update of February 29, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS star ratings
- 2 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (302) 223-1500
- Last standard health inspection
- January 9, 2026 (10 months ago)
- Certified beds
- 175
- Residents per day, on average
- 69.7
- Ownership type
- Government - State
- Legal business name
- State of Delaware
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Delaware average (11 vs 37).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- STATE OF DELAWAREIndirect ownership interest · not applicable · since 09/01/1983
- CAHALL, LAUREENOperational/managerial control · not applicable · since 03/25/2026
- STEWART, GERALDINEOperational/managerial control · not applicable · since 03/01/2025
- TEETER, TAMMYOperational/managerial control · not applicable · since 12/02/2019
Questions
When was Delaware Hospital F/T Chronically Ill (Dhci) last inspected?
CMS lists January 9, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Delaware Hospital F/T Chronically Ill (Dhci) have?
CMS lists 11 health citations since February 24, 2025. CMS also calls these deficiencies.
Has Delaware Hospital F/T Chronically Ill (Dhci) been fined?
CMS lists 2 fines in the past three years, $59,947 in total.
What is the CMS star rating of Delaware Hospital F/T Chronically Ill (Dhci)?
Its CMS overall star rating is 2 of 5.
Is Delaware Hospital F/T Chronically Ill (Dhci) a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility candidate.