Bay Terrace Rehabilitation and Health CenterCMS ratings, inspections and fines
- Address
- 889 South Little Creek Road, Dover, DE 19901
- CCN
- 085019
- Ownership type
- For-profit, corporation
- Certified beds
- 85
- Residents per day
- 70
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Bay Terrace Rehabilitation and Health Center an overall rating of 3 of 5 stars. The last standard survey was on 23 Apr 2026. The latest survey cycle has 6 health citations. The median for nursing homes in Delaware is 9. CMS lists 3 fines with a total of $34,838 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Kent County median | Delaware median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 7 homes in the county, 44 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Delaware median |
|---|---|---|---|
| Cycle 1 (latest) | 23 Apr 2026 | 6 | 9 |
| Cycle 2 | 19 Feb 2025 | 22 | 12 |
| Cycle 3 | No date | 10 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jun 2026 |
| 23 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 Jun 2026 |
| 23 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 5 Jun 2026 |
| 23 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 5 Jun 2026 |
| 23 Apr 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 Jun 2026 |
| 24 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | Complaint investigation | 23 Mar 2026 |
Survey cycle 2: 22 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 10 Apr 2025 |
| 19 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 10 Apr 2025 |
| 19 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0688 | 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. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | C | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0758 | 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. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 10 Apr 2025 |
| 19 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Apr 2025 |
| 2 Dec 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 20 Jan 2025 |
| 2 Dec 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint investigation | 20 Jan 2025 |
| 2 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 20 Jan 2025 |
| 2 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 20 Jan 2025 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Apr 2024 |
| 23 Feb 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 1 Apr 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 24 Feb 2026 | Fine | $14,901 | |
| 11 Apr 2025 | Fine | $9,113 | |
| 2 Dec 2024 | Fine | $10,824 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Delaware median | Delaware average (CMS) |
|---|---|---|---|
| All nurse staff | 4.19 | 3.90 | 4.35 |
| Registered nurses (RN) | 0.92 | 0.80 | 0.97 |
| Licensed practical nurses (LPN) | 1.00 | 0.98 | |
| Nurse aides | 2.27 | 2.40 | |
| All nurse staff, weekends | 3.77 | 3.60 | 3.89 |
- Nurse staff turnover in a year
- 36.6%
- Nurse staff turnover, Delaware median
- 41.7%
- RN turnover in a year
- 42.1%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Delaware median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.2% | 11.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.0% | 14.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.4% | 10.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Bay Terrace Rehabilitation and Healthcare Center LLC
- Chain
- Prestige Healthcare Administrative Services (15 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| BTRC Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Mar 2024 |
| PA & De Noble Parentco LLC | 5% or greater indirect ownership interest | 1 Mar 2024 | |
| Star De I Holdings LLC | 5% or greater indirect ownership interest | 1 Mar 2024 | |
| Apex Global Solutions LLC | Adp of the snf | 1 Mar 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Kent County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Center at Eden Hill, LLC | Dover | 5 of 5 | 8 | $0 | 13 Jun 2024 | |
| Complete Care at Silver Lake LLC | Dover | 3 of 5 | 11 | $47,541 | 23 Jan 2026 | |
| Cadia Rehabilitation Capitol | Dover | 3 of 5 | 6 | $8,018 | 27 Jan 2026 | |
| Westminster Village Health | Dover | 4 of 5 | 13 | $30,494 | 16 Dec 2025 | |
| Evergreen Post Acute | Smyrna | 2 of 5 | 21 | $94,156 | 17 Apr 2025 | |
| Delaware Hospital F/T Chronically Ill (Dhci)Special Focus candidate | Smyrna | 2 of 5 | 10 | $59,947 | 9 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Bay Terrace Rehabilitation and Health Center (CCN 085019). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/bay-terrace-rehabilitation-and-health-center-dover-de-085019/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Bay Terrace Rehabilitation and Health Center last inspected?
- The latest inspection with a citation in the CMS record was on 23 Apr 2026. It was a standard survey and a complaint investigation. It gave 5 citations. The standard survey before the last one was on 19 Feb 2025.
- Who operates Bay Terrace Rehabilitation and Health Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Prestige Healthcare Administrative Services. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Bay Terrace Rehabilitation and Health Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Delaware as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.