Delaware › Kent County › Smyrna
Delaware Hospital F/T Chronically Ill (Dhci)
100 Sunnyside Road, Smyrna, DE 19977
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Delaware Hospital F/T Chronically Ill (Dhci), in Smyrna, Delaware, is certified for 175 beds under government, state ownership.
CMS gives it 2 of 5 stars overall, below the Delaware median of 3; the health inspection rating is 1, staffing 5 and quality measures 4.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (10, 1, 0 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 6.3 per 100 beds, fewer than the state median of 35.0.
CMS lists 2 penalties in the period covered: fines totalling $60K.
Reported nurse staffing is 10.3 hours per resident per day (2.9 RN), above the Delaware median of 3.9; nursing staff turnover is 17.5%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Kent Co. median | Delaware median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 31 | 33 | 28.7 |
| Citations per 100 beds | 6.3 | 30.0 | 35.0 | 26.8 |
| Total nurse hours per resident day | 10.3 | 4.2 | 3.9 | 3.9 |
| RN hours per resident day | 2.9 | 0.9 | 0.8 | 0.7 |
| Nursing staff turnover | 17.5% | 35.1% | 41.7% | 45.8% |
| Fines listed | $59,947 | $34,838 | $34,838 | — |
County and state figures are medians across facilities (7 in the county, 44 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Delaware average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Jan 2026, 12 Dec 2024.
Severity mix: J ×2 K ×1 D ×5 E ×2 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 23 Feb 2026 |
| 9 Jan 2026 | F0803 | 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. | F | Standard survey | 23 Feb 2026 |
| 9 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 23 Feb 2026 |
| 9 Jan 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 23 Feb 2026 |
| 9 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Feb 2026 |
| 9 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Feb 2026 |
| 9 Jan 2026 | F0700 | 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. | D | Standard survey | 23 Feb 2026 |
| 9 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Feb 2026 |
| 9 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Feb 2026 |
| 3 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 17 Nov 2025 |
| 24 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 Mar 2025 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Oct 2025 | Fine | $42,602 | |
| 24 Feb 2025 | Fine | $17,345 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 17.5%, RNs 29.5%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Delaware median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.7% | 11.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.5% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 2.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.2% | 14.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.2% | 10.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, state. Legal business name: State Of Delaware.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| State of Delaware | Indirect ownership interest | NOT APPLICABLE | 09/01/1983 |
| State of Delaware | Adp of the snf | NOT APPLICABLE | 09/01/1983 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kent County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Center At Eden Hill, LLC | Dover | 80 | 5 | 4 | 5 | 24 | 30.0 | — | 22 May 2026 |
| Westminster Village Health | Dover | 75 | 4 | 3 | 5 | 33 | 44.0 | $30K | 16 Dec 2025 |
| Bay Terrace Rehabilitation and Health Center | Dover | 85 | 3 | 3 | 4 | 38 | 44.7 | $35K | 23 Apr 2026 |
| Cadia Rehabilitation Capitol | Dover | 120 | 3 | 3 | 4 | 31 | 25.8 | $8K | 27 Jan 2026 |
| Complete Care At Silver Lake LLC | Dover | 120 | 3 | 3 | 4 | 30 | 25.0 | $48K | 23 Jan 2026 |
| Evergreen Post Acute | Smyrna | 151 | 2 | 1 | 3 | 69 | 45.7 | $94K | 11 May 2026 |
All 7 facilities in Kent County
Questions and answers
How many deficiencies has Delaware Hospital F/T Chronically Ill (Dhci) been cited for?
11 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Delaware median is 33 per facility.
Has Delaware Hospital F/T Chronically Ill (Dhci) been fined?
Yes. CMS lists fines totalling $60K in the period covered.
How does staffing at Delaware Hospital F/T Chronically Ill (Dhci) compare?
Reported total nurse staffing is 10.3 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.
Who operates Delaware Hospital F/T Chronically Ill (Dhci)?
Ownership type is government, state. Organisations in the CMS ownership record include State of Delaware. Individual owners and managers are not listed on this site.
When was Delaware Hospital F/T Chronically Ill (Dhci) last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jan 2026; the most recent standard health survey was 9 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.