ElderGrade
D

54/100

Below average

Delaware Hospital F/T Chronically Ill (Dhci)

100 Sunnyside Road, Smyrna, DE 19977

CMS 2/5 stars #5 of 7 in Kent County (302) 223-1500
Certified beds
175
Occupancy
42%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $59,947 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

10/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years

Staffing

27.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 11.29 total nurse hours per resident per day (national median 3.77)
  • 2.85 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 18% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $59,947 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 10.25 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 2.85 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 8.54 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 17.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 11 citations

Last standard health inspection: January 9, 2026 (7 months ago).

K Jan 9, 2026 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

F Jan 9, 2026 F0803

Nutrition and Dietary Deficiencies

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.

No actual harm, potential for more than minimal harm

E Jan 9, 2026 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

E Jan 9, 2026 F0883

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

No actual harm, potential for more than minimal harm

D Jan 9, 2026 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Jan 9, 2026 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Jan 9, 2026 F0700

Quality of Life and Care Deficiencies

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) Cor...

No actual harm, potential for more than minimal harm

D Jan 9, 2026 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
STATE OF DELAWARE Organization INDIRECT OWNERSHIP INTEREST
STEWART, GERALDINE Individual CORPORATE DIRECTOR
CAHALL, LAUREEN Individual OPERATIONAL/MANAGERIAL CONTROL
STEWART, GERALDINE Individual OPERATIONAL/MANAGERIAL CONTROL
TEETER, TAMMY Individual OPERATIONAL/MANAGERIAL CONTROL
STATE OF DELAWARE Organization ADP OF THE SNF
CAHALL, LAUREEN Individual ADP OF THE SNF
HARRIS, CURTIS Individual ADP OF THE SNF
STEWART, GERALDINE Individual ADP OF THE SNF
TEETER, TAMMY Individual ADP OF THE SNF

What families say

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Common questions about Delaware Hospital F/T Chronically Ill (Dhci)

What is the ElderGrade for Delaware Hospital F/T Chronically Ill (Dhci)? +

Delaware Hospital F/T Chronically Ill (Dhci) holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Delaware Hospital F/T Chronically Ill (Dhci)? +

Residents receive an average of 10.25 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Delaware Hospital F/T Chronically Ill (Dhci) been cited for harming residents? +

Yes. 3 of the 11 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Delaware Hospital F/T Chronically Ill (Dhci) accept Medicaid? +

Yes, Delaware Hospital F/T Chronically Ill (Dhci) is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.