Nursing home report
SMYRNA, DE · Medicare-certified · 175 beds
Overall rating: 2 out of 5 stars. DHCI is a Special Focus Facility candidate with a special focus flag, a very low 1-star health inspection rating, and $59,947 in fines over the last 24 months; staffing is rated 5 stars with 9.91 nurse staffing hours per resident per day, above the federal benchmark of 4.1.
Health inspections
Staffing
9.9139 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 9.9139.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited January 2026 — widespread issue, potential for harm.
F-Tag 803 — 42 CFR §483.60 — S/S: F
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited January 2026 — limited pattern, potential for harm.
F-Tag 883 — 42 CFR §483.80 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2026 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — isolated incident, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 9 health deficiencies.
A federal fine of $42,602 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $17,345 was recorded.
Health inspection found 1 health deficiency.
On record with Medicare: 2 fines · $59,947 in total fines.
Federal fine
Oct 3, 2025
Federal fine
Feb 24, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
