Nursing home report
SMYRNA, DE · Medicare-certified · 175 beds
DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) is rated 2 out of 5 stars overall, with a 1-star health inspection score despite 5-star staffing and 4-star quality measures; it is a special focus candidate/facility and was fined $59,947 in the last 24 months. Reported nurse staffing is 10.25 hours per resident per day, above the federal benchmark of 4.1.
Health inspections
Staffing
10.2536 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 10.2536.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 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 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 make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — isolated incident, potential for harm.
F-Tag 641 — 42 CFR §483.20(g) — 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.
