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Delmar Nursing & Rehabilitation Center

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About Delmar Nursing & Rehabilitation Center

General Information

Legal Business Name101 E Delaware Ave Operations LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareAugust 13, 1992 (24 years)
Capacity109
Residents93
Percent Occupied85%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Delmar Nursing & Rehabilitation Center

Delmar Nursing & Rehabilitation Center
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Delaware Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 26, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

June 19, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
ESomePotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionProvide adequate and comfortable lighting levels in all areas.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

June 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

April 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.

April 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
ESomePotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
ESomePotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

February 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

May 10, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 39 days
---Fine$168,155 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Delmar Nursing & Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 30min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
55min
55min
ReportedExpected
RN
3hr 60min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
97.8%
97.8%
97.4%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Seasonal Influenza Vaccine
93.9%
92.4%
93.0%
96.4%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Pneumococcal Vaccine
36.8%
32.4%
25.7%
48.2%
Q1 2015Q2 2015Q3 2015DE
Low Risk Residents Who Lose Control of Their Bowel or Bladder
29.3%
27.3%
16.9%
14.0%
Q1 2015Q2 2015Q3 2015DE
Received an Antipsychotic Medication
32.8%
26.9%
25.0%
15.6%
Q1 2015Q2 2015Q3 2015DE
Need for Help with ADLs has Increased
9.1%
7.9%
14.3%
6.5%
Q1 2015Q2 2015Q3 2015DE
Self Report Moderate to Severe Pain
6.2%
8.9%
4.8%
6.3%
Q1 2015Q2 2015Q3 2015DE
Lose Too Much Weight
0.0%
0.0%
3.4%
4.3%
Q1 2015Q2 2015Q3 2015DE
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
2.4%
Q1 2015Q2 2015Q3 2015DE
Have Depressive Symptoms
8.6%
7.6%
10.6%
6.4%
Q1 2015Q2 2015Q3 2015DE
With a Urinary Tract Infection
7.3%
7.6%
7.0%
3.3%
Q1 2015Q2 2015Q3 2015DE
Experiencing One or More Falls with Major Injury
2.6%
2.9%
1.3%
1.8%
Q1 2015Q2 2015Q3 2015DE
With a Catheter Inserted and Left in Their Bladder
1.2%
1.3%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015DE
Were Physically Restrained

Quality Measures for Short Stay Residents

93.8%
95.9%
77.8%
86.3%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Pneumococcal Vaccine
94.9%
88.9%
88.9%
85.9%
Q1 2015Q2 2015Q3 2015DE
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
18.4%
21.4%
4.0%
13.2%
Q1 2015Q2 2015Q3 2015DE
Self Report Moderate to Severe Pain
0.0%
4.2%
-
1.8%
Q1 2015Q2 2015Q3 2015DE
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015DE
With Pressure Ulcers That Are New or Worsened