DELAWARE HOSPITAL FOR THE CHRONICALLY ILL (DHCI)

The information listed below provides an in-depth look into the type and quality of care offered at Delaware Hospital for the Chronically Ill (Dhci). It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

DELAWARE HOSPITAL FOR THE CHRONICALLY ILL (DHCI)
100 SUNNYSIDE ROAD
SMYRNA, DE 19977
(302) 223-1500

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

49%

Number of Residents and Certified Beds

  • Residents: 194
  • Certified Beds: 397

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - State
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Dover | Middletown | Delaware City

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Clinically Complex". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Delaware Hospital for the Chronically Ill (Dhci). For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
13.6%
Total Percent:13.6%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
86.4%
Total Percent:86.4%
 

Rating Details For Delaware Hospital for the Chronically Ill (Dhci)

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 11 Minutes53 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours53 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 39 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours2 Hours and 3 Minutes1 Hour and 31 Minutes
Total Nurse Hours5 Hours and 42 Minutes3 Hours and 46 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Delaware are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityDelaware Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious11%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain7%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%16%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%9%
Percent of Long-Stay Residents Who Were Physically Restrained4%9%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder43%52%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%4%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/12/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 04/08/2009
  • Correction Date: 06/22/2009

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Keep Sound Levels Comfortable.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/26/2008
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/08/2009
  • Correction Date: 06/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/08/2009
  • Correction Date: 06/22/2009

Mistreatment

1) Hire Only People Who Have 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.
  • Inspection Date: 04/08/2009
  • Correction Date: 06/22/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/08/2009
  • Correction Date: 06/22/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/08/2009
  • Correction Date: 06/22/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/26/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/08/2009
  • Correction Date: 06/22/2009

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 05/13/2008
  • Correction Date: 08/01/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/08/2009
  • Correction Date: 06/22/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 02/12/2010
  • Correction Date: 04/30/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)11/03/2008$12,968

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Delaware Hospital for the Chronically Ill (Dhci), as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/13/2008
  • Correction Date: 08/01/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 04/08/2009
  • Correction Date: 06/22/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/13/2008
  • Correction Date: 08/01/2008
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 05/13/2008
  • Correction Date: 08/22/2008
1) Hire Only People Who Have 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.
  • Complaint Filed: 05/13/2008
  • Correction Date: 08/01/2008
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 11/03/2008
  • Correction Date: 12/30/2008
1) Hire Only People Who Have 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.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010
1) Hire Only People Who Have 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.
  • Complaint Filed: 04/05/2011
  • Correction Date: 05/20/2011
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 04/05/2011
  • Correction Date: 05/20/2011

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs.
  • Complaint Filed: 07/21/2010
  • Correction Date: 10/05/2010

Quality Care

Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 05/13/2008
  • Correction Date: 08/26/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 11/03/2008
  • Correction Date: 12/30/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/08/2009
  • Correction Date: 06/22/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 07/21/2010
  • Correction Date: 10/05/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/21/2010
  • Correction Date: 10/05/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 04/05/2011
  • Correction Date: 05/20/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 05/13/2008
  • Correction Date: 08/01/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 11/03/2008
  • Correction Date: 12/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/08/2009
  • Correction Date: 06/22/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 07/21/2010
  • Correction Date: 10/05/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Complaint Filed: 04/05/2011
  • Correction Date: 05/20/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/05/2011
  • Correction Date: 05/20/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 05/13/2008
  • Correction Date: 08/01/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 05/13/2008
  • Correction Date: 08/26/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 11/03/2008
  • Correction Date: 12/30/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 02/12/2010
  • Correction Date: 04/30/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 07/21/2010
  • Correction Date: 10/05/2010
Tell the Resident Completely About His or Her Health Status.
  • Complaint Filed: 04/05/2011
  • Correction Date: 05/20/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Delaware Hospital for the Chronically Ill (Dhci) had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/16/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/24/2009
  • Correction Date: 07/31/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/16/2010
  • Correction Date: 03/31/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/16/2010
  • Correction Date: 03/31/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 04/24/2009
  • Correction Date: 07/31/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 02/16/2010
  • Correction Date: 03/31/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/16/2010
  • Correction Date: 03/31/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/24/2009
  • Correction Date: 07/31/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/16/2010
  • Correction Date: 03/31/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/08/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 02/16/2010
  • Correction Date: 03/31/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 02/16/2010
  • Correction Date: 03/31/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/24/2009
  • Correction Date: 07/31/2009
Source: Medicare Nursing Home Compare; Health and Social Services of Delaware - Division of Long Term Care and Resident Protection - Retrieved 2011