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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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 Services

Resident Conditions

Percent 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 Day	Reported	Expected
Registered Nurse (RN) Hours	1 Hour and 11 Minutes	53 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	53 Minutes	37 Minutes
Certified Nursing Assistant (CNA) Hours	3 Hours and 39 Minutes	2 Hours and 16 Minutes
Total Licensed Nurse Hours	2 Hours and 3 Minutes	1 Hour and 31 Minutes
Total Nurse Hours	5 Hours and 42 Minutes	3 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 Facility

Delaware Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious	11%	12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	7%	10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	7%	3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	16%	16%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	8%	13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	1%	3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	11%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	4%	9%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	43%	52%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	3%	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 Inspectors

Degree of Harm

Residents 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 Taken	Date	Amount
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 Complaints

Degree of Harm

Residents Affected