BAY TERRACE REHABILITATION AND HEALTH CENTER
889 SOUTH LITTLE CREEK ROAD, DOVER, DE 19901 · CCN 085019
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 77
- Avg residents/day
- 74.3
- Phone
- 3026740566
Inspection history vs Delaware & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Delaware avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-19 | 18 | 13.5 | 9.5 | +4.5 worse |
| 2 | 2024-02-23 | 14 | 13.6 | 9.8 | +0.4 worse |
| 3 | 2022-09-26 | 4 | 12.6 | 9.3 | -8.6 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident assessment and care planning | 4 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.85 | 34.1% |
| RN staffing (reported) | 0.76 | 44.4% |
| Total nurse staffing (adjusted) | 4.07 | — |
Fines & penalties
- Total fines
- $19,937
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES
- Facilities in chain
- 15
- Chain avg overall
- 3.40 / 5
Inspection citations (36)1 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- EF0697Provide safe, appropriate pain management for a resident who requires such services.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- CF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-19 · Health · corrected 2025-04-10
Potential for minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-19 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-12-02 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-12-02 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-02 · Health · corrected 2025-01-20
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-02 · Health · corrected 2025-01-20
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-02-23 · Health · corrected 2024-04-01
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2022-09-26 · Health · corrected 2022-10-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-26 · Health · corrected 2022-10-18
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-26 · Health · corrected 2022-10-18
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-26 · Health · corrected 2022-10-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BTRC HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-03-01 |
| AYSAN TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| BUAH TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| COPPER DE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| GOLD DE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| PA & DE NOBLE PARENTCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| SILVER DE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| STAR DE I HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| STAR DE I TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-01 |
| ELLENBOGEN, MOSS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| STUDD, ANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
Other facilities in DOVER
| Name | Overall | Beds |
|---|---|---|
| CENTER AT EDEN HILL, LLC | ★★★★★ | 80 |
| WESTMINSTER VILLAGE HEALTH | ★★★★☆ | 75 |
| COMPLETE CARE AT SILVER LAKE LLC | ★★★☆☆ | 120 |
| CADIA REHABILITATION CAPITOL | ★★★☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.