Starfile / Delaware

WILMINGTON NURSING & REHABILITATION CENTER

700 FOULK ROAD, WILMINGTON, DE 19803 · CCN 085028

SFF Candidate

Inspection history vs Delaware & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$408,742

Number of fines

3

Number of penalties

6

Payment denials

3

Chain

Chain

LIFEWORKS REHAB

Facilities in chain

59

Chain avg overall

2.10 / 5

Inspection citations (85)5 immediate jeopardy4 actual harm

1. DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2025-12-04 · Health · corrected 2026-01-09

   Potential for more than minimal harm

2. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-12-04 · Health · corrected 2026-01-09

   Potential for more than minimal harm

3. DF0692Provide enough food/fluids to maintain a resident's health.2025-12-04 · Health · corrected 2026-01-09

   Potential for more than minimal harm

4. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-12-04 · Health · corrected 2026-01-09

   Potential for more than minimal harm

5. EF0880Provide and implement an infection prevention and control program.2025-12-04 · Health · corrected 2026-01-09

   Potential for more than minimal harm

6. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-10-02 · Health · corrected 2024-11-18

   Potential for more than minimal harm

7. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-10-02 · Health · corrected 2025-01-15

   Potential for more than minimal harm

8. DF0641Ensure each resident receives an accurate assessment.2024-10-02 · Health · corrected 2024-11-18

   Potential for more than minimal harm

9. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-02 · Health · corrected 2024-11-18

   Potential for more than minimal harm

10. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-02 · Health · corrected 2025-01-15

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

12. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-02 · Health · corrected 2025-01-15

    Actual harm

13. 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.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

14. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-02 · Health · corrected 2025-01-15

    Potential for more than minimal harm

15. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

16. DF0692Provide enough food/fluids to maintain a resident's health.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

17. 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.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

18. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

19. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

20. DF0732Post nurse staffing information every day.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

21. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

22. GF0760Ensure that residents are free from significant medication errors.2024-10-02 · Health · corrected 2024-11-18

    Actual harm

23. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

24. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

25. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-02 · Health · corrected 2024-11-18

    Potential for minimal harm

26. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

27. EF0880Provide and implement an infection prevention and control program.2024-10-02 · Health · corrected 2025-01-15

    Potential for more than minimal harm

28. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

29. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

30. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-10-02 · Health · corrected 2024-11-18

    Potential for more than minimal harm

31. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-10 · Health · corrected 2024-05-13

    Potential for more than minimal harm

32. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-10 · Health · corrected 2024-06-26

    Immediate jeopardy

33. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-10 · Health · corrected 2024-06-26

    Potential for more than minimal harm

34. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-10 · Health · corrected 2024-05-13

    Potential for more than minimal harm

35. CF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-04-10 · Health · corrected 2024-05-13

    Potential for minimal harm

36. DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-04-10 · Health · corrected 2024-05-13

    Potential for more than minimal harm

37. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

38. DF0562Provide immediate access to any resident.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

39. EF0578Honor 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.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

40. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

41. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

42. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

43. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

44. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2023-08-10 · Health · corrected 2022-12-01

    Potential for more than minimal harm

45. DF0610Respond appropriately to all alleged violations.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

46. JF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2023-08-10 · Health · corrected 2023-12-06

    Immediate jeopardy

47. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

48. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

49. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

50. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

51. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

52. DF0685Assist a resident in gaining access to vision and hearing services.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

53. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-10 · Health · corrected 2023-09-25

    Actual harm

54. 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.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

55. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

56. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

57. GF0692Provide enough food/fluids to maintain a resident's health.2023-08-10 · Health · corrected 2023-09-25

    Actual harm

58. 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.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

59. JF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-10 · Health · corrected 2023-12-06

    Immediate jeopardy

60. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

61. KF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-10 · Health · corrected 2023-09-25

    Immediate jeopardy

62. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

63. 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.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

64. KF0760Ensure that residents are free from significant medication errors.2023-08-10 · Health · corrected 2023-09-25

    Immediate jeopardy

65. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

66. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-08-10 · Health · corrected 2024-01-31

    Potential for more than minimal harm

67. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

68. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

69. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

70. FF0880Provide and implement an infection prevention and control program.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

71. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

72. FF0908Keep all essential equipment working safely.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

73. DF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

74. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

75. DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

76. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

77. DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

78. DF0946Provide training in compliance and ethics.2023-08-10 · Health · corrected 2023-12-06

    Potential for more than minimal harm

79. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

80. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-08-10 · Health · corrected 2023-09-25

    Potential for more than minimal harm

81. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-11-25 · Health · corrected 2020-01-21

    Potential for more than minimal harm

82. 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.2019-11-25 · Health · corrected 2020-01-21

    Potential for more than minimal harm

83. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-11-25 · Health · corrected 2020-01-21

    Potential for more than minimal harm

84. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-11-25 · Health · corrected 2020-01-21

    Potential for more than minimal harm

85. EF0880Provide and implement an infection prevention and control program.2019-11-25 · Health · corrected 2020-01-21

    Potential for more than minimal harm

Ownership

Other facilities in WILMINGTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.