Delaware Hospital F/T Chronically Ill (Dhci) — nursing home in Smyrna, DE

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 175 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 69.7 CMS, MDS-derived
CMS Certification Number: 085035
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1989
Ownership type: Government - State
Operator (legal business name): State of Delaware
CMS chain: Not part of a CMS-reported chain
Phone: (302) 223-1500
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jan 9, 2026

Citations

16

11 health · 5 fire

Harm or worse

3

3 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K1	L·
Actual harm	G·	H·	I·
Potential harm	D7	E2	F4
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$59,947

Payment denials

0

Latest

Oct 3, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 085035
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 175
First approved: Jan 1, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Delaware.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 9, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jan 9, 2026	Health	Health Standard	9	Immediate jeopardy	—	Open →
Oct 3, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Feb 24, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Dec 12, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Dec 12, 2024	Health	Health Standard	0	No citations	—	Open →
Jan 10, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jan 10, 2024	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Oct 3, 2025	Civil money penalty (fine)	$42,602	—	085035\|Fine\|136019
Feb 24, 2025	Civil money penalty (fine)	$17,345	—	085035\|Fine\|6118

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K1	L·
Actual harm	G·	H·	I·
Potential harm	D7	E2	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 9, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Feb 23, 2026
Jan 9, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 23, 2026
Jan 9, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 23, 2026
Jan 9, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 23, 2026
Jan 9, 2026	F-0700	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 23, 2026
Jan 9, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 23, 2026
Jan 9, 2026	F-0803	Ensure 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 23, 2026
Jan 9, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 23, 2026
Jan 9, 2026	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 23, 2026
Oct 3, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Nov 17, 2025	Complaint
Feb 24, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Mar 24, 2025	Complaint
Dec 12, 2024	E-0018	Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jan 31, 2025
Dec 12, 2024	E-0020	Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 31, 2025
Dec 12, 2024	E-0023	Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 31, 2025
Dec 12, 2024	E-0031	Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jan 31, 2025
Dec 12, 2024	E-0036	Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jan 31, 2025

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.7

Staffingstate 4

Quality measuresstate 4

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing10.57

State avg 4.48US avg 3.90

Registered nurse (RN)2.82

State avg 1.00US avg 0.69

Licensed practical nurse1.85

State avg 1.00US avg 0.86

Nurse aide5.90

State avg 2.48US avg 2.35

Weekend total nurse8.51

State avg 3.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 11.71 (case-mix index 1.26).

Staff turnover

Total nursing staff turnover15.5%

State avg 40.4%US avg 45.3%

Registered nurse turnover25.6%

State avg 40.5%US avg 42.5%

Administrators who leftNot reported

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jan 9, 2026
Cycle 1 health score: 252
Total weighted score: 207.75

Operating entity

State of Delaware

CMS legal business name of the certified provider. Operates 2 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

10

Organizations

1

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
State of Delaware	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 1983

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
State of Delaware	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 1983
Laureen Cahall	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 25, 2026
Geraldine Stewart	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2025
Tammy Teeter	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 2, 2019
Geraldine Stewart	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2025
State of Delaware	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 1983
Laureen Cahall	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 25, 2026
Curtis Harris	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 23, 2026
Geraldine Stewart	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 25, 2026
Tammy Teeter	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 2, 2019

Other facilities operated by State of Delaware

All 1 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Delaware Veterans Home 100 Delaware Veterans Blvd, Milford, DE 19963 CCN 085051Abuse icon	144		Mar 12, 2026	222 harm	$88k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 100 Sunnyside Road, Smyrna, DE 19977
ZIP: 19977
County: Kent County FIPS 10001
State: Delaware
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Evergreen Post Acute 3034 South Dupont Blvd, Smyrna, DE 19977 CCN 085020	3.4 km	151	May 11, 2026	717 harm	$94k
Westminster Village Health 1175 Mckee Road, Dover, DE 19904 CCN 085032	13.5 km	75	Dec 16, 2025	352 IJ	$30k
Complete Care at Silver Lake LLC 1080 Silver Lake Blvd, Dover, DE 19904 CCN 085027	13.6 km	120	Jan 23, 2026	341 harm	$48k
Cadia Rehabilitation Capitol 1225 Walker Road, Dover, DE 19904 CCN 085048	14.3 km	120	Jan 27, 2026	321 IJ1 harm	$8,018
Center at Eden Hill, LLC 300 Banning Street, Dover, DE 19904 CCN 085057	16.3 km	80	May 22, 2026	23	—
Bay Terrace Rehabilitation and Health Center 889 South Little Creek Road, Dover, DE 19901 CCN 085019	17.1 km	85	Apr 23, 2026	391 IJ1 harm	$35k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	085035	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	085035	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 085035

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction