# Delaware Hospital F/T Chronically Ill (Dhci)

Delaware Hospital F/T Chronically Ill (Dhci) is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Smyrna, DE, CMS Certification Number 085035, with 175 certified beds and about 70 residents per day. CMS rates it 2/5 overall (health inspections 1/5, staffing 5/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 100 Sunnyside Road, Smyrna, DE 19977 (Kent County)
- Ownership type: Government - State

- Operator (legal business name): [State of Delaware](https://carefield.site/operator/op-state-of-delaware)
- CMS chain: not part of a CMS-reported chain
- CMS Special Focus program: SFF Candidate

- Phone: 3022231500
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/085035

## Inspection record
8 inspections in the CMS window (latest 2026-01-09); 16 citations (11 health, 5 fire safety); 0 at actual harm and 3 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-01-09 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected
- 2025-10-03 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2025-02-24 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2026-01-09 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-09 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-09 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-09 — [F-0700](https://carefield.site/deficiency/cms-f0700) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-09 — [F-0755](https://carefield.site/deficiency/cms-f0755) Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-09 — [F-0803](https://carefield.site/deficiency/cms-f0803) 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. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-09 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-09 — [F-0883](https://carefield.site/deficiency/cms-f0883) Develop and implement policies and procedures for flu and pneumonia vaccinations. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-12-12 — [E-0018](https://carefield.site/deficiency/cms-e0018) Establish procedures for tracking staff and patients during an emergency. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-12-12 — [E-0020](https://carefield.site/deficiency/cms-e0020) Establish policies and procedures including evacuation. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-12-12 — [E-0023](https://carefield.site/deficiency/cms-e0023) Establish policies and procedures for medical documentation. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-12-12 — [E-0031](https://carefield.site/deficiency/cms-e0031) Provide emergency officials' contact information. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-12-12 — [E-0036](https://carefield.site/deficiency/cms-e0036) Establish emergency prep training and testing. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected

## Penalties
- 2025-10-03 — Civil money penalty (fine): $42,602
- 2025-02-24 — Civil money penalty (fine): $17,345

## Staffing (PBJ, hours per resident per day)
- Total nurse: 10.57455 (state avg 4.47967, US 3.90085)
- RN: 2.81655
- Nursing staff turnover: 15.5%

## Owners and managers of record (CMS disclosures)
- [State of Delaware](https://carefield.site/owner/org-state-of-delaware) — Indirect owner, since 1983-09-01
- Laureen Cahall — Operational / managerial control, since 2026-03-25
- Geraldine Stewart — Operational / managerial control, since 2025-03-01
- Tammy Teeter — Operational / managerial control, since 2019-12-02

## Nearby nursing homes
- [Evergreen Post Acute](https://carefield.site/facility/cms-085020) — 3.4 km, CMS overall 2/5
- [Westminster Village Health](https://carefield.site/facility/cms-085032) — 13.5 km, CMS overall 4/5
- [Complete Care at Silver Lake LLC](https://carefield.site/facility/cms-085027) — 13.6 km, CMS overall 4/5
- [Cadia Rehabilitation Capitol](https://carefield.site/facility/cms-085048) — 14.3 km, CMS overall 3/5
- [Center at Eden Hill, LLC](https://carefield.site/facility/cms-085057) — 16.3 km, CMS overall 5/5
- [Bay Terrace Rehabilitation and Health Center](https://carefield.site/facility/cms-085019) — 17.1 km, CMS overall 3/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=085035&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=085035&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=085035&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=085035&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=085035&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=085035&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-085035 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.