Delaware Hospital F/t Chronically Ill (Dhci)
Nursing home in Smyrna, DE
Medicare & Medicaid certified2★ overall (CMS)SFF candidate (CMS)
Public-record details
- Address
- 100 Sunnyside Road, Smyrna, DE 19977
- Phone
- (302) 223-1500
- Listed under
- Government-owned
- Medicare CCN
- 085035
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 5 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 175
- Average residents per day
- 73
- Ownership
- Government, state
- Legal business name
- State of Delaware
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 1, 1989
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jan 9, 2026. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 24, 2025 to Jan 9, 2026): 2 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.
| Inspection | Citation | Severity |
|---|---|---|
| Jan 9, 2026 | Ensure each resident receives an accurate assessment. | D |
| Jan 9, 2026 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Jan 9, 2026 | 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… | D |
| Jan 9, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Jan 9, 2026 | Provide and implement an infection prevention and control program. | D |
| Jan 9, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| Jan 9, 2026 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| Jan 9, 2026 | 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. | F |
| Jan 9, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| Oct 3, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| Feb 24, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
Fines and payment denials
CMS records 2 fines totalling $59,947 in the last three years.
| Oct 3, 2025 | Fine: $42,602 |
| Feb 24, 2025 | Fine: $17,345 |
Staffing
- Total nurse staffing per resident per day
- 10.25 hours
- Registered nurse (RN) time per resident per day
- 2.85 hours
- Nurse aide time per resident per day
- 5.72 hours
- Total nurse staffing on weekends
- 8.54 hours
- Nursing staff turnover (yearly)
- 18%
- RN turnover (yearly)
- 30%
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.