Kent County, Delaware · Nursing home
Delaware Hospital F/t Chronically Ill (dhci)
2 of 5 overall from CMS
100 Sunnyside Road, Smyrna, DE 19977
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 10.25 hours Above the state average of 4.35
- Nursing staff who left in a year 17.5% Below the state average of 41.3%
- Health citations, last 3 inspection cycles 11 3 at the harm level or above
- Fines in 3 years $59,947 2 fines
- Certified beds in use 41.7% of 175 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Delaware Hospital F/t Chronically Ill (dhci) is a 175-bed nursing home in Smyrna, Delaware (Kent County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 10.25 nurse staffing hours per resident per day, above the Delaware average of 4.35. CMS lists 2 fines totaling $59,947 in the past three years.
- Certified beds
- 175
- Residents per day (average)
- 73.0
- Certified since
- 1989 (37 yrs)
Government - State Participates in Medicare and MedicaidCMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Delaware Hospital F/t Chronically Ill (dhci)
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 2 fines totaling $59,947 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 8.54 hours per resident on weekends against 10.25 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Delaware average 3.2
- Health inspections 1 of 5 Delaware average 2.7
- Staffing 5 of 5 Delaware average 4.0
- Quality measures 4 of 5 Delaware average 4.0
The vertical line marks the Delaware average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 10.25 h Delaware average 4.35
- Nurse aides 5.72 h Delaware average 2.40
- Licensed practical nurses 1.68 h Delaware average 0.98
- Registered nurses 2.85 h Delaware average 0.97
- All staff, weekends 8.54 h Delaware average 3.89
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Delaware average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover17.5%
- Delaware average41.3%
- Registered nurse turnover29.5%
- Delaware average41.2%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Delaware and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Delaware | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.7% | 12.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.8% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.5% | 2.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 10.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.3% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 70.4% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 7.2% | 13.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.2% | 21.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% | 97.4% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.8% | 3.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.0% | 20.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.2% | 10.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.58 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.17 | 1.40 | 1.78 |
Short-stay residents
| Measure | This home | Delaware | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.5% | 83.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 83.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 23.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 11 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level; the rest were graded as no actual harm. 2 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jan 9, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 9, 2026 | 10 | 0 |
| Dec 12, 2024 | 1 | 5 |
| Jan 10, 2024 | 0 | 0 |
Delaware homes averaged 10.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (11)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2026)
-
FPotential for more than minimal harm, widespread
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 · Deficient, Provider has date of correction (Feb 23, 2026)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Feb 23, 2026)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 23, 2026)
Show 6 more
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 23, 2026)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 17, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2025)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 3, 2025 | Fine | $42,602 |
| Feb 24, 2025 | Fine | $17,345 |
Delaware homes averaged 1.5 fines and $67,512 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Delaware
- Size5 of 44 by certified beds
- Delaware average residents per day90.1
- ChainNone listed
- Resident or family councilResident
- Homes in Kent County7
Common questions
What is the CMS star rating for Delaware Hospital F/t Chronically Ill (dhci)?
Delaware Hospital F/t Chronically Ill (dhci) has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 4.
How many beds does Delaware Hospital F/t Chronically Ill (dhci) have?
Delaware Hospital F/t Chronically Ill (dhci) has 175 certified beds. It averages 73.0 residents per day, about 41.7% of its certified beds.
How much nursing care do residents get at Delaware Hospital F/t Chronically Ill (dhci)?
The home reports 10.25 hours of nurse staffing per resident per day, including 2.85 hours from registered nurses. The Delaware average is 4.35 hours and 0.97 hours from registered nurses.
Has Delaware Hospital F/t Chronically Ill (dhci) been fined?
Yes. CMS lists 2 fines totaling $59,947 in the past three years.
Does Delaware Hospital F/t Chronically Ill (dhci) accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Evergreen Post Acute 151beds 91.2%in use 3.71nurse hours a day
- 4 of 5 Westminster Village Health 75beds 72.9%in use 4.33nurse hours a day
- 3 of 5 Complete Care at Silver Lake LLC 120beds 97.2%in use 3.75nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Kent County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 085035. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.