Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Delmar Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to ensure timely reporting of multiple abuse allegations and an injury of unknown origin, as required by its abuse policy and regulatory standards. In separate incidents, a cognitively intact resident with depression and anxiety alleged that a CNA pulled their arm during brace application, a resident with metabolic encephalopathy reported a CNA smacked their hand during care, and one cognitively impaired resident reported that another resident struck a third cognitively impaired resident in the face, causing a bleeding lip. In addition, a resident with Alzheimer’s disease and severe cognitive impairment was found with unexplained bruises on the upper arm and thigh and could not describe how they occurred. In each case, staff did not immediately report the allegations or injury to supervisory personnel, and notifications to the Administrator and state survey agency were delayed beyond required timeframes.
A resident with chronic pain syndrome and moderate cognitive impairment had an active PRN oxycodone order. After an LPN had last administered the medication, the resident later requested the "little white pill," and the LPN discovered that the oxycodone card and narcotic sheet were missing from the narcotics lock box and the chart. The LPN confirmed in the electronic record that she was the last to give the PRN dose, reported the issue to the charge RN, and staff were unable to locate the medication or documentation, leaving an undetermined amount of oxycodone unaccounted for and resulting in misappropriation of the resident’s property.
The facility failed to follow its abuse investigation policy by not obtaining written statements from all involved and witness staff after two separate abuse-related incidents involving cognitively impaired residents. In one case, a resident with Alzheimer’s disease and severe cognitive impairment was found with unexplained bruising on the upper arm and thigh, and although specific nursing staff were identified as having cared for the resident, statements from some CNAs were missing from the investigation file. In another case, one severely cognitively impaired resident pulled another’s hair, causing scalp redness, but the facility again did not fully collect and document all required staff and witness statements as outlined in its abuse policy.
A resident with Alzheimer’s disease and cerebral atherosclerosis, and severe cognitive impairment, had an active order for lactobacillus capsules written as two capsules by mouth once daily without a specified strength. During the monthly MRR, the consultant pharmacist recommended adding the medication strength, but the order was never corrected and there was no documented physician response to the recommendation. An LPN could not locate a signed MRR for the resident, the pharmacist confirmed the recommendation had not been acted upon, and the physician later stated he would have agreed with the recommendation had he seen it. The DON and Administrator both acknowledged expectations that MRR recommendations be responded to and followed up in a timely manner, which did not occur in this case.
The facility failed to ensure a qualified Dietary Manager was in place, as the current DM lacked management training for the food service director position. Despite having management experience and a Serve Safe certificate, the DM's associate degree was in design and technology, not food service management. The Regional Corporate Consultant confirmed the deficiency.
The facility failed to maintain food safety standards, with issues such as inadequate plumbing in the dishwashing sink, poor condition of insulated dome plate covers, and lack of a cleaning schedule. Observations revealed improper sanitization practices and unclean kitchen conditions, including stained doors and a mouse trap covered in food debris. These deficiencies could lead to food-borne illness and cross-contamination for residents.
A resident's MDS assessment inaccurately listed bipolar disorder as a diagnosis, which was not supported by the resident's medical records. The MDS Coordinator admitted to mistakenly selecting this diagnosis, and both the DON and Administrator expected accurate MDS entries to ensure proper care. This error placed the resident at risk for unmet care needs.
Failure to Timely Report Allegations of Abuse and Injuries of Unknown Origin
Penalty
Summary
The deficiency involves the facility’s failure to ensure that staff immediately reported allegations of abuse and injuries of unknown origin to the Administrator/designee and that administrative staff timely reported these allegations to the state survey agency, as required by facility policy and federal and state law. The facility’s abuse policy required all alleged abuse, neglect, exploitation, mistreatment, injuries of unknown source, and misappropriation of resident property to be reported immediately, but not later than two hours after the allegation is made (or within 24 hours if not involving abuse or serious bodily injury), to the Administrator and appropriate state officials. Despite this, multiple incidents involving several residents were not reported in accordance with these timelines. One cognitively intact resident with major depressive disorder and anxiety alleged that a CNA intentionally pulled their arm while staff were applying a shoulder brace; an OT present acknowledged this as an allegation of abuse but did not report it, and the facility did not notify the state survey agency until the following day, beyond the required timeframe. Another resident with metabolic encephalopathy reported that a CNA had smacked their hand during care; the LPN who received the allegation did not immediately report it to the DON or manager on duty because she was unsure it constituted abuse and because the DON was occupied with another incident. In a separate incident, a resident with severe cognitive impairment reported that another cognitively impaired resident had hit a third cognitively impaired resident in the face, resulting in a busted and bleeding lip; staff, including the Activities Director and an LPN, became aware of the allegation on the day of the event, but the Administrator was not notified until two days later. In another case, a resident with Alzheimer’s disease and senile degeneration of the brain, who was severely impaired in decision-making and dependent on staff for activities of daily living, was found with yellow fading bruises on the right upper arm and left thigh, and the resident could not explain how the bruising occurred. This injury of unknown origin was not reported to the state survey agency until several days after it was discovered, contrary to the Administrator’s stated expectation that such injuries be reported within two hours. Across these incidents, staff either delayed or failed to immediately report allegations of abuse or injuries of unknown origin to supervisory staff and the state survey agency, resulting in noncompliance with the facility’s own abuse reporting policy and regulatory reporting requirements.
Misappropriation of Resident’s Controlled Pain Medication
Penalty
Summary
The facility failed to protect a resident from misappropriation of property when a prescribed controlled pain medication and its associated narcotic documentation went missing and could not be accounted for. The resident, who had chronic pain syndrome and moderate cognitive impairment with a BIMS score of 12, had an active order for oxycodone 5 mg by mouth every four hours as needed for pain. According to the resident’s record, the last documented administration of the as-needed oxycodone occurred on the evening of 07/03/2025. When the resident later requested the “little white pill,” the assigned LPN checked the narcotics lock box and found that the oxycodone medication card and the narcotic sheet were no longer present, despite having been there during the previous shift when the medication was last given. The LPN verified in the electronic record that she was the last person to administer the PRN oxycodone and then checked the resident’s chart, where she also could not locate the narcotic sheet. She reported the missing medication and documentation to the charge RN, who in turn notified the Administrator and DON. Staff searched for the oxycodone card and narcotic sheet but were unable to locate either, and the facility’s five-day report documented that an undetermined amount of oxycodone could not be found or accounted for. This sequence of events demonstrated that the resident’s controlled medication was wrongfully unaccounted for, constituting misappropriation of resident property as defined by the facility’s abuse, neglect, mistreatment, and misappropriation policy.
Failure to Obtain Required Staff Witness Statements in Abuse Investigations
Penalty
Summary
The deficiency involves the facility’s failure to follow its own abuse, neglect, mistreatment, and misappropriation policy by not obtaining required written statements from all involved and witness staff during abuse-related investigations. The facility policy states that when an incident or suspected incident of abuse is reported, the Administrator or designee will promptly and thoroughly investigate, including obtaining statements from involved staff and witnesses. For one resident with Alzheimer’s disease and senile degeneration of the brain, who was severely cognitively impaired and dependent on staff for activities of daily living, a five-day report documented unexplained bruising on the right upper arm and left thigh. The investigation file listed specific nursing staff, including an LPN and multiple CNAs, as having cared for the resident during the relevant time frame, but the file did not contain statements from two of the CNAs identified as involved staff. The deficiency also includes an incident involving two residents with severe cognitive impairment, one with senile degeneration of the brain and the other with Alzheimer’s disease and vascular dementia. A five-day report documented that one resident wheeled over to another resident and pulled the other resident’s hair, causing the second resident to yell and resulting in scalp redness without skin breakdown. This event was treated as an abuse-related incident under the facility’s policy, which requires collection of involved staff and witness statements as part of the investigation. However, the survey findings indicate that for this incident, as with the unexplained bruising case, the facility did not fully implement its abuse investigation procedures by failing to obtain and maintain statements from all involved staff and witnesses as required by its written policy.
Failure to Implement Pharmacist Medication Regimen Review Recommendation
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a consultant pharmacist’s medication regimen review (MRR) recommendation was implemented and appropriately followed up for one resident. Facility policy titled "Medication Regimen Review and Reporting" required the consultant pharmacist to review each resident’s medication regimen and medical chart at least monthly and for the facility to follow up on recommendations in a timely manner, including obtaining physician acceptance or rejection with documented rationale. Resident #37, admitted with diagnoses including Alzheimer’s disease and cerebral atherosclerosis and assessed as having severe cognitive impairment (BIMS score of 3), had an active order for lactobacillus capsules, two capsules by mouth once daily, related to cerebral atherosclerosis. The pharmacy MRR dated 09/02/2025 contained a recommendation to add a strength to the lactobacillus order because the existing order lacked a specified strength. Despite this recommendation, the order for lactobacillus was not corrected to include a strength, and there was no evidence that the physician had reviewed or responded to the pharmacist’s recommendation. The LPN Unit Manager was unable to locate an MRR with the physician’s signature for this resident, and the consultant pharmacist confirmed that the recommendation had not been acted upon and reiterated that every medication order must include a strength. The resident’s primary physician stated that if he had seen the recommendation, he would have signed it and agreed that lactobacillus is available in different strengths and the dosage should be specified. The DON stated she expected staff to maintain a copy of the signed MRR for each resident and that physicians should respond to pharmacist recommendations within a day or two, and the Administrator stated MRRs should be completed and followed up on in a timely manner, confirming that the pharmacist’s recommendation for this resident’s lactobacillus order was not followed up as required.
Deficiency in Dietary Manager Qualifications
Penalty
Summary
The facility failed to ensure that a qualified Dietary Manager (DM) was in place with the appropriate competencies and skills to carry out the functions of the food and nutrition service, potentially affecting all 82 residents. A review of the personnel file revealed that the DM, hired in the past five weeks, lacked management training for the food service director position, despite having several years of management experience in food service and a Serve Safe certificate. During an interview, the DM disclosed having an associate degree in design and technology, with no reference to food service management. The Regional Corporate Consultant confirmed the lack of management training and indicated that the DM would take the test to meet the management training requirements.
Inadequate Food Safety and Sanitation Practices
Penalty
Summary
The facility failed to maintain adequate food safety standards, as observed during a survey. The three-compartment sink used for dishwashing had inadequate plumbing, causing water to pour onto the kitchen floor, and lacked proper sanitizer levels. The dishwasher was inoperable, forcing staff to use the sink with makeshift drain stops made from rags. Insulated dome plate covers were found to be in poor condition, with missing knobs exposing insulation and leaking dirty water. Additionally, the kitchen was not maintained in a clean manner, with peeling paint, food splashes, and dust accumulation observed. There was no cleaning schedule in place to address these issues. Further observations revealed improper sanitization practices, such as using a washcloth from the floor to clean dishes and inadequate sanitizer levels in cleaning solutions. The kitchen doors were stained and sticky, and a mouse trap behind the stove was covered in food debris. Interviews with staff confirmed the lack of a cleaning schedule and the absence of work orders for necessary repairs. These deficiencies have the potential to contribute to food-borne illness and cross-contamination for the 82 residents in the facility.
Inaccurate MDS Assessment for Resident
Penalty
Summary
The facility failed to ensure that a resident's Minimum Data Set (MDS) assessment accurately reflected the resident's status. Specifically, the MDS for one resident indicated a diagnosis of bipolar disorder, which was not supported by the resident's medical records. The resident's medical records, including the Resident Face Sheet and Mental Health Progress notes, documented diagnoses of major depressive disorder, anxiety disorder, and adjustment disorder with mixed anxiety and depression, but not bipolar disorder. The resident herself confirmed that she had never been diagnosed with bipolar disorder. The MDS Coordinator acknowledged the error, stating that she mistakenly selected bipolar disorder as an active diagnosis for the resident. The Director of Nursing and the Administrator both expressed that it was their expectation that the MDS accurately reflect the resident's current diagnoses to ensure appropriate care. This inaccuracy in the MDS placed the resident at risk for inaccurate and unmet care needs.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Delmar
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Deer's Head Center | 5.3 mi | ★★★★★ | 10 | 0 |
| Wicomico Nursing Home | 5.9 mi | ★★★★★ | 13 | 0 |
| Bay Harbor Post Acute Healthcare Center | 5.9 mi | ★★★★★ | 15 | 2 |
| Anchorage Rehabilitation And Wellness Center | 6.5 mi | ★★★★★ | 28 | 0 |
| Seaford Center | 12.8 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.