Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Encore At Foulk during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, dementia, and schizophrenia was dependent on staff for eating assistance and was identified as being at nutrition/hydration risk. Staff observed the resident sleeping late in the morning, and the breakfast tray was later found untouched while the resident was out of the room with family. The family member stated no one asked whether the resident had eaten breakfast.
Failure to Provide Ordered Valproic Acid Monitoring: A resident with MS and a mood disorder received Divalproex Sodium, but ordered valproic acid trough monitoring was not documented as completed on schedule. The record lacked evidence of the required 6-month trough level, a pharmacy consult noted the missing trough concentration, and later lab documentation did not show that the ordered valproic acid trough was completed as ordered. The DON stated the resident’s July 2025 6-month trough results could not be found.
A resident was transferred to the hospital due to a decline in physical and mental condition, but the facility failed to provide written notification to the resident and the resident's representative, only providing verbal communication. This deficiency was confirmed during an interview with a staff member and reviewed with facility leadership.
The facility failed to update the medication label for quetiapine (Seroquel) for a resident, resulting in a discrepancy between the label and the new order. The LPN confirmed the label should have been updated, and another LPN explained the process for handling medication changes.
The facility failed to maintain appetizing food temperatures for food trays delivered to residents on the third floor. A resident reported that her food is consistently delivered cold. The surveyor observed the food plating process and delivery, noting that the food temperatures were below acceptable levels, making the food unpalatable despite its appetizing presentation. These findings were reviewed with the facility's DON, ADON, and Corporate Clinical Specialist.
Failure to Offer Meal or Eating Assistance
Penalty
Summary
The facility failed to ensure that one resident, R21, was offered a meal or assistance with eating. R21 was admitted with diagnoses including paranoid schizophrenia and dementia, and the admission MDS documented a BIMS score of 3, indicating severe cognitive impairment. The MDS also documented that R21 was dependent on staff for assistance with eating. The care plan identified R21 as being at nutrition/hydration risk related to significant weight loss prior to admission and directed staff to assist with meals for optimal intake and monitor oral intake of food and fluid. On the morning of the observation, R21 was seen lying in bed sleeping at 8:39 AM and again at 9:34 AM. At 9:47 AM, a CNA entered R21's room, and at 10:07 AM the CNA brought R21 out of the room after stating she was assigned to the second floor and had come to the third floor to assist R21. At 10:15 AM, R21's family member was observed pushing R21 in a wheelchair down the hallway. At 10:36 AM, R21's breakfast tray was observed on a third-floor dining room table with a covered and untouched plate of food. During interview, the family member stated that no one asked whether R21 had eaten breakfast and that it was already time for lunch.
Failure to Provide Ordered Valproic Acid Monitoring
Penalty
Summary
The facility failed to provide timely laboratory services for one resident, R23, who was admitted with diagnoses including multiple sclerosis and a mood disorder and had a physician order for Divalproex Sodium twice daily. On 7/24/24, a physician ordered valproic acid trough monitoring in the next lab day and every 6 months thereafter, but the resident’s record lacked evidence that the valproic acid levels were monitored as ordered by 7/28/25. A pharmacy consultation report dated 12/5/25 documented that R23 received Divalproex Sodium but did not have a trough concentration documented in the medical record, and a handwritten physician note stated, “Valproic trough today 1/5/2026.” A physician order for a one-time valproic acid trough was entered on 1/5/26, and a laboratory report later documented a valproic acid test collected on 1/29/26; however, the record lacked evidence that the valproic acid trough level was laboratory tested as ordered. During interview, the DON stated that R23’s July 2025 six-month valproic acid trough lab results could not be found.
Failure to Provide Written Notification of Hospital Transfer
Penalty
Summary
The facility failed to notify a resident and the resident's representative in writing about the resident's transfer to the hospital, including the reason for the transfer. The resident was admitted to the facility on 1/11/24 and transferred to the hospital on 1/16/24 due to a decline in physical and mental condition. During an interview on 2/22/24, a staff member stated that only verbal communication was provided to the resident's representative regarding the hospital transfer. This finding was reviewed with the Director of Nursing, Interim Nursing Home Administrator, Assistant Director of Nursing, and Clinical Specialist on 2/26/24.
Failure to Update Medication Label
Penalty
Summary
The facility failed to provide accurate labeling for medications, which is essential for safe administration. During an observation, it was noted that the medication packet label for quetiapine (Seroquel) for one resident was not updated to reflect a new order that changed the administration frequency from three times a day to two times a day. The Licensed Practical Nurse (LPN) confirmed that the label should have been updated. Another LPN revealed that the nurse who receives the communication about a medication change is responsible for placing an FYI label on the medication packet until a new blister pack with the updated label is provided by the pharmacy. The change is also documented in a communication log book and communicated to each shift for multiple days to ensure awareness.
Failure to Maintain Appetizing Food Temperatures
Penalty
Summary
The facility failed to maintain appetizing food temperatures for food trays delivered to residents on the third floor. A resident, who takes all her meals in her room, reported that her food is consistently delivered cold. On a specific date, the surveyor observed the food plating process in the kitchen and the delivery of food trays to the third floor. The food truck arrived on the third floor, and the surveyor, along with the Food Service Director, observed the delivery of food trays to various rooms, including the resident's room. The temperatures of the test tray items were recorded, showing that the salmon was at 121°F, the rice at 118°F, the soup at 123°F, and the vegetables at 127°F. The surveyor tasted the food and found it to be presented in an appetizing manner but unpalatable due to being cool. These findings were reviewed with the facility's DON, ADON, and Corporate Clinical Specialist during the exit conference.
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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 Wilmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wilmington Nursing & Rehabilitation Center | 0.7 mi | — | 26 | 2 |
| Cadia Rehabilitation Silverside | 1.1 mi | ★★★★★ | 7 | 0 |
| Encore At Wilmington | 1.5 mi | ★★★★★ | 0 | 0 |
| Kutz Rehabilitation And Nursing | 2.8 mi | ★★★★★ | 3 | 0 |
| Kentmere Rehabilitation And Healthcare Center | 2.9 mi | ★★★★★ | 5 | 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.