Smyrna, Delaware · CCN 085035 · Phone: 3022231500 · 175 beds · Ownership: Government - State
Delaware Hospital F/T Chronically Ill (Dhci) is a Medicare-certified skilled nursing facility (CCN 085035) in Smyrna, Delaware. It holds a CMS overall Five-Star rating of 2 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 53/100 (Material Gaps).
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Delaware Hospital F/T Chronically Ill (Dhci) is a Medicare- and Medicaid-certified skilled nursing facility in Smyrna, Delaware, operating under CMS Certification Number (CCN) 085035. 175-bed facility. Government - State. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Delaware Hospital F/T Chronically Ill (Dhci) has held its Medicare/Medicaid certification for approximately 37 years (certification date on file: 1989-01-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Kent County): Delaware Hospital F/T Chronically Ill (Dhci) operates in Kent County alongside 6 other Medicare-certified SNFs in our Delaware cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★★★ (5 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Special Focus Facility status: Delaware Hospital F/T Chronically Ill (Dhci) appears on the CMS Special Focus Facility list (status: SFF Candidate). SFF designation is reserved for facilities with a persistent pattern of substandard quality of care — typically high deficiency counts across consecutive surveys. CMS conducts a standard survey approximately every six months on SFF facilities (vs. up to fifteen months for non-SFF) and tracks two consecutive improved surveys as the exit criterion. Facilities that fail to improve over 18-24 months on the SFF list face termination of their Medicare provider agreement under 42 CFR 488.456.
Recent health deficiencies cited at last standard survey: 10. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Delaware Hospital F/T Chronically Ill (Dhci) received 2 CMS fines totaling $59,947. Last documented standard health survey: 2026-01-09. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 207.75. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Total enforcement penalties assessed in the most recent reporting window: $2. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
Delaware Hospital F/T Chronically Ill (Dhci) already meets the cadre-specific minimums scheduled to take effect on the May 2027 timeline under 89 FR 40876 (RN 2.55 HPRD vs the 0.55 floor; nurse-aide 5.599 HPRD vs the 2.45 floor). The constraint going forward is sustaining these levels under turnover pressure.
Total nurse staffing: 9.914 hours per resident day (HPRD), which is 6.43 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for non-rural facilities by May 2027.
Staffing mix: RN 2.55 HPRD, LPN 1.765 HPRD, CNA 5.599 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2027 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 1.74 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Total nurse staff turnover: 16.8% annualized — low.
RN-specific turnover: 30.2% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.
Delaware Hospital F/T Chronically Ill (Dhci) is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as urban (within a metropolitan statistical area). Urban SNFs typically face higher acuity post-acute admissions, more competitive labor markets, and stricter local-jurisdiction infection control requirements layered on top of federal CoPs.
Peer comparisons use a same-state cohort of 44 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Delaware Hospital F/T Chronically Ill (Dhci) is 53/100 (Material Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Delaware Hospital F/T Chronically Ill (Dhci) (CCN 085035) holds a CMS overall Five-Star rating of 2 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Delaware Hospital F/T Chronically Ill (Dhci) is a Medicare-certified skilled nursing facility (CMS Certification Number 085035) in Smyrna, Delaware.
FileFlo scores Delaware Hospital F/T Chronically Ill (Dhci)'s CMS survey-readiness at 53/100 (Material Gaps). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Delaware Hospital F/T Chronically Ill (Dhci) is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Delaware Hospital F/T Chronically Ill (Dhci) — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile