Bay Terrace Rehabilitation and Health Center
889 South Little Creek Road · Dover, DE · 19901 · 3026740566
85 certified beds For profit - Limited Liability company Chain: Prestige Healthcare Administrative Services
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $42,862 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.83 | 0.55–0.75 |
| Weekend hours / resident-day | 4.01 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 3 · $42,862 |
Inspection citations (40 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2026 · found via complaint
Respond appropriately to all alleged violations.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Immediate jeopardy · J February 24, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 23, 2026 · Resident Rights
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Potential for harm · D February 19, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D February 19, 2025
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D February 19, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D February 19, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D February 19, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · E February 19, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 10, 2025 · Pharmacy Service
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Potential for harm · D February 19, 2025
Provide or obtain dental services for each resident.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · E February 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2025 · Nutrition and Dietary
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Potential for harm · D February 19, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 10, 2025 · Quality of Life and Care
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No harm found · C February 19, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 10, 2025 · Pharmacy Service
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Actual harm · G December 2, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 20, 2025 · Quality of Life and Care
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Potential for harm · D December 2, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 20, 2025 · Resident Rights
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Potential for harm · D December 2, 2024 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 20, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 24, 2026 | Fine | $22,925 |
| April 11, 2025 | Fine | $9,113 |
| December 2, 2024 | Fine | $10,824 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085019 · certified since May 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.