Wilmington Nursing & Rehabilitation Center

700 Foulk Road · Wilmington, DE · 19803 · 3027640181

138 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $212,076 in fines in the last 24 months.
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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.

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

5 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$212,076 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 21
Serious harm & abuse 20% 56
Staffing 20% 69
Federal penalties 15% 0
Trend 10% 92
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day3.743.48 min · 4.1 strong
RN hours / resident-day0.560.55–0.75
Weekend hours / resident-day3.20≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)3 · $408,742

Inspection citations (91 in the current record)

  • Potential for harm · D December 4, 2025 · found via complaint

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected January 9, 2026 · Administration

  • Potential for harm · E December 4, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 9, 2026 · Resident Rights

  • Potential for harm · D December 4, 2025

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected January 9, 2026 · Resident Rights

  • Potential for harm · D December 4, 2025

    Ensure each resident receives an accurate assessment.

    Corrected January 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · D December 4, 2025

    Provide activities to meet all resident's needs.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · D December 4, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · D December 4, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · D December 4, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected January 9, 2026 · Pharmacy Service

  • Potential for harm · D December 4, 2025

    Provide or obtain dental services for each resident.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · D December 4, 2025 · found via complaint

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Corrected January 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2025 · found via complaint

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · D December 4, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · E December 4, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 9, 2026 · Infection Control

  • No harm found · C December 4, 2025

    The resident has the right to receive notices in a format and a language he or she understands.

    Corrected January 9, 2026 · Resident Rights

  • Actual harm · G October 2, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected November 18, 2024 · Pharmacy Service

  • Actual harm · G October 2, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 15, 2025 · Quality of Life and Care

  • Potential for harm · D October 2, 2024 · found via complaint

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Corrected November 18, 2024 · Nutrition and Dietary

  • Potential for harm · D October 2, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected November 18, 2024 · Environmental

  • Potential for harm · D October 2, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected November 18, 2024 · Resident Rights

  • Potential for harm · D October 2, 2024

    Ensure each resident receives an accurate assessment.

    Corrected November 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 2, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 2, 2024

    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 November 18, 2024 · Quality of Life and Care

  • Potential for harm · E October 2, 2024

    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 November 18, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 2, 2024Fine$212,076
October 2, 2024Payment Denial38 days
April 10, 2024Fine$20,071
April 10, 2024Payment Denial43 days
August 10, 2023Fine$176,595
August 10, 2023Payment Denial117 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085028 · certified since July 23, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.