Delaware Hospital for the Chronically Ill (DHCI) is a very-large government-owned nursing home located in Smyrna, Delaware. This turns out to be a grade A facility, which is a phenomenal score. We were so impressed with this facility that we ranked it in the top ten percent of all nursing homes nationally. This facility was also given strong scores in all of our categories. More information about these categories can be found below.
Delaware Hospital for the Chronically Ill (DHCI)
Updated May 1, 2022 by Nick Lata
100 Sunnyside Road,
Smyrna DE 19977
41.65% estimated occupancy 1
In addition to receiving a great overall grade, this nursing home received an A+ for nursing. When determining a nursing home's nursing rating, we consider the amount of time nurses are seeing patients as well as the skill levels of the nurses. This facility provided 10.4 hours of nursing care per resident on a daily basis, which is among the highest figures in the country. A significant percentage of those hours were provided by registered nurses, which are one of the more skilled levels of nurses. We were really impressed by these figures. In addition to providing impressive levels of nursing care, this place was also above average in each of the major quality measures we assessed in this category. It performed well when it comes to avoiding major falls and pressure ulcers.
Short-term Care Quality
This facility also was awarded a high-end short-term care grade. This actually turned out to be this facility's second best category score. In that category, this facility received a grade of A. Short-term care scores are crucial for prospective residents needing rehabilitation. Rehabilitation typically utilizes additional highly-skilled nursing services. Skilled nursing means a wide scope of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other variations of therapy. One of this facility's strengths is registered nurse hours. We found that it offers more care from registered nurses than most nursing homes. The final statistic we assessed in this area is the number of patients that ultimately were able to return home from the facility. We found that 0 percent of this nursing home's patients returned home as opposed to remaining at the nursing home permanently.
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Racking up yet another strong category grade, this facility also excelled in the area of inspections, where it received an A-. Few facilities fared better in this category. We take several aspects of a facility's inspection report into consideration in determining our inspection scores. One key factor is deficiencies. You should keep in mind that the severity of deficiencies is usually more meaningful than the quantity of deficiencies, as some can be quite insignificant. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Even some of the best nursing homes receive an occasional ding on their inspection report.
Long-term Care Quality
Moving on to our fourth category, this facility was given a highly favorable long-term care rating. We awarded it a grade of A- in this category, giving this facility straight A's. Nursing homes that do well in this category typically are well-staffed and offer extensive hands on care to patients. After considering the significant amount of nursing care provided by this nursing home, we then analyzed the nursing home's vaccination data. This nursing home vaccinated 97.790054 percent of its residents for pneumonia, which is significantly higher than the majority of nursing homes. This combination proved to be successful as this facility was able to keep its residents out of the hospital. It had only 1.53 hospitalizations per 1,000 long-term resident days.
Rating Over Time
Compared to national and state averages across all facilities.
Delaware Hospital for the Chronically Ill (DHCI) Quality Metrics
Minimizes Pressure Ulcers
In Delaware Hospital for the Chronically Ill (DHCI), 5.84% of Patients had Pressure Ulcers
This indicates the percentage of long-term care patients who suffer from pressure ulcers or bed sores. We use this statistic in calculating our nursing grades.
Minimizes Serious Falls
In Delaware Hospital for the Chronically Ill (DHCI), 3.46% of Patients had Serious Falls
This tells you the percentage of residents who have had a major fall. Falls leading to major injuries are often caused by lower quality nursing care. Better nursing protocols can minimize the percentage of residents in a nursing home who sustain major falls.
Minimizes Urinary Tract Infections
In Delaware Hospital for the Chronically Ill (DHCI), 1.84% of Patients had UTIs
This figure is an indication of the percent of long-term stay residents who suffered from a urinary tract infection. While a higher rate of these infections could reflect poorly on a nursing home's nursing care, it is problematic to compare between facilities due to facilities having varying reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Delaware Hospital for the Chronically Ill (DHCI), 11.43% of Patients use Anti-Psychotic Medication
This indicates the percent of residents prescribed antipsychotic drugs. Antipsychotic drugs are given to patients for many conditions, such as Alzheimer's or other dementias. Tragically, in limited situations, high levels of antipsychotic drug use may indicate that a nursing home is using these medications to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Delaware Hospital for the Chronically Ill (DHCI), 19.98% of Patients use Anti-Anxiety Medication
This is a measure of the percent of long-term patients receiving antianxiety medications.
Managing Depression Among Residents
In Delaware Hospital for the Chronically Ill (DHCI), 3.3% of Patients
This is the percentage of residents who are demonstrating symptoms of depression. Increased levels of depression may imply a lower level of care.
Appropriate Vaccine Usage
In Delaware Hospital for the Chronically Ill (DHCI), 94.28% of Patients
This is the percent of patients who were given the pneumonia and flu vaccines. High vaccination rates should be standard at this point.
Residents Maintain Autonomy
In Delaware Hospital for the Chronically Ill (DHCI), 15.27% Percentage of Patients
This indicates the percent of residents that needed more assistance with activities of daily living over time.
Ability to Keep Residents Mobile
In Delaware Hospital for the Chronically Ill (DHCI), 22.13% Percentage of Residents
This datapoint is a measure of the percent of long-term patients who remained mobile levels.
In Delaware Hospital for the Chronically Ill (DHCI), 1.35 Hospitalizations per 1,000 resident days
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care. Keeping residents out of the hospital is important to maintaining the physical well-being of residents.
Short-term Care: Rehospitalizations
In Delaware Hospital for the Chronically Ill (DHCI), 22.13 Percentage of Residents Rehospitalized
This is a measure of the number of times residents are rehospitalized per thousand days of short-term care. Staying out of the hospital during rehabilitation is critical to restoring the health of patients.
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