With an address in Smyrna, Delaware, Delaware Hospital for the Chronically Ill (DHCI) is one of a mere two nursing homes in the area. Featuring an overall rating of A+, this nursing home is clearly an elite facility. Based on our ratings, you can not go wrong with this nursing home. If you look below, you will see this nursing home's category ratings, which appear to be equally impressive as its overall grade.
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Delaware Hospital for the Chronically Ill (DHCI)
- Nursing Home
- Home Health Agency
- For people with disabilities
Updated Apr 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- Is CCRC
- Has Resident Council
- No Family Council
- Government - State
- Offers Hospice
- Offers Respite Care
- Offers Inpatient Rehab
- Personal Care
- Home Making
- Nutritional Counseling
- Recreational Therapy
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Top Nursing Home in Delaware Awards 2019
Best Nursing Home in Smyrna, Delaware Awards 2019
Top Nursing Home in Delaware Awards 2020
Best Nursing Home in Smyrna, Delaware Awards 2020
Top Nursing Home in Delaware Awards 2021
Best Nursing Home in Smyrna, Delaware Awards 2021
In addition to a phenomenal overall grade, this facility also received A+ nursing grade. The nursing grade weighs a handful of subcategories, many of which are tied to nursing hours. This facility provided 0.9 hours of nursing care per resident per day. Finally, we also looked at several nursing quality-based metrics and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home Delaware in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be prevented by offering better nursing care, such as by employing a system of moving residents more often.
Long-term Care Quality
This nursing home also was elite in the area of long-term care, where we gave it a score of A. Only a select group of nursing homes performed better in this area. When facilities receive this kind of grade in this category it is a good sign for patient care and indicates that the nursing home is well-staffed with nurses and aids. After we finished assessing the amount of care provided by nurses, we then looked at the nursing home's vaccination data. This nursing home vaccinated 95.05814 percent of its residents for pneumonia, which is very impressive. Pneumonia is often a dangerous illness for nursing home patients so we strongly prefer when a facility does not roll the dice on this issue. Clearly, this nursing home is doing something right in this area as it also excelled at keeping its residents out of the hospital. It had only 0.01 hospitalizations per one thousand long-term resident days, which is a remarkably low number.
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Short-term Care Quality
Compounding its fine profile, this facility also was given a superb short-term care grade, with a grade of A. Short-term care ratings are important for prospective residents in need of rehabilitation. Rehabilitation generally mandates more highly-skilled nursing services. Skilled nursing means a wide scope of services, ranging from registered nurses to physical and occupational therapists, as well as other forms of therapy. Fortunately, it looks like this facility has registered nurses on staff. Not every nursing home employs these types of nurses. However, according to the information this nursing home provided, it does not look like the facility employs physical therapists. The last metric we considered in this area is the number of patients who 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 facility on a permanent basis.
Lastly, this nursing home also received a nearly flawless government inspection report. As a result, it earned one of our highest grades in that category with an A. With this impressive grade, this place is one of the few facilities in Delaware to receive straight A's. We weigh several aspects of a nursing home's inspection report in calculating these inspection scores. One critical factor is deficiencies. It should be noted that the severity of these deficiencies is usually more important than the number of deficiencies, as some of these end up being relatively minor. 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. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
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), 5.88% of Patients had Pressure Ulcers
This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers are damage to the skin resulting from staying in the same position for an excessive period of time.
Minimizes Serious Falls
In Delaware Hospital for the Chronically Ill (DHCI), 3.19% of Patients had Serious Falls
This is the percent of residents that sustained a major fall. Falls resulting in major injuries are routinely linked to poor nursing care. Better nursing protocols reduces the percentage of residents in a nursing home who sustain major falls.
Minimizes Urinary Tract Infections
In Delaware Hospital for the Chronically Ill (DHCI), 2.01% of Patients had UTIs
This datapoint measures the percent of long-term care patients that have sustained urinary tract infections. Although a higher rate infections could reflect poorly on a nursing home's cleanliness, it is problematic to compare different facilities due to facilities having reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Delaware Hospital for the Chronically Ill (DHCI), 10.65% of Patients use Anti-Psychotic Medication
This gauges the percentage of long-term residents which are given antipsychotic drugs. Excessive reliance on these medications may mean that a facility is using these medications to control patient behavior in scenarios where such drugs aren't medically required. However, some nursing homes may need to rely on these drugs due to having more residents with cognitive disorders.
Appropriately Uses Anti-Anxiety Medication
In Delaware Hospital for the Chronically Ill (DHCI), 18.41% of Patients use Anti-Anxiety Medication
This tells you the percent of patients who were given antianxiety drugs. Antianxiety medications are prescribed to residents suffering from anxiety or depression.
Managing Depression Among Residents
In Delaware Hospital for the Chronically Ill (DHCI), 4.11% of Patients
This datapoint measures the percent of long-term residents demonstrating symptoms of depression.
Appropriate Vaccine Usage
In Delaware Hospital for the Chronically Ill (DHCI), 92.35% of Patients
This is the percentage of patients who were administered the flu and pneumonia vaccines. High vaccination rates should be standard at this point.
Residents Maintain Autonomy
In Delaware Hospital for the Chronically Ill (DHCI), 13.82% Percentage of Patients
This is the percentage of residents who required increased assistance with activities of daily living over time. Higher levels of needing for assistance with activities of daily living could indicate deterioration of a patient's health.
Ability to Keep Residents Mobile
In Delaware Hospital for the Chronically Ill (DHCI), 17.81% Percentage of Residents
This metric is a measure of the percentage of long-term patients that maintained mobility. Some experts would argue that mobility is critical to residents' health.
In Delaware Hospital for the Chronically Ill (DHCI), 1.69 Hospitalizations per 1,000 resident days
This metric is a measure of the number of hospitalizations per 1,000 days of patient care. Minimizing hospitalizations is critical to preserving the physical health of residents.
Short-term Care: Rehospitalizations
In Delaware Hospital for the Chronically Ill (DHCI), 17.81 Percentage of Residents Rehospitalized
This metric is a measure of the number of times residents are rehospitalized per thousand days of short-term care. Minimizing rehospitalizations during rehabilitation is critical to restoring the health of residents.
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