Delaware Hospital for the Chronically Ill (DHCI) is one of just a few facilities located in Smyrna, Delaware. Featuring an overall grade of A, this facility is one of the best nursing homes we assessed. We couldn't find many negative things to say about this place. Its ratings are impeccable. Headlining this nursing home's stellar report card is its nursing score, which is addressed in the next section.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 205 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Government - State

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Nurse Quality

A+
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+Mar 19: A+Apr 19: BMay 19: BJun 19: BJul 19: A+Aug 19: A+Sep 19: A+Jan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

On top of being a first rate nursing home overall, this nursing home also excelled in the area of nursing, where it received an A+. Few nursing homes fared better in this category. Our nursing score looks at the nursing home's nurse staffing levels. We weigh both the levels of licensure of those nurses as well as the quantity of hours spent with patients. This nursing home boasts a really impressive 9.2 hours of nursing care per resident per day, of which a significant percentage was provided by registered nurses. This is one of the more highly skilled levels of nurses. This is among the higher totals of nursing hours we found. On top of offering high levels of nursing care, this facility also performed well in several of the quality-based metrics we looked at. By way of illustration, in terms of the percentage of its residents suffering falls leading to serious injury, this nursing home performed as well as any facility the country. Preventing major falls is generally an indicator that a nursing home has reliable quality controls in place. Major falls can often be prevented if more nurses and better safety protocols are employed.

Short-term Care Quality

A
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-Mar 19: AApr 19: B+May 19: B+Jun 19: B+Jul 19: AAug 19: ASep 19: AJan 20: A-Mar 20: A-Apr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

Adding to its high-end resume, this nursing home also performed well in our short-term care area. In fact, it received a score of A in the area. Short-term care ratings are meaningful for patients looking for rehabilitation. Rehabilitation usually requires more skilled nursing. This means a broad scope of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other forms of therapy. When we assessed this facility's nursing hours, we found it offered substantially more care from registered nurses than most nursing homes. The final metric we looked at in this category is the number of patients who were able to leave the nursing home and return home. We discovered that 0 percent of this facility's residents were able to return home.

Facility Inspections

A-
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

Another impressive feature of this facility is its inspection grade. In that area, we awarded this facility a grade of A-. Perhaps the most important factor we consider in computing our inspection scores is deficiencies. These deficiencies can be found on a nursing home's recent inspection reports. Nursing homes with higher grades in this area typically avoided the most severe deficiencies involving patient abuse or death. 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

B
Oct 18: BNov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: B-May 19: B-Jun 19: B-Jul 19: BAug 19: BSep 19: BJan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: BAug 20: B
Historical

The final category we analyzed is long-term care, in which this facility was given a grade of B. This actually turned out to be this nursing home's worst category. A facility is doing something right when it's weakest score still outperforms most nursing homes. When facilities receive a grade in this range in this category it generally means it has plenty of staff and is a quality place to live on a permanent basis. In addition to looking at the well above average volume of care provided by nurses aids and other staff at this nursing home, we also were impressed by the nursing home's vaccination record. This facility gave the pneumonia vaccine to 98.08612 percent of its residents, which is what we like to see. This combination proved to be effective as this nursing home also excelled at keeping its patients out of the hospital. It had just 1.09 hospitalizations per 1,000 long-term resident days, which is a significantly better hospitalization rate than most nursing homes.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A
State:
B+
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Delaware Hospital for the Chronically Ill (DHCI) Quality Metrics

Minimizes Pressure Ulcers

This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers are considered by many experts to be a barometer of nursing care . Pressure ulcers, which are also known as bed sores, are often the result of patients staying in one position for too long.

Provider
C
10.39%
State
B+
6%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This metric is an indication of the percentage of long-term stay residents that have had a fall resulting in severe injury. Falls can arise for a variety of reasons, but high rates of major falls could be a sign of poor nursing care.

Provider
A-
1.67%
State
B
3.16%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This metric is an indication of the percentage of long-term stay residents that suffered from a urinary tract infection. Although more of these infections may reflect poorly on a facility's nursing care, it can be difficult to compare different facilities due to nursing homes having inconsistent reporting standards.

Provider
B-
2.64%
State
B
2.92%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percentage of residents prescribed antipsychotic medications. Antipsychotic medications are administered to patients for a variety of conditions, including dementia. Sadly, in some situations, increased usage of these drugs may mean a facility is using these drugs to subdue residents.

Provider
B-
15.26%
State
B
12.73%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This tells you the percent of patients who were prescribed antianxiety drugs. Antianxiety drugs are administered to patients experiencing anxiety or depression.

Provider
C
25.8%
State
B
20.01%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This datapoint is a measure of the percentage of long-term stay residents showing signs of depression.

Provider
A+
0%
State
B+
2.29%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This tells you the percent of patients that were given the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.

Provider
B+
98.6%
State
B+
93.32%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This tells you the percentage of patients that needed more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living may be a sign of the decline of a patient's health.

Provider
B+
11.94%
State
B+
13.51%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This indicates the percentage of patients who maintained mobility over time. Optimizing mobility is often a good sign for residents' health.

Provider
F
4.58%
State
B
18%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric is a measure of the number of hospitalizations per 1,000 days of patient care.

Provider
B+
1.53
State
B
1.7
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This metric is a measure of the number of times residents are rehospitalized per thousand days of short-term patient care.

Provider
A+
4.58
State
B
18
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Nearby Hospitals

Bayhealth Hospital, Kent Campus 10.5 mi
640 S State Street Dover Delaware 19901
(302) 744-7001
Acute Care Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Fresenius Kidney Care - Smyrna 0.69 mi
Dialysis Stations: 16
Gateway North Shopping Center 210 Stadium Street, Rt. 13 Smyrna Delaware 19977
(302) 659-5220
Fresenius Medical Care Southern Delaware, LLC 5.86 mi
Dialysis Stations: 12
80 Salt Creek Drive Dover Delaware 19901
(302) 678-2181
Dover Universal LLC 9.02 mi
Dialysis Stations: 12
107 Mont Blanc Blvd., Suite 100 Dover Delaware 19904
(302) 674-2074
Fresenius Kidney Care - Greentree 9.94 mi
Dialysis Stations: 16
97 Commerce Way, Suite 104 Dover Delaware 19904
(302) 674-1919
Fresenius Kidney Care - Central Delaware 9.98 mi
CMS Rating: 2 stars
Dialysis Stations: 25
Blue Hen Corporate Center 655 South Bay Road, Suite 4m Dover Delaware 19901
(302) 678-5718
Bayhealth Medical Center 10.44 mi
Dialysis Stations: 9
640 S State Street Dover Delaware 19901
(302) 744-7322
Fresenius Medical Care Southern Delaware, LLC 11.23 mi
Dialysis Stations: 4
1198 South Governors Avenue Building B, Suite 201 Dover Delaware 19904
(302) 736-1340
Fresenius Kidney Care - Middletown 13.32 mi
Dialysis Stations: 14
104 Sleepy Hollow Drive, Suite 100 Middletown Delaware 19709
(302) 449-1601