Kutz Rehabilitation and Nursing

704 River Road · Wilmington, DE · 19809 · 3027647000

90 certified beds Non profit - Corporation

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $114,563 in fines in the last 24 months.
  • 4 citations involved actual harm to residents.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

Cited under the freedom-from-abuse rule

Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$114,563 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 30
Serious harm & abuse 20% 56
Staffing 20% 77
Federal penalties 15% 43
Trend 10% 61
Context 5% 35

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.623.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day4.17≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)2 · $168,019

Inspection citations (61 in the current record)

  • Potential for harm · D March 4, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 4, 2026 · found via complaint

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

    Corrected April 21, 2026 · Quality of Life and Care

  • Potential for harm · D March 4, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 21, 2026 · Quality of Life and Care

  • Actual harm · G March 26, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 9, 2025 · Quality of Life and Care

  • Actual harm · G March 26, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 10, 2025 · Quality of Life and Care

  • Potential for harm · D March 26, 2025

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

    Corrected May 10, 2025 · Resident Rights

  • Potential for harm · D March 26, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 10, 2025 · Resident Rights

  • Potential for harm · D March 26, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected May 10, 2025 · Quality of Life and Care

  • Potential for harm · D March 26, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 10, 2025 · Quality of Life and Care

  • Potential for harm · D March 26, 2025

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected May 10, 2025 · Nursing and Physician Services

  • Potential for harm · D March 26, 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 May 10, 2025 · Pharmacy Service

  • Potential for harm · D March 26, 2025

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

    Corrected May 10, 2025 · Pharmacy Service

  • Potential for harm · E March 26, 2025

    Implement a program that monitors antibiotic use.

    Corrected May 10, 2025 · Infection Control

  • Potential for harm · D March 26, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 26, 2025 · found via complaint

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

    Corrected May 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 26, 2025 · found via complaint

    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 June 9, 2025 · Quality of Life and Care

  • Potential for harm · E March 26, 2025 · found via complaint

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected June 9, 2025 · Quality of Life and Care

  • Potential for harm · E March 26, 2025 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected May 10, 2025 · Nursing and Physician Services

  • Potential for harm · D March 26, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 9, 2025 · Pharmacy Service

  • Potential for harm · D March 26, 2025 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 10, 2025 · Pharmacy Service

  • Potential for harm · E March 26, 2025 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected May 10, 2025 · Administration

  • Potential for harm · D March 26, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected May 10, 2025 · Environmental

  • Potential for harm · D March 26, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 10, 2025 · Resident Rights

  • Potential for harm · E March 26, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 26, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

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

Federal penalties

DateTypeAmount / length
March 26, 2025Fine$114,563
February 16, 2024Fine$53,456

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 085043 · certified since September 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.