Bay Terrace Rehabilitation and Health Center
889 South Little Creek Road, Dover, DE 19901 · Kent County · (302) 674-0566
85 certified beds, about 70 residents a day · For profit - Corporation · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 085019 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 23, 2026, inspectors cited 5 health deficiencies (the Delaware average is 10.9, the national average 9.2).
Of 38 health citations since February 2024, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $34,838 in the last three years; the largest was $14,901, and the latest is dated February 24, 2026.
Nurses and nurse aides worked 4.19 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 0.92 of those hours.
36.6% of nursing staff left within the year CMS measured (Delaware average 41.3%).
CMS links it to Prestige Healthcare Administrative Services, an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 38 health citations on file.
April 23, 2026Standard inspection, Complaint inspection · 5 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview it was determined that for one (R83) out of three residents reviewed for abuse the facility failed to ensure immediate reporting of an allegation of abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview it was determined that for one (R83) out of three residents reviewed for abuse the facility failed to ensure residents were protected from further abuse when the facility failed to remove an employee from resident care immediately after an allegation of abuse.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R10) out of seven residents reviewed for ADL (Activities of Daily Living), the facility failed to provide ADL care for dependent residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview it was determined that for one (R85) out of three residents reviewed for hospitalization the facility failed to provide appropriate care and monitoring consistent with professional standards of practice. When the facility failed to monitor and restrict fluid intake for R85 admitted with active diagnosis of heart failure.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review, it was determined that for one (R72) out of five residents sampled for medication review, the facility failed to ensure that the residents were free from unnecessary meds when a Protonix order was used in excessive dose.
February 24, 2026Complaint inspection · 1 citation
- J Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on interviews, record review, and review of other documentation as indicated, it was determined that for one (R2) out of three residents sampled for discharge, the facility failed to ensure durable medical equipment and home health services were in place prior to R2's discharge. R2 was discharged from the facility on 2/9/26 at 6:00 PM and transported home via medical transport services and assisted up the stairs to a three-story residence by transport, where no caregiver support was in the home. On 2/11/26, R2 was found in the home by the home health agency nurse in unsafe conditions. The facility's failure to confirm home health services and the availability of caregiver support to perform required care and assistance placed R2 in a situation with the potential for serious harm or injury. An immediate jeopardy (IJ) was identified starting on 2/9/26. [...]
February 19, 2025Standard inspection, Complaint inspection · 18 citations
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review it was determined that for three (R63, R53, and R59) out of three residents reviewed for pain, the facility failed to ensure that that adequate pain management was provided and pain assessments were not conducted with a consistent scale for pre and post pain assessments.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure food was stored, prepared, and served in a manner that prevents food borne illness to the residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, it was determined that for two (R43 and R63) out of eighteen (18) residents in the investigative sample, the facility failed to ensure residents were treated with respect and dignity.
- D Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on interview and record review, it was determined that for one (R43) out of one resident reviewed for personal funds, the facility failed to ensure that the resident received their quarterly personal funds statement.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and interview,it was determined that for one (R43) out of eighteen sampled residents, the facility failed to protect personal privacy.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, it was determined that for one (R60) out of two residents reviewed for hospitalization the facility failed to notify the Ombudsman of the residents transfer to the hospital.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, it was determined that for two (R19 and R31) out of three residents reviewed for PASARR, the facility failed to ensure that a referral for PASARR screening was completed.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview it was determined that for one (R69) out of one reviewed for new admission, the facility failed to ensure that a baseline care plan was completed.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, it was determined that for one (R63) out of eighteen residents in the investigative sample the facility failed to develop and implement a comprehensive resident centered care plan for an identified care area.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, it was determined for two (R22 and R63) out of eighteen residents in the investigative sample the facility failed to review and revise the care plan.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, it was determined that for three (R19, R22 and R55) out of five residents reviewed for ADL's, the facility failed to ensure ADL care was provided to dependent residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined that for two (R43 and R63) out of two residents reviewed for general care and services, the facility failed to ensure treatment and care in accordance with professional standards of practice and physician orders.
- D 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.
Inspectors wroteBased on observation and interview, it was determined that for one (R31) out of two residents reviewed for positioning and mobility, the facility failed to apply an ordered splint device.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview and record review it was determined that for two (R53 and R63) out of two residents reviewed for bowel and bladder, the facility failed to provide services to maintain or restore bowel and bladder continence.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R375) out of one resident reviewed for respiratory care, the facility failed to provide professional standards of of practice by ensuring the oxygen tubing was changed weekly and nasal cannula was stored in a bag when not in use.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review and interview, it was determined that for two (R31 and R53) out of five residents reviewed for unnecessary medications, the physician failed to ensure that an appropriate diagnosis was reflected in the resident's chart while antipsychotic medications were being administered. Additionally, the facility failed to ensure that a fourteen day stop date was implemented for an as needed antipsychotic medication.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview and record review, it was determined that for two (R59 and R63) out of two sampled residents for dental services, the facility failed to assist the residents in obtaining routine dental services.
- C Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to develop policies and procedures for the monthly MRR (Medication Regimen Reviews) that included time frames for different steps in the MRR process.
December 2, 2024Complaint inspection · 4 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, it was determined for one (R1) out of three residents reviewed for hospitalization, the facility failed to provide services to maintain R1's bowel function. The facility's failure to initiate the bowel protocol resulted in harm to R1 as it resulted in R1 undergoing a fecal disimpaction procedure during his 11/23/24 hospitalization. Additionally, the facility failed to obtain ordered blood work, to provide neb treatment due to machine not available and failed to obtain peripheral access for intravenous fluid infusion and supplemental oxygen order.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review and interview, it was determined that for one (R1) out of three reviewed for quality of care , the facility failed to provide services for hygiene that met with R1's stated preference of a shower for personal hygiene.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and interview, it was determined that for one (R2) out of three residents reviewed for Advanced Directives, the facility failed to have a process for documenting and communicating R2's code status decision to the staff.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and interview, it was determined that for one (R1) out of three residents reviewed for quality of care, the facility failed to provide the necessary services to R1 to maintain good grooming and oral hygiene.
February 23, 2024Standard inspection · 10 citations
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, it was determined that for eight (R3, R7, R9, R10, R14, R27, R32 and R53) out of of sixteen (16) sampled residents, the facility failed to have input from all required interdisciplinary team (IDT) members at the residents' care plan meetings. In addition, R53's nutrition risk care plan was not revised.
- E Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on document review and interview, it was determined that the facility failed to provide a sufficient number of staff qualified to safely and effectively provide food and nutrition services.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure food was stored, prepared and served in a manner that prevents foodborne illness to the residents.
- E Dispose of garbage and refuse properly.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure garbage and refuse were disposed of properly to prevent pest invasion.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, it was determined that for one (R1) out of sixteen residents reviewed for care plans, the facility failed to develop and implement a comprehensive resident centered care plan for an identified care area.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R53) out of one resident reviewed for assistance with ADL's, the facility failed to provide cueing, prompting or assistance to R53 while she was eating her lunch.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and interview, it was determined that for one (R53) out of two residents reviewed for nutrition, the facility failed to identify and assess a significant weight loss. Additionally the facility failed to increase a nutritional supplement as requested by the RD.
- D 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.
Inspectors wroteBased on observation and record review, it was determined that for one (R34) out of one resident reviewed for enteral (tube used to feed resident directly into the stomach) feeding, the facility failed to ensure that R34, received the appropriate treatment to prevent potential complications of enteral feeding.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, it was determined that for two (R1 and R17) out of two sampled residents for respiratory care, the facility failed to maintain oxygen as ordered.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview and record review, it was determined that for two (R3 and R57) out of three sampled residents for dental services, the facility failed to assist the residents in obtaining routine dental services.
Fire safety inspections
1 fire safety citation on file: 1 on February 19, 2025.
Every fire safety citation1 citation
- E Conduct risk assessment and an All-Hazards approach.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 24, 2026 | Fine | $14,901 |
| April 11, 2025 | Fine | $9,113 |
| December 2, 2024 | Fine | $10,824 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Delaware | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.19 | 4.35 | 3.86 |
| Registered nurses | 0.92 | 0.97 | 0.69 |
| All nursing staff on weekends | 3.77 | 3.89 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 36.6% | 41.3% | 45.8% |
| Registered nurse turnover | 42.1% | 41.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.86 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.36 on weekdays and 3.77 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.19 in April to June 2025 to 4.19 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.19 | 0.92 | 4.36 | 3.77 | 0.0% | 0 of 90 | 70 |
| Oct to Dec 2025 | 4.27 | 0.83 | 4.37 | 4.01 | 0.0% | 0 of 92 | 69 |
| Jul to Sep 2025 | 3.85 | 0.76 | 3.95 | 3.61 | 0.0% | 0 of 92 | 74 |
| Apr to Jun 2025 | 4.19 | 0.86 | 4.34 | 3.80 | 0.0% | 0 of 91 | 71 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Delaware, Jan to Mar 2026 | 4.05 | 0.79 | 4.21 | 3.67 | 5.7% | 0% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Delaware | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.2 | 12.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.0 | 13.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.4 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.9 | 23.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.3 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.4 | 1.8 |
Owners and operators
Legal business name: BAY TERRACE REHABILITATION AND HEALTHCARE CENTER LLC. CMS links this home to Prestige Healthcare Administrative Services, a group of 15 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Btrc Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 03/01/2024 |
| Copper De Trust | 5% or greater indirect ownership interest | Organization | 03/01/2024 | |
| Gold De Trust | 5% or greater indirect ownership interest | Organization | 03/01/2024 | |
| Pa & De Noble Parentco LLC | 5% or greater indirect ownership interest | Organization | 03/01/2024 | |
| Silver De Trust | 5% or greater indirect ownership interest | Organization | 03/01/2024 | |
| Star De I Holdings LLC | 5% or greater indirect ownership interest | Organization | 03/01/2024 | |
| Star De I Trust | 5% or greater indirect ownership interest | Organization | 03/01/2024 | |
| Ellenbogen, Moss | Operational/managerial control | Individual | 03/01/2024 | |
| Studd, Anne | Operational/managerial control | Individual | 01/01/2025 | |
| Apex Global Solutions LLC | Adp of the SNF | Organization | 03/01/2024 | |
| Olowo, Abimbola | Adp of the SNF | Individual | 03/01/2024 | |
| Studd, Anne | Adp of the SNF | Individual | 05/07/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 16 problems in this area, most recently on April 23, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on February 24, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on February 19, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on February 19, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.77 hours per resident per day, below the Delaware average of 3.89.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Center at Eden Hill, LLC Dover, 1.7 mi · 5 of 5 stars · 21 citations
- Complete Care at Silver Lake LLC Dover, 2.5 mi · 3 of 5 stars · 30 citations
- Cadia Rehabilitation Capitol Dover, 2.9 mi · 3 of 5 stars · 31 citations
- Westminster Village Health Dover, 3 mi · 4 of 5 stars · 33 citations
- Evergreen Post Acute Smyrna, 8.6 mi · 2 of 5 stars · 69 citations
- Delaware Hospital F/T Chronically Ill (dhci) Smyrna, 10.6 mi · 2 of 5 stars · 11 citations
- Delaware Veterans Home Milford, 15.5 mi · 4 of 5 stars · 21 citations
- Milford Center Milford, 17.6 mi · 2 of 5 stars · 60 citations
Delaware contacts for a concern about a nursing home
These are the official offices in Delaware. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Delaware Division of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Delaware Long-Term Care Ombudsman Program, 1-855-773-1002. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Delaware Licensed Nursing Homes, survey reports, where Delaware publishes its own records on licensed homes.
Common questions
- What is Bay Terrace Rehabilitation and Health Center's Medicare star rating?
- CMS rates Bay Terrace Rehabilitation and Health Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bay Terrace Rehabilitation and Health Center get at its last inspection?
- 5 health deficiencies at the standard inspection on April 23, 2026. The Delaware average is 10.9.
- Has Bay Terrace Rehabilitation and Health Center been fined?
- Yes. CMS lists 3 fines totaling $34,838 in the last three years.
- Does Bay Terrace Rehabilitation and Health Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bay Terrace Rehabilitation and Health Center?
- CMS lists 12 owners and managers, and links the home to Prestige Healthcare Administrative Services. Legal business name: BAY TERRACE REHABILITATION AND HEALTHCARE CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.