Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ENCORE AT FOULK
WILMINGTON, DE · 46 certified beds · Last Life Safety survey April 13, 2026
CMS Certification Number 085060 · first certified August 2022
Ownership
Independently operated (no chain recorded by CMS) · For profit - Limited Liability company
- New ownershipOwnership changed December 15, 2025 (change of ownership)to ENCORE AT WINDSOR HILLS LLC from SNH DEL TENANT LLC
Position within DE
11 citations — more than 98% of the 44 certified nursing homes in DE. Compared within DE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 0 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was April 2026. Facilities in DE are typically surveyed 12–13 months after the last one (median 12), measured over 54 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in DE, and nationally. Surveyors differ markedly between states, so the DE figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in DE | 2 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 26, 2024 | 7 |
| March 21, 2025 | 4 |
| April 13, 2026 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. | 2 | 2025-03-21 |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 2 | 2025-03-21 |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 2 | 2025-03-21 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2025-03-21 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2024-02-26 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2024-02-26 |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | 1 | 2024-02-26 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2024-02-26 |
What the citations cover
- Smoke Deficiencies 3
- Egress Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Construction Deficiencies 2
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 3 |
| Egress Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Construction Deficiencies | 2 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 21, 2025 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. | No revisit needed (September 5, 2025) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | No revisit needed (September 5, 2025) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | No revisit needed (September 5, 2025) |
| K-0923 | Have proper medical gas storage and administration areas. | No revisit needed (September 5, 2025) |
February 26, 2024 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. | Deficient, Provider has date of correction (April 16, 2024) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (April 16, 2024) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (April 16, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (April 16, 2024) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (April 16, 2024) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (April 16, 2024) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (April 16, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.