Pinnacle Rehabilitation & Health Center

Assisted Living Home

Pinnacle Rehabilitation & Health Center

3034 S Dupont Blvd, Smyrna, DE 19977 View Map
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Overview of Pinnacle Rehabilitation & Health Center

The Pinnacle of Rehabilitation and Health Center is a nursing home in Smyrna where a vibrant lifestyle surrounds its residents. The luxurious community creates an open space for seniors to live on their terms and where dedicated professionals are more than willing to follow through with the resident’s needs– whatever they may be. The Pinnacle of Southaven maintains an active lifestyle where endless possibilities await exploring. 

The upscale lifestyle at The Pinnacle is centered on meeting the holistic wellness of each resident. Seniors can immerse themselves in comprehensive services that help with recovery and relaxation– specialized programs, social activities, and professional rehabilitative services for short-term respite stays. 

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Delaware average: 3.3/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Delaware average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Delaware average: 4.0/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Delaware average: 4.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 3m per day

This home provides 13% less nursing time per resident than the state average.

Delaware average: 4h 39m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 151

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Delaware average
Occupancy rate 88.2%
Residents per day (avg) 131
Occupancy rate
88.2%
Residents per day (avg)
131

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

47% of new residents, often for short stays.

Typical stay 23 days

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Finances and operations

Proprietary home
Partnership
Home revenue
$30.6M
Operating loss
-$1.1M
Proprietary home Partnership
Home revenue
$30,594,973.00
Operating loss
$-1,093,083.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.7M
25% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.0M
Total costs $31.7M

Types of Care at Pinnacle Rehabilitation & Health Center

Assisted Living Respite Care Hospice Care
Contact Pinnacle Rehabilitation & Health Center

Compare Assisted Living around Smyrna

The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
Pinnacle Rehabilitation & Health Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

RC

Respite Care

Smyrna
151
No
24
ROOZ, EFRAIM
88.2%
$30,536,875.00
$7,659,205.00
25.1%
130.80
2/5
4.0505
2/5
3/5
4/5
3
68
6
-58%
-13%
+9%
Kpanah HomeCare Services
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Home Care

Middletown
-
No
6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Pinnacle Rehabilitation & Health Center

Address 3 miles from city center — 2.77 miles to nearest hospital (ChristianaCare Wound Care Center at Smyrna)

Address 3034 S Dupont Blvd, Smyrna, DE 19977

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

189
Total Staff
165
Employees
24
Contractors
51,340
Total Hours (Quarter)
71
Avg Staff/Day
7.9
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse108.8 No
Licensed Practical Nurse298.7 No
Certified Nursing Assistant957.8 No
Staff by Category
Administration
1 staff
7.7hs shift avg
Nursing Staff
136 staff
8.1hs shift avg
Physicians & Practitioners
16 staff
7.5hs shift avg
Therapy Services
21 staff
7.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
4 staff
7.1hs shift avg
Dietary Services
9 staff
7.2hs shift avg
Other Services
2 staff
7.8hs shift avg
Contractor Analysis
7.8%
of total hours from contractors
3,987 contractor hours this quarter
Speech Language Pathologist: 4 Physical Therapy Aide: 4 Respiratory Therapy Technician: 5 Qualified Social Worker: 4 Physical Therapy Assistant: 7
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant9509527,35091100%7.8
Licensed Practical Nurse290299,94591100%8.7
Clinical Nurse Specialist150153,75391100%7.5
Registered Nurse100102,0359099%8.8
Physical Therapy Aide0441,2906976%7.4
Speech Language Pathologist0441,2797785%8.1
Other Dietary Services Staff7071,0468593%7.1
RN Director of Nursing2028926774%7.7
Physical Therapy Assistant0776476673%6.6
Nurse Practitioner1015006470%7.8
Dental Services Staff1014966369%7.9
Mental Health Service Worker1014766167%7.8
Administrator1014646066%7.7
Qualified Social Worker0443945459%7.1
Respiratory Therapy Technician0553775459%6.8
Dietitian2023564853%7.4
Occupational Therapist1014055%8

Health Inspection History

Inspections
Total health inspections 6

Delaware average 4.4


Last Health inspection on Apr 2025

Total health citations 68
Citations per inspection
11.33

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

35 of 68 citations resulted from standard inspections; 19 of 68 resulted from complaint investigations; and 14 of 68 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
11% worse than Delaware average

Delaware average: 0.9


Serious Health citations More info 5
317% worse than Delaware average

Delaware average: 1.2

1 critical citation More info Delaware average: 0.9

5 serious citations More info Delaware average: 1.2

61 moderate citations More info Delaware average: 35.7

1 minor citation More info Delaware average: 1
Citations history (last 3 years)
Abuse/Neglect moderate citation Apr 17, 2025
Corrected

Infection Control moderate citation Apr 17, 2025
Corrected

Infection Control moderate citation Apr 17, 2025
Corrected

Infection Control moderate citation Apr 17, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Resident Census by Payment Source
135 Total Residents
Private Pay/Other 135 (100%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.5
12% better than Delaware average

Delaware average: 9.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.8
In line with Delaware average

Delaware average: 19.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.0%
9% better than Delaware average

Delaware average: 15.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.4%
17% better than Delaware average

Delaware average: 19.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.8%
17% worse than Delaware average

Delaware average: 22.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.1%
In line with Delaware average

Delaware average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.1%
38% worse than Delaware average

Delaware average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
48% better than Delaware average

Delaware average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.7%
53% better than Delaware average

Delaware average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.8%
37% better than Delaware average

Delaware average: 6.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.4%
86% worse than Delaware average

Delaware average: 11.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.6%
In line with Delaware average

Delaware average: 95.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
In line with Delaware average

Delaware average: 97.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.7%
14% better than Delaware average

Delaware average: 82.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.5%
41% better than Delaware average

Delaware average: 0.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2%
17% better than Delaware average

Delaware average: 83.1%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $94K
In line with Delaware average

Delaware average: $98K

Number of fines 2
7% more fines than Delaware average

Delaware average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Delaware average

Delaware average: 0.2

Fines amount comparison
Fines amount comparison
This facility $94K
Delaware average $98K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 17, 2025
$17K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 30, 2024
$77K

Last updated: Jan 2026

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Financial Aid for Delaware Seniors

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Elderly and Disabled Waiver

Delaware Medicaid E&D Waiver

Age 65+ or disabled, Delaware resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Small state, faster processing in some areas.

Delaware Caregiver Support Program

DE Caregiver Support (NFCSP)

Caregiver of someone 60+, Delaware resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural focus.

Program of All-Inclusive Care for the Elderly (PACE)

Delaware Medicaid PACE

Age 55+, Delaware resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited to specific areas (e.g., New Castle County); few providers.

Medicare Savings Program (MSP)

Delaware Medicare Savings Program

Age 65+ or disabled, Delaware resident, enrolled in Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.

$9,430 (individual), $14,130 (couple).

Three tiers; broader limits than some states.

Senior Community Service Employment Program (SCSEP)

Delaware SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Delaware resident.

~$1,983/month (125% FPL, individual).

Not specified; income-focused.

Priority for veterans, rural residents; ~400 slots/year.

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