2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
With the seniors’ wellness in mind, Caring Angel Home Health based in Main Street, Smyrna, DE, is a notable home health provider providing nursing care, physical, occupational, and speech therapy, and medical social services. The home health provider ensures that seniors receive the best care and assistance they need in the comfort of their homes. Caring Angel Home Health focuses on the individuality of the seniors, providing them with care and assistance tailored to their unique needs.
Moreover, the home health provider forges a trusting relationship with the seniors and their families to ensure that their needs are heard and preferences are followed. Caring Angel Home Health enhances the quality of life of seniors within the walls of their residence, ensuring they are comfortable and safe.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ▼ 56% State avg: 1h 0m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 3m per day | ■ Avg State avg: 1h 2m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 10m per day | ▼ 13% State avg: 2h 29m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 21m per day | ▼ 21% State avg: 4h 14m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 76% State avg: 12m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 52% State avg: 42m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% fewer staff per resident than Delaware average
0% compared with Delaware average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
25 total: 11 full-time employees and 14 contractors.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
42 total: 30 full-time employees and 12 contractors.
42
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 87 CNA Staff are full-time employees. No contractors work on this role.
87
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,020 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 87 | 0 | 87 | 32,566 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 30 | 12 | 42 | 13,117 | 92 | 100% | 9.3 |
| Clinical Nurse Specialist | 14 | 0 | 14 | 3,699 | 92 | 100% | 7.9 |
| RN Director of Nursing | 7 | 0 | 7 | 2,690 | 69 | 75% | 7.5 |
| Registered Nurse | 11 | 14 | 25 | 2,495 | 91 | 99% | 7.6 |
| Physical Therapy Aide | 0 | 5 | 5 | 2,223 | 82 | 89% | 7.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 1,098 | 81 | 88% | 7.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,075 | 84 | 91% | 7.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,029 | 76 | 83% | 7.9 |
| Dietitian | 2 | 0 | 2 | 947 | 77 | 84% | 7.5 |
| Dental Services Staff | 3 | 0 | 3 | 821 | 68 | 74% | 7.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 702 | 76 | 83% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 499 | 64 | 70% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 62 | 67% | 7.4 |
| Administrator | 3 | 0 | 3 | 421 | 55 | 60% | 7.6 |
| Qualified Social Worker | 0 | 8 | 8 | 137 | 25 | 27% | 5.5 |
| Occupational Therapist | 1 | 0 | 1 | 112 | 14 | 15% | 8 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
10% worse than Delaware averageDelaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
21% worse than Delaware averageDelaware average: 19.0
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
11% worse than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
28.5%
44% worse than Delaware averageDelaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
In line with Delaware averageDelaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
68% better than Delaware averageDelaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
2.3%
49% better than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.6%
26% better than Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
4.1%
29% better than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
3.5%
41% better than Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
18.1%
65% worse than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
In line with Delaware averageDelaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with Delaware averageDelaware average: 97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.2%
7% better than Delaware averageDelaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
28% worse than Delaware averageDelaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
5% better than Delaware averageDelaware average: 83.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
40% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
162Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Caring Angel Home Health from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #3 / 37Payroll — State benchmarkedThis home is ranked 3rd out of 37 homes in Delaware. Shows total annual staff payroll benchmarked to the Delaware average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #26 / 37Payroll % — State benchmarkedThis home is ranked 26th out of 37 homes in Delaware. Shows payroll as a percentage of revenue versus the Delaware average. Well-run Delaware facilities typically land around 52–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 27 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.3 miles from city center
Estimated distance in miles from Smyrna's city center to Caring Angel Home Health's address, calculated via Google Maps.
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Caring Angel Home Health is located in Smyrna, Delaware.
Here are the financial assistance programs available to residents in Delaware.
Caring Angel Home Health has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Caring Angel Home Health's occupancy is 80.6%.
Caring Angel Home Health is registered as a for-profit.
Yes — there are 4 photos of Caring Angel Home Health in the photo gallery on this page.
Caring Angel Home Health is located at 201 N Main St, Smyrna, DE 19977.
(302) 653-8435 will put you in contact with the team at Caring Angel Home Health.
Yes — Caring Angel Home Health is a CMS-certified provider of Medicare and Medicaid.
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