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Delaware Hospital for the Chronically Ill
Nursing Home & Assisted Living · Smyrna, DE
CMS overall rating Info 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.
Main entrance sign of the Delaware Hospital for the Chronically Ill Governor Bacon Health Center, independent living in Delaware City, DE — Logo of Governor Bacon Health Center Residents enjoying a tea party with hats Residents enjoying a festive meal in a dining hall

Delaware Hospital for the Chronically Ill

Nursing Home & Assisted Living · Smyrna, DE
CMS overall rating Info 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.
100 Sunnyside Rd, Smyrna, DE 19977 View map Calculator: See prices in your area
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Overview of Delaware Hospital for the Chronically Ill

Delaware Hospital for the Chronically Ill is for those who seek a home that is considered the “last resort” in such a case. The center provides graceful living for short-term or long-term residents. Delaware Hospital is a community focused on creating an efficient and accessible approach to nursing its residents.

The nursing center allows participants of Medicare and Medicaid to receive quality care. In a 205-bed facility, residents receive various services to help them get by through daily living, such as ADLs, rehabilitation, specialized programs, and specific meals served daily.

 

(302) 223-1000
(302) 223-1000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 39.0% Below DE avg. ▼ 39.0% Below DE avg.DE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 63.9% Below DE avg. ▼ 63.9% Below DE avg.DE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 24.3% Above DE avg. ▲ 24.3% Above DE avg.DE average: 4.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 23.6% Above DE avg. ▲ 23.6% Above DE avg.DE average: 4.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Delaware state averages

Total nursing care / resident Info This home is ranked 1st out of 40 homes in Delaware for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
10h 57m per day
Rank #1 / 40Nurse hours — State benchmarkedThis home is ranked 1st out of 40 homes in Delaware. Shows adjusted nurse hours per resident per day benchmarked to the Delaware average, with a ranking across 40 Delaware facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Delaware avg (4h 39m per day)
vs Delaware avg
+135%

1 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +147% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 2h 33m per day ▲ 147% State avg: 1h 2m per day · National avg: 41m per day
LPN / LVN Info 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 46m per day ▲ 74% State avg: 1h 1m per day · National avg: 52m per day
Nurse Aide Info 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. 5h 36m per day ▲ 127% State avg: 2h 28m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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. 8h 12m per day ▲ 103% State avg: 4h 2m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 4m per day ▼ 60% State avg: 9m per day · National avg: 4m per day
Weekend RN Info 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. 1h 44m per day ▲ 143% State avg: 43m per day · National avg: 29m per day
Bed community size
205-bed community Rank #1 / 73Bed count — State benchmarkedThis home is ranked 1st out of 73 homes in Delaware. Shows this facility's certified or reported bed count compared to other Delaware facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 18 / 100 Rank #85 / 110Walk Score — State benchmarkedThis home is ranked 85th out of 110 homes in Delaware. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Delaware facilities. Higher scores benefit residents, families, and staff.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
37%
Rank #43 / 44Occupancy rate — State benchmarkedThis home is ranked 43rd out of 44 homes in Delaware. Shows this facility's occupancy rate versus the Delaware average, with its Statewide rank out of 44. Higher occupancy signals strong local demand and financial stability.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Delaware average: 80.7%
Occupied beds
76 / 205
Average occupied beds in Delaware homes 86 beds

License Details

Facility TypeNursing Home
IssuanceJanuary 1, 2025
ExpirationDecember 31, 2025
License Number1046
State License TypesSkilled Nursing Facility (SNF)

Ownership & Operating Entity

Delaware Hospital for the Chronically Ill is administrated by Geraldine Stewart.

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of NursingJuan Marrero
Director of Nursing Email[email protected]
Administrator Email[email protected]

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

1 service
Home Care

Additional Policies & Features

Admission CriteriaApplicant must have no other viable options for care, require nursing home care, need admission within 90 days, and not have adequate resources for private care.

Amenities & Lifestyle

Housekeeping
ActivitiesDHCI conducts various activities for residents, including an annual Family Day.
Volunteer ProgramsYes

Contact Delaware Hospital for the Chronically Ill

Inspection History

In Delaware, the Department of Health and Social Services, Division of Health Care Quality is responsible for the oversight, unannounced inspection, and licensing of all long-term care settings.

Since 2019 · 7 years of data 46 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Delaware state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Delaware state average
Overall vs. DE average 0 Worse No metrics in this bucket. 2 Better Metrics better than Delaware average:
• Total deficiencies (28% below)
• Deficiencies per year (27% below)
Latest Inspection December 3, 2025 Re Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityDE Averagevs. DE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4664 This facility has 28% fewer total deficiencies than a typical Delaware nursing home (46 vs. DE avg 64).↓ 28% better
Deficiencies per year Info Average deficiencies per year since 2019. 6.69.1 This facility has 27% fewer deficiencies per year than a typical Delaware nursing home (6.6 vs. DE avg 9.1).↓ 27% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • October 3, 2025 complaint survey found failures in supervision leading to resident elopement and a fall with injury, documenting immediate risk of harm and multiple deficiencies in accident prevention.
  • February 24, 2025 complaint investigation identified immediate jeopardy due to inadequate hands-on assistance during mechanical lift transfer, causing a resident’s fall, serious head injury, and death.
  • December 3, 2025 revisit survey found the facility in substantial compliance with no deficiencies after corrective actions were implemented following the October 2025 complaint survey.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 3

Delaware average 4.4

Last Health inspection on Oct 2025

Total health citations
11 Rank #4 / 41Health citations — State benchmarkedThis home is ranked 4th out of 41 homes in Delaware. Shows this facility's total health deficiency citations benchmarked to the Delaware State average, with a ranking across all 41 DE facilities. Lower citation counts earn a better rank.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Delaware average 38.9

Citations per inspection
3.67 Rank #4 / 41Citations per inspection — State benchmarkedThis home is ranked 4th out of 41 homes in Delaware. Shows average deficiency citations per CMS inspection for this facility versus the Delaware mean across 41 facilities with citation data. Lower is better.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Delaware average 8.72

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

9 of 11 citations resulted from standard inspections; and 2 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
2
122% worse than Delaware average

Delaware average: 0.9

Serious health citations
0
100% better than Delaware average

Delaware average: 1.2

2 critical citations Delaware average: 0.9
0 serious citations Delaware average: 1.2
8 moderate citations Delaware average: 35.7
1 minor citation Delaware average: 1
Citations history (last 4 years)
Quality of Care critical citation Oct 03, 2025
Corrected
Quality of Care critical citation Feb 24, 2025
Corrected
Abuse/Neglect moderate citation Feb 22, 2022
Corrected
Abuse/Neglect moderate citation Feb 22, 2022
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Penalties and fines

Includes penalties issued in 2025

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 $83K Rank #29 / 41Federal fines — State benchmarkedThis home is ranked 29th out of 41 homes in Delaware. Shows this facility's cumulative CMS federal fine dollars versus the Delaware average among facilities with fines, and where it ranks among 41 facilities in the pool. Lower total dollars mean a better rank.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
16% lower than 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 $83K
Delaware average $98K
Penalty History

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

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 3, 2025
$66K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 24, 2025
$17K

Last updated: Jan 2026

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. 3.0
69% 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. 6.5
66% better than Delaware average

Delaware average: 19.0

Long-stay resident measures
Significantly above average Delaware avg: 3.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 4.5%
71% better than Delaware average

Delaware average: 15.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 4.0%
80% 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 10.9%
51% better 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 0.7%
77% better than Delaware average

Delaware average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.5%
21% better than Delaware average

Delaware average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
In line with Delaware average

Delaware average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.1%
63% better than Delaware average

Delaware average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Delaware average

Delaware average: 6.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.5%
14% better than Delaware average

Delaware average: 11.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.3%
16% worse than Delaware average

Delaware average: 95.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
In line with Delaware average

Delaware average: 97.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.29
25% worse than Delaware average

Delaware average: 1.83

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.98
28% better than Delaware average

Delaware average: 1.37

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Facility Characteristics

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

Total residents 73
Medicare
64
87.7% of residents
Medicaid
9
12.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

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.

This home is administrated by Geraldine Stewart.

This home is owned by State Of Delaware

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 85035

Show certification details

Places of interest near Delaware Hospital for the Chronically Ill

Address 1 mile from city center — 0.64 miles to nearest hospital (The Delaware Center for Maternal and Fetal Medicine of Christina Care, Inc.)

Calculate Travel Distance to Delaware Hospital for the Chronically Ill

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Address

Compare Nursing Home around Smyrna

The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.

2 facilities compared · CMS & DE Dept. of Health data

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Smyrna (South Dupont Boulevard)
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DE AVG 102
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88.2%
Facility 88.2%
DE AVG 80.7%
Rank #18 / 44
+9%
4.05
Facility 4.05
DE AVG 4.66
Rank #24 / 40
 -64%-13%
$94.2k
Facility $94.2k
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Rank #36 / 41
11.3
Facility 11.3
DE AVG 8.7
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6130-
24
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DE AVG 40
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$17.6M
Facility $17.6M
DE AVG $19.5M
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$8.7M
Facility $8.7M
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49.4%
Facility 49.4%
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Rank #32 / 37
85020
Delaware Hospital for the Chronically Ill
NH
AL
Smyrna
205
Facility 205
DE AVG 102
Rank #1 / 73
37.1%
Facility 37.1%
DE AVG 80.7%
Rank #43 / 44
-54%
10.95
Facility 10.95
DE AVG 4.66
Rank #1 / 40
 -+135%
$59.9k
Facility $59.9k
DE AVG $96.1k
Rank #29 / 41
11
Facility 11
DE AVG 38.9
Rank #4 / 41
3.7
Facility 3.7
DE AVG 8.7
Rank #4 / 41
274-
18
Facility 18
DE AVG 40
Rank #85 / 110
State Of Delaware---85035
Nursing Home Explorer

Financial Assistance for
Nursing Home in Delaware

Delaware Hospital for the Chronically Ill is located in Smyrna, Delaware.
Here are the financial assistance programs available to residents in Delaware.

Get Financial aid guidance

Elderly and Disabled Waiver

Delaware Medicaid E&D Waiver

Age 65+ or disabled
General Delaware resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
DE

Small state, faster processing in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home modifications

Delaware Caregiver Support Program

DE Caregiver Support (NFCSP)

Age Caregiver of someone 60+
General Delaware resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
DE

Limited slots; rural focus.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

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

Delaware Medicaid PACE

Age 55+
General Delaware resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
DE

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

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

Medicare Savings Program (MSP)

Delaware Medicare Savings Program

Age 65+ or disabled
General Delaware resident, enrolled in Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
Asset Limits $9,430 (individual), $14,130 (couple).
DE

Three tiers; broader limits than some states.

Benefits
Covers Medicare Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20% of services)

Frequently Asked Questions about Delaware Hospital for the Chronically Ill

Who is the Director of Nursing at Delaware Hospital for the Chronically Ill?

Juan Marrero is the Director of Nursing at Delaware Hospital for the Chronically Ill.

Is Delaware Hospital for the Chronically Ill in a walkable area?

Delaware Hospital for the Chronically Ill has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Delaware Hospital for the Chronically Ill?

According to DE state health department records, Delaware Hospital for the Chronically Ill's license number is 1046.

When does Delaware Hospital for the Chronically Ill's license expire?

According to DE state health department records, Delaware Hospital for the Chronically Ill's license expires on December 31, 2025.

What is the occupancy rate at Delaware Hospital for the Chronically Ill?

Delaware Hospital for the Chronically Ill's occupancy is 37%.

Who is the administrator of Delaware Hospital for the Chronically Ill?

Geraldine Stewart is the administrator of Delaware Hospital for the Chronically Ill.

How many beds does Delaware Hospital for the Chronically Ill have?

Delaware Hospital for the Chronically Ill has 205 beds.

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