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Delaware Hospital for the Chronically Ill
Nursing Home & Skilled Nursing · 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 Residents enjoying a tea party with hats Residents enjoying a festive meal in a dining hall

Delaware Hospital for the Chronically Ill

Nursing Home & Skilled Nursing · 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.

 

Facility Direct Line (302) 223-1000
Facility Direct Line (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.
At DE avg. At DE avg.DE average: 4.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs Delaware averages

Rank #1 / 38Nurse hours — State benchmarkedThis home is ranked 1st out of 38 homes we track in Delaware for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Delaware average, with a ranking across 38 Delaware facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 1st out of 38 homes we track 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.

11h 18m

143% above state avg
Staff type
Hours / day / resident
vs 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.
3h 8m
+204% 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 51m
+82% 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.
6h 18m
+155% 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.
9h 24m
+133% 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.
3m
−63% 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 51m
+159% State avg: 43m per day · National avg: 29m per day

1 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +204% above Delaware average

By The Numbers

Community insights.

Bed count Info A large-scale community that may provide a wide range of amenities, services, and structured programs. 205 Rank #1 / 71Bed count — State benchmarkedThis home is ranked 1st out of 71 homes we track in Delaware for bed count. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking. 205-bed community

High-capacity home · May provide extensive amenities, services and programs.

Years of operating Info A newer community that may feature more recent facilities and programs.
1 year
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #82 / 99Walk Score — State benchmarkedThis home is ranked 82nd out of 99 homes we track in Delaware for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Delaware facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
18 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #33 / 34Occupancy rate — State benchmarkedThis home is ranked 33rd out of 34 homes we track in Delaware for occupancy. Shows this facility's occupancy rate versus the Delaware average, with its Statewide rank out of 34. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
37% This home usually has availability 37%
Lower than the Delaware average: 80.7%
Occupied beds
76 / 205
Average occupied beds in Delaware homes 86 beds

About this community

License Details

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

Ownership & Operating Entity

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

Staffing

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

Leadership

Director of NursingJuan Marrero
Director of Nursing Emailjuan.marrero@delaware.gov
Administrator Emailgeraldine.stewart@delaware.gov

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
Activitiesannual Family Day
Volunteer Program

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 These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 46 deficiencies 10 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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 (52% below)
• Deficiencies per inspection (58% below)

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. 4695 This facility has 52% fewer total deficiencies than a typical Delaware nursing home (46 vs. DE avg 95).↓ 52% better
Deficiencies per inspection Info Average deficiencies per inspection. 4.610.95 This facility has 58% fewer deficiencies per inspection than a typical Delaware nursing home (4.6 vs. DE avg 10.95).↓ 58% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityDE Averagevs. DE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 109 This facility has had 11% more total inspections than the Delaware average (10 vs. DE avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 11% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 3

Delaware average 4.4

Last Health inspection on Oct 2025

Total health citations
11 Rank #4 / 36Health citations — State benchmarkedThis home is ranked 4th out of 36 homes we track in Delaware for health citations. Shows this facility's total health deficiency citations benchmarked to the Delaware State average, with a ranking across all 36 DE facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 / 36Citations per inspection — State benchmarkedThis home is ranked 4th out of 36 homes we track in Delaware for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Delaware mean across 36 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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 #28 / 38Federal fines — State benchmarkedThis home is ranked 28th out of 38 homes we track in Delaware for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Delaware average among facilities with fines, and where it ranks among 38 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
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 administered 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 0.6 miles from city center Info Estimated distance in miles from Smyrna's city center to Delaware Hospital for the Chronically Ill's address, calculated via Google Maps.

Calculate Travel Distance to Delaware Hospital for the Chronically Ill

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Address

Compare Nursing Homes around Smyrna

Info below is compiled from CMS reports & the DE Dept. of Health & Social Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Delaware average is: 49.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Pinnacle Rehabilitation & Health Center ★ ★ ☆ ☆ ☆
NH
HOS
MC
PC
RC
SNF
Smyrna
151
Facility 151
DE AVG 101
Rank #7 / 71
91.2%
Facility 91.2%
DE AVG 81.6%
Rank #9 / 34
+12%
3.72
Facility 3.72
DE AVG 4.66
Rank #31 / 38
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -64%-20%
$94.2k
Facility $94.2k
DE AVG $96.1k
Rank #31 / 38
68
Facility 68
DE AVG 38.9
Rank #32 / 36
11.3
Facility 11.3
DE AVG 8.7
Rank #26 / 36
6138-
24
Facility 24
DE AVG 43
Rank #75 / 99
Efraim Rooz
$17.6MFiscal year ending 12/2023
Facility $17.6MFiscal year ending 12/2023
DE AVG $16.2M
Rank #11 / 31
$8.7MFiscal year ending 12/2023
Facility $8.7MFiscal year ending 12/2023
DE AVG $7.7M
Rank #11 / 31
49.4%Fiscal year ending 12/2023
Facility 49.4%Fiscal year ending 12/2023
DE AVG 49.2%
Rank #15 / 31
85020
Delaware Hospital for the Chronically Ill ★ ★ ☆ ☆ ☆
NH
SNF
Smyrna
205
Facility 205
DE AVG 101
Rank #1 / 71
37.1%
Facility 37.1%
DE AVG 81.6%
Rank #33 / 34
-55%
11.29
Facility 11.29
DE AVG 4.66
Rank #1 / 38
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ -+143%
$59.9k
Facility $59.9k
DE AVG $96.1k
Rank #28 / 38
11
Facility 11
DE AVG 38.9
Rank #4 / 36
3.7
Facility 3.7
DE AVG 8.7
Rank #4 / 36
276-
18
Facility 18
DE AVG 43
Rank #82 / 99
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.

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

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

How long has Delaware Hospital for the Chronically Ill been in business?

Delaware Hospital for the Chronically Ill has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Delaware Hospital for the Chronically Ill?

No, Delaware Hospital for the Chronically Ill has a no-pet policy.

Is Delaware Hospital for the Chronically Ill a government-operated facility?

Delaware Hospital for the Chronically Ill is a government-operated nursing facility in DE.

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