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Best Assisted Living in Delaware

Reviewed by
Last updated
Jun 2026
We analyzed
76 homes in Delaware

Sources: CMS Centers for Medicare and Medicaid Services, and Delaware Department of Health, Office of Aging and Long Term Care.

Other senior care options in Delaware:

Video Tour: Top-rated Assisted Living facilities in Delaware.

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Compare Assisted Living around Delaware

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

Kutz Senior Living Campus
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Wilmington
90
Facility 90
DE AVG 102
Rank #45 / 73
Yes
41
Facility 41
DE AVG 40
Rank #51 / 110
Studio / 1 Bed / 2 BedFelisha Marcus Alderson- EdTylena Kelly
Meadowcrest at Middletown
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Middletown
90
Facility 90
DE AVG 102
Rank #45 / 73
No
10
Facility 10
DE AVG 40
Rank #93 / 110
1 Bed / 2 BedNathan MillmanChristie Hynson
Westminster Village Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dover (The Hamlet)
99
Facility 99
DE AVG 102
Rank #39 / 73
No
35
Facility 35
DE AVG 40
Rank #61 / 110
Private Rooms / Semi-Private RoomsWendy Nerad - EdLori Clemmons
Sunrise of Wilmington
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Wilmington
90
Facility 90
DE AVG 102
Rank #45 / 73
Yes
23
Facility 23
DE AVG 40
Rank #79 / 110
Studio / 1 Bed / 2 BedMarquiest Ponzo -InterimChrystal Johnston - Interim
Rockland Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Wilmington
104
Facility 104
DE AVG 102
Rank #33 / 73
No
30
Facility 30
DE AVG 40
Rank #71 / 110
Studio / Alcove / 1 Bed / Shared RoomsPaul C TaylorKimberly Luces
Milford Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Milford (North Shores)
85
Facility 85
DE AVG 102
Rank #49 / 73
No
18
Facility 18
DE AVG 40
Rank #85 / 110
Studio / 1 Bed / 2 BedBrenda Negron - EdJoseph Spigone
Willowbrooke Court at Country House
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Wilmington
48
Facility 48
DE AVG 102
Rank #65 / 73
No
4
Facility 4
DE AVG 40
Rank #101 / 110
1 Bed / 2 BedJennifer GreenwaltShannon Donovan Pizzollo
The Lorelton
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Wilmington (The Flats)
99
Facility 99
DE AVG 102
Rank #39 / 73
Yes
84
Facility 84
DE AVG 40
Rank #4 / 110
Studio / 1 Bed / 2 BedDavid Parkinson - EdJocelyn Dill
Dover Place Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Dover (Zurkow Development)
85
Facility 85
DE AVG 102
Rank #49 / 73
Yes
40
Facility 40
DE AVG 40
Rank #52 / 110
Studio / 1 Bed / 2 BedQueena MastCrystal Heintz
Brookdale Hockessin
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hockessin (Loveville)
66
Facility 66
DE AVG 102
Rank #56 / 73
Yes
17
Facility 17
DE AVG 40
Rank #87 / 110
StudioCrystal Manchin - EdOlena Georges
Lodge Lane Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Wilmington
60
Facility 60
DE AVG 102
Rank #58 / 73
Yes
19
Facility 19
DE AVG 40
Rank #83 / 110
Studio / 1 Bed / 2 BedFelisha Marcus AldersonTiffany V.r. Hammond
Brandywine Fenwick Island
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Selbyville (Arrington Drive)
125
Facility 125
DE AVG 102
Rank #23 / 73
No
47
Facility 47
DE AVG 40
Rank #40 / 110
Studio / 1 BedB. Eileen Bennett - EdCourtney Smith
Brookdale Dover
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dover
96
Facility 96
DE AVG 102
Rank #42 / 73
Yes
47
Facility 47
DE AVG 40
Rank #40 / 110
StudioBryan Davenport InterimMargaret Covey
The Pointe at South Harmony Lodge and Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Newark
52
Facility 52
DE AVG 102
Rank #62 / 73
Yes
67
Facility 67
DE AVG 40
Rank #19 / 110
StudioRegina Romano - EdHesdie Josias
Meadowcrest – Middletown
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Middletown
90
Facility 90
DE AVG 102
Rank #45 / 73
No
12
Facility 12
DE AVG 40
Rank #91 / 110
1 Bed / 2 BedNathan MillmanChristie Hynson
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Overview of Forwood Manor Assisted Living

Forwood Manor is a charming senior living home that offers a friendly atmosphere where residents can feel comfortable making new friendships. They offer assisted living, independent living, and respite care services. As the name suggests, the senior living home offers a high-quality senior-living experience that is established through their excellent service that many families from all over the country acclaim. A proud member of the Five Star Residences, Forwood Manor offers a stress-free senior living lifestyle for you.

Life at Forwood Manor offers modern amenities and friendly staff, they offer senior care service like no other. From delicious meals served any time of the day, to fun activities open for everyone, they always strive to provide everything you will need. Residential life is all about amenities: housekeeping, physical therapy, social events, 24-hour concierge, hair salon, library, and restaurant-style dining.  

Contact Forwood Manor Assisted Living

Overview of Serenity Gardens Assisted Living

Serenity Gardens Assisted Living is a peaceful haven nestled in the serene landscapes of Middletown, Delaware. They offer a comprehensive range of services, such as respite care, recuperative care, and long-term options, with a special focus on memory care. As a Medicaid and Medicare-approved facility, they strive to make quality care accessible to all.

The community is sprawled across 3.6 acres of beautiful land, providing the perfect backdrop for a relaxed and comforting lifestyle. With many amenities, including balconies, elevators, and inviting patios or courtyards, every detail is thoughtfully designed to enhance the living experience. They prioritize accessibility, offering wheelchair access and therapy services to meet individual needs. Their convenient transportation services and round-the-clock staff availability provide a sense of security and convenience for residents and their families.

Contact Serenity Gardens Assisted Living

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.

 

Contact Delaware Hospital for the Chronically Ill

Overview of Regal Heights Healthcare and Rehabilitation Center

Regal Heights Healthcare and Rehabilitation Center is Hockessin’s premier subacute and skilled nursing facility that aims to change the meaning of recovery for seniors. The CCRC understands that aging can be daunting, much more so with a disability or condition. The exceptional level of care delivered by their patient-friendly staff is an approach to offering the best care possible for their residents. Regal Heights is where residents feel comfortable and secure in a nurturing environment.

Specializing in short-term rehabilitation and long-term nursing care, The community provides essential service that includes 24-hour nursing care, stimulating activities, engaging social activities and programs; therapy services that include speech, occupational, and physical, orthopedic care, wound care, and memory care training that include specialized programs designed to fit the individual’s unique needs.

Contact Regal Heights Healthcare and Rehabilitation Center

Millcroft Living

255 Possum Park Rd, Newark, DE 19711
Overview of Millcroft Living

Nestled in a charming neighborhood in New York, Millcroft Living is a haven that combines the best of independent living with the warmth and compassion of supportive care. At Millcroft Living, they take their skilled nursing services seriously, providing post-surgical care, oxygen therapy, catheter care, and more. They offer inpatient therapies such as memory enhancement, comprehensive physical and occupational therapy, speech therapy, and pain management.

This lovely community is surrounded by convenient establishments for shopping, dining, and entertainment, as well as public parks and pools, and the stunning beaches of Delaware. Plus, pets are welcome too. Gone are the days of worrying about household chores and maintenance. Residents can now fully immerse themselves in the many amenities and activities that Millcroft Living offers. Choose from cozy alcove or studio units, complete with wall-to-wall carpeting, individual temperature control, and safe step-in showers with built-in seats and safety bars. The dining experience is also top-notch with delicious restaurant-style meals.

Contact Millcroft Living

Hogar San Francisco

405# Calle De Diego, San Juan, 00923, Puerto Rico
Overview of Hogar San Francisco

Hogar San Francisco offers a holistic approach to care. Their focus extends beyond physical rehabilitation and therapy, nurturing the well-being of the whole person – body, mind, and spirit. Cool and comfortable environment year-round thanks to facility-wide air conditioning. Residents can relax and unwind in spacious rooms with views of the surrounding garden.

Hogar San Francisco fosters a vibrant and engaging atmosphere with delicious, home-cooked meals, stimulating activities like music therapy and group exercise classes, and even the chance to enjoy playing the piano. Most importantly, Hogar San Francisco prioritizes strong family connections. Unlike some facilities with restrictive visiting hours, they welcome loved ones anytime. Additionally, trained staff provides 24-hour care and nursing services, ensuring residents’ physical needs are met. Daily cleaning and laundry services offer peace of mind, allowing residents to focus on enjoying their golden years.

Contact Hogar San Francisco

Overview of Springmill Community

Springmill Community is nestled in the charming town of Middletown, Delaware. This active adult community boasts spacious lots and a beautifully designed clubhouse that adds to its allure. Conveniently located just minutes away from downtown Middletown, residents have easy access to a plethora of local conveniences, making everyday living a breeze. With landscaping, snow removal, and maintenance of common property taken care of, residents can fully embrace the resort-like atmosphere and focus on enjoying their enriching lives.

The community features 362 quality homes, creating a welcoming and picturesque neighborhood perfect for strolls, bike rides, and leisurely walks. It offers a host of amenities, including a refreshing pool, classic shuffleboard, tennis courts, and bocce ball, providing ample opportunities for fun and recreation. Residents can engage in various activities and events in the inviting common areas, fostering a strong sense of community and camaraderie among neighbors. And with the added convenience of being just an hour away from the Philadelphia Airport, Springmill Community is not just a place to call home but an exceptional lifestyle destination for active adults seeking comfort and companionship.

Contact Springmill Community

Shipley Living

2723 Shipley Rd, Wilmington, DE 19810
Overview of Shipley Living

Shipley Living is a senior living community that houses services for independent living, assisted living, memory care, and skilled nursing living options. Awarded as the ‘#1 Best in Customer Satisfaction’ for 4 years in a  row, management practices a results-driven approach to quality senior living. The resident-centered community understands the importance of meaningful relationships and the importance of family, which is why it highly practices a resident-centered approach to holistic wellness for seniors. Shipley living is where residents thrive and live their best lives possible.

Residents of all housing are provided essential amenities and services that help with day-to-day activities such as concierge services, fitness classes, housekeeping, maintenance, a library, a swimming pool, and a hair salon available in the community.  These are all offered with the thought that residents would want to have a relaxed and stress-free lifestyle.

Contact Shipley Living

Overview of Parkview Nursing and Rehabilitation Center

Parkview Nursing and Rehabilitation Center provides specialized long-term and short-term care services, along with medical and social support. Their team includes an on-site medical director available for consultation whenever needed, even on weekends. Their services include wound care, medication management, continence management, memory care, and comprehensive therapies such as neuro and pulmonary therapy. They also offer post-orthopedic care, registered dietitian services, and much more.

Their staff also provides home safety evaluations to ensure safety and well-being. They focus on enriching the lives of their residents through a variety of activities and educational opportunities for families. The environment at Parkview Nursing and Rehabilitation Center is designed to promote overall well-being for the mind, body, and spirit, providing a comforting and welcoming atmosphere. This facility is one of the top providers of health care for seniors in Wilmington.

Contact Parkview Nursing and Rehabilitation Center

Miramar Living

604 Av. Juan Ponce De León, San Juan, 00907, Puerto Rico
Overview of Miramar Living

Miramar Living is an exceptional assisted living and memory care community in San Juan, Puerto Rico, that offers personalized and specialized care for older adults and those with Alzheimer’s and dementia. The community promotes a home-like atmosphere, ensuring residents feel at ease during their stay. Medication management, chef-prepared meals, and concierge medical services are also offered to ensure residents have a worry-free lifestyle. With personalized care plans, the community strives to meet residents’ healthcare needs.

Holiday celebrations, fun activities, and light exercises provide residents with more opportunities to learn and gain meaningful experiences. Here, residents also have a breathtaking view of the ocean through the community’s rooftop. Public transportation and restaurants also surround the area, offering convenient access to leisure and wellness. This retirement community is one of Puerto Rico’s trusted choices for assisted living and memory care, especially with its exceptional standards and stunning amenities.

Contact Miramar Living

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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Frequently Asked Questions about Assisted Living in Delaware

What's the difference between assisted living and memory care in Delaware?

Assisted living in Delaware supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Delaware?

Assisted living in Delaware is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Delaware Medicaid cover assisted living?

Delaware Medicaid does not directly pay room-and-board for assisted living, but most states (including Delaware) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 76 assisted living facilities in Delaware. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Delaware?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Delaware, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Delaware?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.