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Best Assisted Living in Smyrna, DE

Reviewed by Dr. Jordan Weiss
Updated Dec 2025

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

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

Watch this Video to see Smyrna's Top-rated Senior Communities
Avg. Monthly cost: $6,300
National average: $5,600
Monthly cost range: $5,800–$8,400
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6
Overview of Pinnacle Rehabilitation & Health Center

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

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

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Frequently Asked Questions about Assisted Living in Smyrna, DE

What is the average cost of assisted living in Smyrna, DE?

The average monthly cost of assisted living in Smyrna, DE is approximately $6,300. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Smyrna, DE?

Assisted living in Smyrna, DE typically ranges from $5,800–$8,400 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Smyrna, DE?

Assisted living facilities in Smyrna, DE typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

How many licensed assisted living facilities are there in Smyrna, DE?

According to state licensing records, there are approximately ~10–15 licensed assisted living facilities in Smyrna, DE.

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.