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Why trust this guide?
Our editorial team analyzed 43 nursing homes in DE using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in DE
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-ranked to lowest-ranked based on our 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 TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
$11.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$7.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
67.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$16.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$10.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
63.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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Rank badges are statewide and care-type specific: each nursing home is ranked against every other DE nursing home we track that reports that metric, not just the 43 on this page. See how we rank facilities
Pike Creek Nursing and Rehabilitation is an independently-owned nursing home in Wilmington, DE, that offers long-term care and short-term rehabilitation. The community also fosters comfort and healing, ensuring older adults are well-cared for. With 24-hour care, well-balanced meals, and wellness programs, residents receive the utmost attention and care. Through customized care plans, the community strives to meet residents’ needs and preferences.
Light exercises and fun gatherings ensure residents can stay active and well-engaged. Top-notch rehabilitation equipment and lively communal spaces are also available for residents’ wellness. Located along Limestone Road in Wilmington, the community guarantees accessibility and convenience. This nursing home is a great choice for senior living in Delaware, as it has excellent services dedicated to older adults’ welfare.
Newark Manor Nursing Home provides nursing home care in Newark, DE. Nursing home care gives residents ongoing nursing support and assistance with daily needs in a residential setting, so the community may be a good fit for someone who needs regular support with care and daily activities. There are 67 beds, and David Boyer serves as the administrator.
Excelcare at Lewes is a nursing home in Lewes, DE, offering skilled nursing, memory care, hospice care, palliative care, and respite care. Skilled nursing provides licensed nursing care around the clock. Memory care is provided in an Alzheimer’s and dementia unit, with supervision suited to people living with cognitive impairment.
Hospice care addresses end-of-life needs, while palliative care focuses on comfort and symptom support. Respite care offers a short-term stay when someone’s usual caregiver needs time away or recovery. With 179 beds, Excelcare at Lewes serves a larger resident population than a small home, with corresponding staffing and programming capacity.
The total nurse staffing figure is 4h 13m per resident per day, representing the daily nurse staffing time assigned to each resident. Nutrition plans are supervised by a registered dietitian, and rehabilitation services are available within the care setting. Medicare, Medicaid, and private pay are accepted, and Lisa Sierer serves as administrator. A Walk Score of 65 means the area is somewhat walkable, with some errands possible on foot for a resident who no longer drives. Because it offers several care types, Excelcare at Lewes may be a good fit for a resident whose needs may change over time.
Kutz Senior Living Campus is an exceptional senior living community located in Wilmington, DE, providing assisted living and memory care services, as well as skilled nursing and rehabilitation services. Committed in providing top-quality care, they offer studio-style apartments, to one-to-two bedroom unit accommodations for residents to feel at home in. They are also provided a pendant alert system for immediate staff attention and assistance. The residences at Kutz Senior Living Campus are all managed by certified and licensed professionals, ensuring that residents are giving proper assistance and care regularly, and when they need it most. This includes 24/7 availability of staff for care, medication management assistance, and assistance with daily living activities, and companionship.
Kutz also offers a rich array of non-medical services and amenities aimed to enhance the residents’ daily life. This includes three freshly prepared meals and snacks, access to a full service beauty salon and barber shop, access to a well-stocked library, and professional fitness classes to stay in shape. They also offer dermatology, podiatry and dental services, as well as physical, occupational, and speech therapy services, for residents who require them.
Willowbrooke Court at Country House is an SNF in Wilmington on Kennett Pike, in a car-dependent area. The home is a newer operation, having been serving for one year, and currently maintains a 48-bed capacity with 31 residents, indicating a 65 percent occupancy rate. The average stay duration is 42 days, signaling a blend of short-term rehabilitation and longer-term residents. Medicare and private pay are accepted to offer families two key routes to cover care. To suit varying preferences and needs, the home offers housing choices of one or two-bed accommodations.
Daily nursing support averages around 4 hours 45 minutes per resident, split among registered nurses, nurse aides, and licensed practical nurses. This level of attentive staffing is a foundation of daily care delivery at Willowbrooke Court at Country House.
State inspections have noted themes for improvement in nursing staff skills, medication management, fall prevention, and service quality.
Families assessing the home may find it beneficial to ask how it’s addressing operational matters and what safeguards are enforced for resident safety.
Excelcare at Newark provides nursing home and skilled nursing care, independent living, memory care, respite care, hospice care, and palliative care in Newark, DE. Nursing care and skilled nursing provide licensed nursing care around the clock. Memory care offers a secured setting with supervision for someone at risk of wandering.
Independent living provides private living with community services and no daily care, while respite care offers a short stay for a family whose usual caregiver needs to travel or recover. Hospice and palliative care provide comfort focused support for people with serious or life limiting illness. The community has 101 beds, and its range of care options may be a good fit for a resident whose needs change over time and who may be able to remain within one community as care needs grow.
Medicare, Medicaid, and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay offers another way to pay for care. Rehabilitative Care and rehabilitation services give residents access to therapy aimed at recovery or maintenance, while nutritious, restaurant style dining provides meals in a restaurant style setting. Rhonda Quinlan serves as administrator.
Evergreen Post Acute is a nursing home and skilled nursing community in Smyrna, Delaware, with hospice and palliative care. Its 151 beds support residents who need ongoing nursing support, post acute recovery services, or comfort focused care.
Licensed nurses provide care on site around the clock. Hospice focuses on comfort for someone nearing the end of life, while palliative care addresses comfort and symptom relief alongside other care needs. Evergreen Post Acute may be a good fit for a resident who needs nursing support during recovery or care focused on comfort.
Rehabilitation services cover joint replacement and orthopedic rehabilitation, stroke rehabilitation, cardiac rehabilitation, fall prevention and balance programs, pulmonary care, post operative care, pain management, and intravenous or infusion therapy. Therapy and assessment services are available six to seven days a week, so residents can access rehabilitation support on most days.
Residents can choose between private and semi private rooms, depending on whether they need a room to themselves or are comfortable sharing. Transportation assistance is available for residents who need help arranging travel. Jessica Rochester serves as the administrator.
The Mary Campbell Center provides nursing care, skilled nursing, and respite care in Wilmington, DE. Nursing and skilled nursing services include licensed nursing care on site around the clock. Respite care provides a short term stay when someone’s usual caregiver needs to travel or recover.
Opened in 1976, the center has 73 beds. Its intermediate long term care setting supports residents who need ongoing residential services, while respite services are intended for shorter stays. The center may be a good fit for an individual with physical, intellectual, or developmental disabilities who needs residential nursing care or a temporary placement.
Rehabilitation services, occupational therapy, aquatics, a pool, and a hot tub give residents access to therapy and water based activities on site. Additional structured services include a Snoezelen Room, assistive technology, modified fitness and exercise programs, functional living skills, computer education and training, massage therapy, case management, and Children & Youth programming. These offerings address varying physical, intellectual, and developmental needs. Tarah Pappas serves as the administrator.
Overview of ProMedica Skilled Nursing and Rehabilitation
Wilmington Nursing and Rehabilitation, ideally situated in Foulk Road in Wilmington, DE, is an exceptional community offering high-quality long-term care for the elderly, including skilled nursing and rehabilitation services. With an expert and compassionate team, the community provides personalized care in a welcoming setting, ensuring the immediate needs and interests of its residents are met.
As a top-rated nursing home for seniors, the community is dedicated to catering to those lives that have been remarkably altered by accidents or illnesses as well as other individuals who need specialized recovery services. Furthermore, the community offers top-tier amenities and services including chef-prepared meals based on dietary needs and support services provided by a professional team. Equipped with the right tools and people, seniors are guaranteed a secure and wondrous living experience with Wilmington Nursing and Rehabilitation.
Cadia Rehabilitation Broadmeadow operates a 120-bed skilled nursing facility on South Broad Street in Middletown, Delaware. The campus supports short-term post-hospital therapy and long-term residential care, covering specialties like hospice, memory care, palliative services, and temporary respite stays. On-site clinical programs include respiratory therapy, transitioning services, and daily dialysis options.
Weekend care schedules average 3 hours and 25 minutes of direct nursing care per resident each day. This time includes 48 minutes from registered nurses, 45 minutes from licensed practical nurses, and 2 hours and 11 minutes from nurse aides. Physical therapy routines average 8 minutes daily per resident.
The Middletown neighborhood has a walkability score of 46 out of 100, which means the layout is somewhat car-dependent and most routine errands will require a vehicle. Accommodations feature semi-private rooms alongside communal therapy gyms and dining halls.
Interested individuals looking for local rehabilitation services or long-term nursing care can reach out to the administrative office at Cadia Rehabilitation Broadmeadow directly to check current bed openings or ask about Medicaid eligibility pathways.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Avg Overall CMS Rating:3.3/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Delaware. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:4.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Delaware. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Delaware. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Frequently Asked Questions about Nursing Homes in Delaware
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 nursing home care?
Yes — Delaware Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 43 nursing homes in Delaware. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home 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 nursing homes 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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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