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Best Nursing Homes in Middletown, DE

Why trust this guide? Our editorial team analyzed 5 nursing homes in Middletown, DE using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in DE
Reviewed by
Last updated
Jun 2026
We analyzed
5 homes
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Video Tour: Top-rated Nursing Homes facilities in Middletown, Delaware.

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Avg Overall CMS Rating: 2.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Middletown, DE. 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 Middletown, DE. 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: 1.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Middletown, DE. 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.
National Average: 3.0/ 5
Overview of New Castle Health & Rehabilitation Center

New Castle Health & Rehabilitation Center is a nursing home that not only meets but exceeds the expectations of families who place their trust in its care. With a person-centered approach, this center is wholeheartedly committed to supporting the wellness goals of seniors, ensuring they receive the highest standard of care. Offering skilled nursing services, senior rehabilitation, and long-term care, each aspect is thoughtfully customized to cater to the unique needs of every individual resident.

Beyond providing exceptional care, this home in Delaware also offers a plethora of opportunities for new experiences and skill development, empowering seniors to embrace life to the fullest. Families can rest assured that their loved ones are in reliable and caring hands, making this center a place they can truly count on for providing compassionate and top-tier care to the seniors who call it home.

Contact New Castle Health & Rehabilitation Center

Overview of Laurelwood Healthcare Center

Laurelwood Healthcare Center operates as a skilled nursing facility, catering to short-term recovery patients and long-term residents. The clinical menu features specialized services such as memory care, restorative care, hospice, and palliative care, with on-site staff trained to manage cardiac care, substance abuse recovery, and complex wound treatment.

The building layout focuses on accessibility and natural lighting to assist daily resident mobility, and the staff coordinates regular social events and community activities. The surrounding area holds a walkability score of 50 out of 100, showing that the neighborhood is moderately walkable, though a vehicle is required for most errands outside the property grounds.

Prospective representatives seeking a structured nursing environment with specialized medical management can reach out to Laurelwood Healthcare Center directly to check open floor plans, verify bed availability, or arrange an admissions interview.

Contact Laurelwood Healthcare Center

Overview of Cardia Healthcare Broadmeadow

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.

Contact Cardia Healthcare Broadmeadow

Overview of Elkton Nursing & Rehabilitation

Elkton Nursing & Rehabilitation functions primarily as a nexus for rehabilitation services and skilled nursing support. The facility occupies a location with a Walk Score of 43, a figure that dictates a reliance on personal vehicular transport for the vast majority of daily errands and logistical necessities. Its operational framework prioritizes rehabilitation therapy as a central pillar, complemented by provisions for short-term rehabilitation, respite care, and the continuous oversight of twenty-four-hour staffing. The integration of active volunteer programs adds a layer of community engagement to the facility structure.

Nurse aides facilitate two hours and thirteen minutes of direct patient attention per resident daily. Licensed practical and vocational nurses contribute forty-six minutes, while registered nurses provide twenty-two minutes of direct care in the same timeframe. Beyond these clinical metrics, the physical and programmatic environment includes access to a courtyard space for outdoor relief, alongside standardized amenities such as transportation assistance, housekeeping, and laundry services. The facility’s calendar incorporates seasonal activities and a wellness curriculum designed to address the intersections of social connectivity and mental health maintenance.

Elkton Nursing & Rehabilitation functions as a comprehensive skilled nursing institution. Its operational model balances a formal therapy program and constant staffing with a dual focus on short-term post-acute recovery trajectories and the specialized requirements of individuals who necessitate long-term nursing oversight.

Contact Elkton Nursing & Rehabilitation

Overview of Weston Senior Living at Highfield

Weston Senior Living Center at Highfield operates a senior campus in Wilmington, Delaware, providing independent living, assisted living, residential care, and skilled nursing. The community is split into different care segments, featuring a 60-bed residential care wing alongside a 19-bed skilled nursing unit. On-site clinical therapies include general physical rehabilitation, intravenous (IV) management, and professional wound care.

The campus features one-bedroom and two-bedroom apartments alongside standalone cottages. Each home layout includes sliding glass doors that open to private patios, plus full kitchens equipped with dishwashers and stainless steel appliances. Bathrooms are built out with standard safety grab bars and walk-in shower bases.

The residential property maintains a walkability score of 46 out of 100, which reflects a car-dependent layout where most daily errands outside the 10-acre campus grounds require a vehicle. Prospective families looking for a multi-tiered retirement layout near regional health networks can contact Weston Senior Living Center at Highfield directly to check apartment pricing, confirm bed availability, or request detailed service menus.

Contact Weston Senior Living at Highfield

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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Frequently Asked Questions about Nursing Homes in Middletown, DE

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 5 nursing homes in Middletown, DE. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Middletown, DE?

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 Middletown, DE, 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 Middletown, DE?

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.