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Best Nursing Homes in Smyrna, DE

Reviewed by Dr. Jordan Weiss
Updated Mar 2026
We analyzed 6 homes in Smyrna, DE

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 Nursing Homes facilities in Smyrna, Delaware.

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Compare Nursing Homes around Smyrna

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

3 facilities compared · CMS & DE Dept. of Health data

Click column headers to sort
Delaware Hospital for the Chronically Ill
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).

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.

N

Nursing

Smyrna
205
Facility 205
DE AVG 102
Rank #1 / 73
37.1%
Facility 37.1%
DE AVG 80.7%
Rank #43 / 44
-54%
10.95
Facility 10.95
DE AVG 4.66
Rank #1 / 38
- +135%
$17.3k
Facility $17.3k
DE AVG $96.1k
Rank #19 / 39
11
Facility 11
DE AVG 38.9
Rank #3 / 39
3.7
Facility 3.7
DE AVG 8.7
Rank #3 / 39
2 71
18
Facility 18
DE AVG 40
Rank #86 / 111
State Of Delaware - - - 85035
Pinnacle Rehabilitation & Health Center
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).

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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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.

Smyrna (South Dupont Boulevard)
151
Facility 151
DE AVG 102
Rank #8 / 73
88.2%
Facility 88.2%
DE AVG 80.7%
Rank #18 / 44
+9%
4.05
Facility 4.05
DE AVG 4.66
Rank #23 / 38
-64% -13%
$109.4k
Facility $109.4k
DE AVG $96.1k
Rank #32 / 39
68
Facility 68
DE AVG 38.9
Rank #34 / 39
11.3
Facility 11.3
DE AVG 8.7
Rank #29 / 39
6 131
24
Facility 24
DE AVG 40
Rank #79 / 111
Efraim Rooz
$30.6M
Facility $30.6M
DE AVG $19.5M
Rank #6 / 35
$10.2M
Facility $10.2M
DE AVG $6.3M
Rank #7 / 35
33.4%
Facility 33.4%
DE AVG 35.2%
Rank #31 / 35
85020
Caring Angel Home Health
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).

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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Smyrna
181
Facility 181
DE AVG 102
Rank #2 / 73
80.6%
Facility 80.6%
DE AVG 80.7%
Rank #31 / 44
0% - - -6% -
$0
Facility $0
DE AVG $96.1k
Rank #1 / 39
81
Facility 81
DE AVG 38.9
Rank #37 / 39
13.5
Facility 13.5
DE AVG 8.7
Rank #33 / 39
- -
79
Facility 79
DE AVG 40
Rank #10 / 111
Linda Murray
$34.3M
Facility $34.3M
DE AVG $19.5M
Rank #2 / 35
$12.5M
Facility $12.5M
DE AVG $6.3M
Rank #3 / 35
36.5%
Facility 36.5%
DE AVG 35.2%
Rank #25 / 35
85037
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 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. 

Contact Pinnacle Rehabilitation & Health Center

Overview of Caring Angel Home Health

With the seniors’ wellness in mind, Caring Angel Home Health based in Main Street, Smyrna, DE, is a notable home health provider providing nursing care, physical, occupational, and speech therapy, and medical social services. The home health provider ensures that seniors receive the best care and assistance they need in the comfort of their homes. Caring Angel Home Health focuses on the individuality of the seniors, providing them with care and assistance tailored to their unique needs.

Moreover, the home health provider forges a trusting relationship with the seniors and their families to ensure that their needs are heard and preferences are followed. Caring Angel Home Health enhances the quality of life of seniors within the walls of their residence, ensuring they are comfortable and safe.

Contact Caring Angel Home Health

Overview of Pinnacle Rehabilitation and Healthcare 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. 

Contact Pinnacle Rehabilitation and Healthcare Center

Overview of Evergreen Post Acute LLC
Evergreen Post Acute is a skilled nursing facility located in Portland, Oregon. It offers a range of rehabilitation and healthcare services to support recovery and comfort for its residents. The facility is committed to providing high-quality care in a safe and nurturing environment.

Contact Evergreen Post Acute LLC

Overview of Homewell Care Services

Homewell Care Services is an adult health care provider that provides in-house care for those who prefer being taken care of at their residences. Ensuring flexible, specially-trained, and professional care, the caregiver’s areas of specialization include rehabilitation, skilled nursing, and long-term care. Residents live their best lives because of excellent services that help a speedy recovery.

HomeWell offers exclusive programs such as its Companion Care program, which provides genuine and compassionate companionship while guiding and watching the seniors; the Basic Care program, a Companion Care Plus program that extends its services to help with the simple tasks of daily living; and the Specialty Care which is a combination of the two programs mentioned above but with the exclusivity of a personalized care plan that is specific to each individual.

Contact HomeWell Care Services

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
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Frequently Asked Questions about Nursing Homes in Smyrna, 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 6 nursing homes in Smyrna, DE. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Smyrna, 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 Smyrna, 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 Smyrna, 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.