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Best Nursing Homes in Smyrna, DE

Reviewed by
Last updated
Jun 2026
We analyzed
4 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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The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.

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

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%
$59.9k
Facility $59.9k
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
274-
18
Facility 18
DE AVG 40
Rank #85 / 110
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%
$94.2k
Facility $94.2k
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
6130-
24
Facility 24
DE AVG 40
Rank #78 / 110
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
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

At 151 beds on South Dupont Boulevard, Pinnacle Rehabilitation & Health Center serves one of the broader care mandates you’ll find in Smyrna: nursing home and assisted living, yes, but also respite and hospice. The facility is running at 88.2% occupancy with 135 residents, which puts it in active, well-used territory rather than somewhere still finding its footing.

The average stay is about 90 days. That figure sits at the intersection of short-term rehab and longer-term care, reflecting the range of residents actually present: some here to recover and leave, some here to stay. Total nursing coverage comes to 4 hours and 3 minutes per resident per day. Residents have a structured seat at the table through an active resident council that meets regularly on care quality and facility policies.

Payment options cover Medicare, Medicaid, and private pay. For families managing a post-acute Medicare benefit or planning for Medicaid coverage over a longer stay, that range matters practically.

The neighborhood is car-dependent. Walk Score 24 means visiting family will drive, and most surrounding errands require a vehicle.

Pinnacle fits the profile of a facility carrying both a rehabilitation caseload and a longer-term resident population, with the payment flexibility to accommodate both. The staffing figures and breadth of care types suggest it’s built for range rather than specialization.

Contact Pinnacle Rehabilitation & Health Center

Overview of Pinnacle Rehabilitation and Healthcare Center

Pinnacle Rehabilitation & Health Center is on South Dupont Boulevard in Smyrna, Delaware. Medicare, Medicaid, and private pay are all accepted.

Walk Score of 24: you’re driving everywhere, which is standard for suburban Delaware corridor locations. The average stay here is 90 days. That’s longer than a typical short-term rehab placement and shorter than long-term care, which puts this squarely in the subacute and extended recovery range. People come in needing more than a few weeks of post-hospital support but aren’t staying permanently.

The nursing coverage runs 4 hours 3 minutes per resident per day across all staff types. LPNs and LVNs account for 1 hour 1 minute, nurse aides handle 2 hours 15 minutes, and RNs contribute 28 minutes. The LPN/LVN share is higher here than at comparable facilities, which tracks for a subacute model where licensed nursing presence matters but intensive physician-level oversight isn’t the primary need.

Pinnacle is built for people who need a structured, medium-length recovery environment with consistent nursing oversight and room to rehabilitate at a pace that doesn’t fit the 3-week post-acute model. The 90-day average says it plainly: this is where you go when recovery takes longer.

Contact Pinnacle Rehabilitation and Healthcare Center

Overview of Evergreen Post Acute LLC

With 24-hour nursing staffing, Evergreen Post Acute LLC is a 151-bed skilled nursing and rehabilitation center at South Dupont Boulevard in Smyrna, Delaware. Located in a highly walkable neighborhood where most errands can be done on foot, the home is easy for visiting family members to navigate the surrounding area. The facility has an occupancy rate running near capacity at 88 percent, indicating stable demand for its services.

Evergreen Post Acute LLC’s core strength lies in its comprehensive rehabilitation programming. Its offerings span orthopedic and joint replacement recovery, stroke and cardiac rehabilitation, pulmonary care, and post-operative support. Specialized services also include fall prevention and balance programs, pain management, vascular wound management, renal disease services, digestive disease services, and coordinated palliative and hospice care. Available 6 to 7 days a week are speech, occupational, and physical therapy services, with onsite pharmacy, laboratory, and x-ray services, lessening the need for outside appointments. The home also supports bariatric care and cancer recovery programming, giving it flexibility across multiple rehabilitation needs. Daily nursing support averages 4 hours 54 minutes per resident across registered nurses, licensed practical nurses, and nurse aides, distributed as 30 minutes of RN care, 57 minutes of LPN/LVN care, and 2 hours 27 minutes of nurse aide support. This staffing structure reflects an attentive caregiving model centered on rehabilitation outcomes. Evergreen Post Acute LLC provides private and semi-private room options and maintains a monthly activities calendar alongside its therapy-focused programming. Transportation assistance exists for residents and families, and the on-site support services develop a contained care atmosphere.

Contact Evergreen Post Acute LLC

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 4 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.