Total staff
212
Employees
163
Contractors
49
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Caring Angel Home Health
Nursing Home, Home Care & Independent Living · Smyrna, DE
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Caring Angel Home Health
Nursing Home, Home Care & Independent Living · Smyrna, DE
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Caring Angel Home Health accepts Medicare, Medicaid, and private pay.
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Types of Care at Caring Angel Home Health
Home Care
Independent Living
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
80.6%
Rank #31 / 44Occupancy rate — State benchmarkedThis home is ranked 31st out of 44 homes in Delaware. Shows this facility's occupancy rate versus the Delaware average, with its Statewide rank out of 44. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
101 days
Occupancy rate
80.6%
Rank #31 / 44Occupancy rate — State benchmarkedThis home is ranked 31st out of 44 homes in Delaware. Shows this facility's occupancy rate versus the Delaware average, with its Statewide rank out of 44. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
101 days
Walk Score: 79 / 100 Rank #10 / 111Walk Score — State benchmarkedThis home is ranked 10th out of 111 homes in Delaware. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Delaware SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Respite Care
24-Hour Staffing
Specific ProgramsAlzheimer’s Care/Dementia Care, Transportation/Doctor Visit, Hospice Care/End of Life Care/After Surgery Care, Meal Preparation, Companionship/Caregiving, Personal Care/Hygiene, Caregivers
Operating HoursMon-Sun: 24/7
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.31:1
20% worse than Delaware average
Avg staff/day
88
Average shift
7.9 hours
0% compared with Delaware average
Total staff hours (quarter)
64,086
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
42
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
87
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11%
7,020 contractor hours this quarter
Registered Nurse: 14
Licensed Practical Nurse: 12
Qualified Social Worker: 8
Physical Therapy Aide: 5
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 3
Speech Language Pathologist: 3
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 87 | 0 | 87 | 32,566 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 30 | 12 | 42 | 13,117 | 92 | 100% | 9.3 |
| Clinical Nurse Specialist | 14 | 0 | 14 | 3,699 | 92 | 100% | 7.9 |
| RN Director of Nursing | 7 | 0 | 7 | 2,690 | 69 | 75% | 7.5 |
| Registered Nurse | 11 | 14 | 25 | 2,495 | 91 | 99% | 7.6 |
| Physical Therapy Aide | 0 | 5 | 5 | 2,223 | 82 | 89% | 7.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 1,098 | 81 | 88% | 7.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,075 | 84 | 91% | 7.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,029 | 76 | 83% | 7.9 |
| Dietitian | 2 | 0 | 2 | 947 | 77 | 84% | 7.5 |
| Dental Services Staff | 3 | 0 | 3 | 821 | 68 | 74% | 7.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 702 | 76 | 83% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 499 | 64 | 70% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 62 | 67% | 7.4 |
| Administrator | 3 | 0 | 3 | 421 | 55 | 60% | 7.6 |
| Qualified Social Worker | 0 | 8 | 8 | 137 | 25 | 27% | 5.5 |
| Occupational Therapist | 1 | 0 | 1 | 112 | 14 | 15% | 8 |
87 Certified Nursing Assistant
% of Days
100%
42 Licensed Practical Nurse
% of Days
100%
14 Clinical Nurse Specialist
% of Days
100%
7 RN Director of Nursing
% of Days
75%
25 Registered Nurse
% of Days
99%
5 Physical Therapy Aide
% of Days
89%
3 Speech Language Pathologist
% of Days
88%
3 Other Dietary Services Staff
% of Days
91%
4 Physical Therapy Assistant
% of Days
83%
2 Dietitian
% of Days
84%
3 Dental Services Staff
% of Days
74%
3 Respiratory Therapy Technician
% of Days
83%
1 Nurse Practitioner
% of Days
70%
1 Mental Health Service Worker
% of Days
67%
3 Administrator
% of Days
60%
8 Qualified Social Worker
% of Days
27%
1 Occupational Therapist
% of Days
15%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
10% worse than Delaware averageDelaware average: 9.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
21% worse than Delaware averageDelaware average: 19.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
11% worse than Delaware averageDelaware average: 15.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
28.5%
Percent of long-stay residents whose ability to move independently worsened
28.5%
44% worse than Delaware averageDelaware average: 19.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
In line with Delaware averageDelaware average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
68% better than Delaware averageDelaware average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.3%
Percent of long-stay high risk residents with pressure ulcers
2.3%
49% better than Delaware averageDelaware average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.6%
Percent of long-stay residents with a urinary tract infection
1.6%
26% better than Delaware averageDelaware average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.1%
Percent of long-stay residents who lose too much weight
4.1%
29% better than Delaware averageDelaware average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.5%
Percent of long-stay residents who have depressive symptoms
3.5%
41% better than Delaware averageDelaware average: 6.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.1%
Percent of long-stay residents who received an antipsychotic medication
18.1%
65% worse than Delaware averageDelaware average: 11.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
In line with Delaware averageDelaware average: 95.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with Delaware averageDelaware average: 97.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.2%
7% better than Delaware averageDelaware average: 82.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
28% worse than Delaware averageDelaware average: 0.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
5% better than Delaware averageDelaware average: 83.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
46% of new residents, often for short stays.
Typical stay
27 days
Medicaid
14% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
162
Medicare
12
7.4% of residents
Medicaid
130
80.2% of residents
Private pay or other
20
12.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Caring Angel Home Health based on CMS SNF Cost Reports.
Occupancy Rate
80.6%
↓ 6.5pp vs 2022
Net Income
-$2.8M
↓ ~$1.9M vs 2022
Total Payroll
$12.5M
↓ ~$1.1M vs 2022
Profit Margin
-8.1%
↓ 5.9pp vs 2022
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$34.3M
Operating loss
-$2.8M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$34.3M Rank #2 / 35Revenue — State benchmarkedThis home is ranked 2nd out of 35 homes in Delaware. Shows this facility's annual revenue compared to the Delaware SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$2.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #3 / 35Payroll — State benchmarkedThis home is ranked 3rd out of 35 homes in Delaware. Shows total annual staff payroll benchmarked to the Delaware average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$12.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #3 / 35Payroll — State benchmarkedThis home is ranked 3rd out of 35 homes in Delaware. Shows total annual staff payroll benchmarked to the Delaware average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$37.1M
What does this home offer?
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Caring Angel Home Health
0.3 miles from city center
Estimated distance in miles from Smyrna's city center to Caring Angel Home Health's address, calculated via Google Maps.
— 0.31 miles to nearest hospital (ChristianaCare Wound Care Center at Smyrna)
Calculate Travel Distance to Caring Angel Home Health
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Financial Assistance for
Nursing Home in Delaware
Caring Angel Home Health is located in Smyrna, Delaware.
Here are the financial assistance programs available to residents in Delaware.
Frequently Asked Questions about Caring Angel Home Health
Is Caring Angel Home Health in a walkable area?
Caring Angel Home Health has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Are there photos of Caring Angel Home Health?
Yes — there are 11 photos of Caring Angel Home Health in the photo gallery on this page.
What is the phone number of Caring Angel Home Health?
(302) 653-8435 will put you in contact with the team at Caring Angel Home Health.
Is Caring Angel Home Health Medicare or Medicaid certified?
Yes — Caring Angel Home Health is a CMS-certified provider of Medicare and Medicaid.
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