Total health inspections
5
Delaware average 4.4
Last Health inspection on Feb 2025
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Memory Care in Dover
CMS overall rating
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.
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.
Courtland Manor
Memory Care in Dover
CMS overall rating
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.
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.
Courtland Manor
Courtland Manor is a dedicated memory care community in Dover, DE, that offers specialized care for those with memory loss. The community’s nurturing and home-like environment ensures older adults’ comfort and safety. With 24-hour care, household services, and nutritious meals, residents experience worry-free living. Through personalized care plans, the community strives to meet residents’ unique needs and preferences.
Light exercises, social events, and memory-enhancing activities ensure residents can stay active and gain meaningful experiences. Residents can also rest comfortably, as spacious rooms and accessible amenities are available. With its peaceful setting in the serene residential area of Dover, the community guarantees a stress-free retirement. As one of the trusted choices for senior living in Delaware, this memory care community ensures older adults can thrive in their later years.
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.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
77
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81.7%
Residents per day (avg)
71
Occupancy rate
81.7%
Residents per day (avg)
71
Walk Score: 54 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What does this home offer?
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Types of Care at Courtland Manor
Memory Care
Nursing Home
Health Inspection History
Inspections
Total health citations
38
Delaware average 38.9
Citations per inspection
7.6
Delaware average 8.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
30 of 38 citations resulted from standard inspections; 6 of 38 resulted from complaint investigations; and 2 of 38 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Delaware averageDelaware average: 0.9
Serious Health citations
1
1
17% better than Delaware averageDelaware average: 1.2
0 critical citations
1 serious citation
36 moderate citations
1 minor citation
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 19, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 19, 2025
Corrected
Pharmacy minor citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 19, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 19, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 19, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 19, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 19, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 19, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Memory Care around Dover The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
Filter by care type
Complete Care at Silver Lake
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.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
Dover
120
No
7
Private Rooms / Semi-Private Rooms
A+
Steven Smith
Donna Burns
Harmony at Kent
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Dover
115
No
33
Private Rooms / Semi-Private Rooms
-
Rebecca Thomas - Ed
Latoya Deal
Courtland Manor
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.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
Dover
77
No
54
Private Rooms / Semi-Private Rooms
-
-
-
A Nurturing Hand Assisted Living, LLC
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.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Baltimore (Pimlico)
7 Residents
No
88
Private Rooms / Semi-Private Rooms
-
-
-
Home Instead
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.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Dover
-
No
75
Private Rooms / Semi-Private Rooms
A+
-
-
Places of interest near Courtland Manor
1.4 miles from city center — 0.39 miles to nearest hospital (Bayhealth Diabetes Wellness Center)
Calculate Travel Distance to Courtland Manor
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
121
Employees
102
Contractors
19
Staff to resident ratio
1.57:1
0% compared with Delaware averageDelaware average ratio: 1.61:1
Avg staff/day
48
Average shift
7.2 hours
5% worse than Delaware averageDelaware average: 7.6 hours
Total staff hours (quarter)
31,387
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
53
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.9%
1,538 contractor hours this quarter
Physical Therapy Assistant: 5
Qualified Social Worker: 5
Physical Therapy Aide: 4
Speech Language Pathologist: 3
Respiratory Therapy Technician: 2
Staff by category
| Certified Nursing Assistant | 53 | 0 | 53 | 14,556 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 21 | 0 | 21 | 6,668 | 91 | 100% | 7.7 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 4,014 | 91 | 100% | 9 |
| Registered Nurse | 6 | 0 | 6 | 1,067 | 79 | 87% | 6.3 |
| Dietitian | 3 | 0 | 3 | 884 | 78 | 86% | 6.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 839 | 82 | 90% | 5.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 546 | 61 | 67% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 500 | 65 | 71% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 482 | 62 | 68% | 7.8 |
| Physical Therapy Aide | 0 | 4 | 4 | 468 | 65 | 71% | 7.2 |
| Administrator | 1 | 0 | 1 | 449 | 57 | 63% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 222 | 78 | 86% | 2.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 191 | 24 | 26% | 7.9 |
| Qualified Social Worker | 0 | 5 | 5 | 170 | 28 | 31% | 6.1 |
| Occupational Therapist | 1 | 0 | 1 | 168 | 21 | 23% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 163 | 39 | 43% | 4.2 |
53 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
10 Clinical Nurse Specialist
% of Days
100%
6 Registered Nurse
% of Days
87%
3 Dietitian
% of Days
86%
4 Other Dietary Services Staff
% of Days
90%
2 Respiratory Therapy Technician
% of Days
67%
1 Mental Health Service Worker
% of Days
71%
1 Nurse Practitioner
% of Days
68%
4 Physical Therapy Aide
% of Days
71%
1 Administrator
% of Days
63%
1 RN Director of Nursing
% of Days
86%
3 Speech Language Pathologist
% of Days
26%
5 Qualified Social Worker
% of Days
31%
1 Occupational Therapist
% of Days
23%
5 Physical Therapy Assistant
% of Days
43%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
77 residents
Residents by payment source
Medicare
10 residents (13%)
Medicaid
57 residents (74%)
Private pay or other
10 residents (13%)
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.
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.
7.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
27% better than Delaware averageDelaware average: 9.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
12% better 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
15.6%
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
In line with Delaware averageDelaware average: 15.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.3%
Percent of long-stay residents whose ability to move independently worsened
11.3%
43% better 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
23.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.1%
5% worse than Delaware averageDelaware average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
18% better than Delaware averageDelaware average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
34% better than Delaware averageDelaware average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Delaware averageDelaware average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.6%
Percent of long-stay residents who lose too much weight
2.6%
54% better than Delaware averageDelaware average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.0%
Percent of long-stay residents who have depressive symptoms
4.0%
34% better than Delaware averageDelaware average: 6.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.9%
Percent of long-stay residents who received an antipsychotic medication
20.9%
90% worse than Delaware averageDelaware average: 11.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
In line with Delaware averageDelaware average: 95.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
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
94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.1%
15% better than Delaware averageDelaware average: 82.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
85% worse than Delaware averageDelaware average: 0.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
18% 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.
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 (Data as of Jan 2026)
Total fines amount
$20K
80% lower than Delaware averageDelaware average: $98K
Number of fines
2
7% more fines than Delaware averageDelaware average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Delaware averageDelaware average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$20K
Delaware average
$98K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 11, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 11, 2025
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 2, 2024
$11K
Last updated: Jan 2026
Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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