Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
140
120 employees · 20 contractors · 47 on an average day Courtland Manor
Nursing Home, Assisted Living & Memory Care · Dover, DE
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 10 points below the Delaware average for CMS-certified facilities (80/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 10 points below the Delaware average for CMS-certified facilities (80/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Courtland Manor
Nursing Home, Assisted Living & Memory Care · Dover, DE
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 10 points below the Delaware average for CMS-certified facilities (80/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 10 points below the Delaware average for CMS-certified facilities (80/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Courtland Manor accepts Medicare, Medicaid, and private pay.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 21st out of 37 nursing homes we track in Delaware for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 59m
This nursing home is ranked 21st out of 37 nursing homes we track in Delaware for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 59m6 of 6 metrics below Delaware average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 7.1-hour shifts
48m
↓ 23% · DE 1h 2mThis facility: 48m per resident per day, 23% below the Delaware average of 1h 2m (among Delaware facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 7.1-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 7.4-hour shifts
57m
↓ 7% · DE 1h 1mThis facility: 57m per resident per day, 7% below the Delaware average of 1h 1m (among Delaware facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 7.4-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 58 are the facility's own employees; no agency contractors work in this role.
58 staff · 7.6-hour shifts
2h 14m
↓ 9% · DE 2h 28mThis facility: 2h 14m per resident per day, 9% below the Delaware average of 2h 28m (among Delaware facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 58 are the facility's own employees; no agency contractors work in this role.
58 staff · 7.6-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
↓ 78% · DE 9mThis facility: 2m per resident per day, 78% below the Delaware average of 9m (among Delaware facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 42m
↓ 8% · DE 4h 2mThis facility: 3h 42m per resident per day, 8% below the Delaware average of 4h 2m (among Delaware facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
29m
↓ 32% · DE 43mThis facility: 29m per resident per day, 32% below the Delaware average of 43m (among Delaware facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
140
120 employees · 20 contractors · 47 on an average day
140 total staff / 70 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.00 : 1
↑ 14% · DE 1.75This facility: 2.00 staff per resident, 14% above the Delaware average of 1.75 (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
140 staff ÷ 70 residents
See full Delaware ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.1 h
↓ 7% · DE 7.6 hThis facility: 7.1 h, 7% below the Delaware average of 7.6 h (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
30,526 staff hours this quarter
See full Delaware ranking →94.6% of staff hours were worked by the facility's own employees
Delaware average: 92.5% · Contractors this quarter: Respiratory Therapy Technician (6), Speech Language Pathologist (5), Qualified Social Worker (4), Physical Therapy Aide (3), Physical Therapy Assistant (2)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
85
Rank #30 / 41Bed count — State benchmarked This nursing home is ranked 30th out of 41 nursing homes we track in Delaware for bed count. Shows this facility's certified or reported bed count compared to other Delaware facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
85
Rank #30 / 41Bed count — State benchmarked This nursing home is ranked 30th out of 41 nursing homes we track in Delaware for bed count. Shows this facility's certified or reported bed count compared to other Delaware facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #10 / 42Walk Score — State benchmarked This nursing home is ranked 10th out of 42 nursing homes we track in Delaware for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Delaware facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #10 / 42Walk Score — State benchmarked This nursing home is ranked 10th out of 42 nursing homes we track in Delaware for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Delaware facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
54
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #23 / 34Occupancy rate — State benchmarked This nursing home is ranked 23rd out of 34 nursing homes we track in Delaware for occupancy. Shows this facility's occupancy rate versus the Delaware average, with its Statewide rank out of 34. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #23 / 34Occupancy rate — State benchmarked This nursing home is ranked 23rd out of 34 nursing homes we track in Delaware for occupancy. Shows this facility's occupancy rate versus the Delaware average, with its Statewide rank out of 34. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
85.6%
This home usually has limited availability
Based on residents per day and 85 beds.
Similar to the Delaware average: 83.6%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
73
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
151
days
About This Community
American Heart Association Heart Failure Certification — American Heart AssociationA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.
Resident Council
Physical Therapy
Occupational Therapy
Cardiac and Pulmonary Care
Pain & Symptom Management
Dietitian
Palliative CareCare focused on relieving pain, symptoms, and stress while supporting quality of life. It can be provided alongside treatment for a serious illness.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Laundry & Linen
Transportation
Courtyard
Wi-Fi
Cable Tv
Beauty Salon
Sophisticated Common Areas
Landscaped Outdoor AtriumA large open lobby, often with a skylight.
Private Dining Room
Activities
Chair Yoga
Stretching Exercises
Live Music and Entertainment
Social Gatherings and Entertainment
Emotional and Spiritual Support Counseling
Dining & Nutrition
Sourced directly from the team at Courtland Manor.
Dining & Nutrition
Sourced directly from the team at Courtland Manor.- Private dining room for family events.
Building TypeTwo-story
Room Types
Private Rooms
Semi-Private Rooms
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
10 points below the Delaware average for CMS-certified facilities (80/100)
Category breakdown
Citations
Typical
94 severity-weighted points (38 deficiencies) · 2% lower than the typical CMS-certified DE facility (median: 96)
Enforcement
Concern
3 enforcement actions · 50% more than the typical CMS-certified DE facility (median: 2) · $34,838 in fines
Persistence
Typical
45 days to fix issues · slower than the typical CMS-certified DE facility (median: 44)
Total health inspections
5
↑ 16% · DE 4.3This facility: 5, 16% above the Delaware average of 4.3 (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
38
Rank #21 / 37Health citations — State benchmarked This nursing home is ranked 21st out of 37 nursing homes we track in Delaware for health citations. Shows this facility's total health deficiency citations benchmarked to the Delaware State average, with a ranking across all 37 DE facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 4% · DE 36.5This facility: 38, 4% above the Delaware average of 36.5 (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
7.6
Rank #19 / 37Citations per inspection — State benchmarked This nursing home is ranked 19th out of 37 nursing homes we track in Delaware for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Delaware mean across 37 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 8% · DE 8.28This facility: 7.6, 8% below the Delaware average of 8.28 (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
38 of 38 citations corrected
Critical
J–L
1
≈ 0% · DE 1This facility: 1, level with the Delaware average of 1 (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↓ 29% · DE 1.4This facility: 1, 29% below the Delaware average of 1.4 (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
35
↑ 5% · DE 33.3This facility: 35, 5% above the Delaware average of 33.3 (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↑ 11% · DE 0.9This facility: 1, 11% above the Delaware average of 0.9 (among Delaware facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Apr 23, 2026 · 5 citations, all corrected
Most cited category: Quality of Life & Care, 16 of 38 citations · 6 categories in total
Citations history
Most recent first
Apr 23, 2026
5 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Feb 24, 2026
1 citation
Resident Rights critical citation
Corrected
Corrected
Feb 19, 2025
18 citations
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy minor citation
Corrected
Corrected
Dec 02, 2024
4 citations
Quality of Care serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Feb 23, 2024
10 citations
Care Planning moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 38 citations
Quality of Life & Care
16 deficiencies (42%)
Resident Rights
7 deficiencies (18%)
Resident Assessment & Care Planning
6 deficiencies (16%)
Nutrition & Dietary
4 deficiencies (11%)
Pharmacy Services
3 deficiencies (8%)
Abuse, Neglect & Exploitation
2 deficiencies (5%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 38 citations resulted from standard inspections; 5 of 38 resulted from complaint investigations; and 5 of 38 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Oct 2026
3 penalties in the past 3 years
Latest: Feb 24, 2026 · $14,901 civil money penalty
Feb 24, 2026 · $14,901 civil money penalty
Apr 11, 2025 · $9,113 civil money penalty
Dec 2, 2024 · $10,824 civil money penalty
Total fines
$34,838
↓ 58% · DE $83KThis facility: $34,838, 58% below the Delaware average of $83,260. Average among the 32 Delaware facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #17 / 37Federal fines — State benchmarked This nursing home is ranked 17th out of 37 nursing homes we track in Delaware for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Delaware average among facilities with fines, and where it ranks among 37 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Delaware that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
3
↑ 43% · DE 2.09This facility: 3, 43% above the Delaware average of 2.09. Average among the 32 Delaware facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
DE avg 0.13Delaware average: 0.13. Average among the 32 Delaware facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Feb 24, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,901
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,901
Apr 11, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,113
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,113
Dec 2, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,824
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,824Fine amount comparison
This facility
$34,838
Delaware average
$83,260
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Delaware and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Delaware average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 32% · DE 3.8This facility: 5.0, 32% above the DE average of 3.8 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 41% · DE 3.4This facility: 2.0, 41% below the DE average of 3.4 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
3.7
Score · lower is better
↓ 48% · DE 7.2This facility: 3.7, 48% below the DE average of 7.2 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
9.4
Score · lower is better
↓ 36% · DE 14.6This facility: 9.4, 36% below the DE average of 14.6 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 8 better, 2 worse, 3 near DE average
7 short-stay measures: 3 better, 2 worse, 2 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
6.8%
↓ 45% · DE 12.3This facility: 6.8, 45% below the DE average of 12.3 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
6.8%
↓ 45% · DE 12.3This facility: 6.8, 45% below the DE average of 12.3 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
3.1%
↓ 75% · DE 12.1This facility: 3.1, 75% below the DE average of 12.1 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
3.1%
↓ 75% · DE 12.1This facility: 3.1, 75% below the DE average of 12.1 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.3%
↓ 5% · DE 19.3This facility: 18.3, 5% below the DE average of 19.3 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.3%
↓ 5% · DE 19.3This facility: 18.3, 5% below the DE average of 19.3 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.9%
↓ 54% · DE 1.9This facility: 0.9, 54% below the DE average of 1.9 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.9%
↓ 54% · DE 1.9This facility: 0.9, 54% below the DE average of 1.9 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
↓ 57% · DE 2.9This facility: 1.3, 57% below the DE average of 2.9 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
↓ 57% · DE 2.9This facility: 1.3, 57% below the DE average of 2.9 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.2%
↑ 23% · DE 3.4This facility: 4.2, 23% above the DE average of 3.4 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.2%
↑ 23% · DE 3.4This facility: 4.2, 23% above the DE average of 3.4 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
3.3%
↓ 40% · DE 5.5This facility: 3.3, 40% below the DE average of 5.5 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.3%
↓ 40% · DE 5.5This facility: 3.3, 40% below the DE average of 5.5 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
46.5%
↑ 338% · DE 10.6This facility: 46.5, 338% above the DE average of 10.6 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
46.5%
↑ 338% · DE 10.6This facility: 46.5, 338% above the DE average of 10.6 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
7.4%
↓ 31% · DE 10.6This facility: 7.4, 31% below the DE average of 10.6 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
7.4%
↓ 31% · DE 10.6This facility: 7.4, 31% below the DE average of 10.6 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
↑ 3% · DE 96.2This facility: 99.2, 3% above the DE average of 96.2 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
↑ 3% · DE 96.2This facility: 99.2, 3% above the DE average of 96.2 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 1% · DE 98.8This facility: 100.0, 1% above the DE average of 98.8 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 1% · DE 98.8This facility: 100.0, 1% above the DE average of 98.8 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.00
↓ 45% · DE 1.83This facility: 1.00, 45% below the DE average of 1.83 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.00
↓ 45% · DE 1.83This facility: 1.00, 45% below the DE average of 1.83 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.40
↑ 2% · DE 1.37This facility: 1.40, 2% above the DE average of 1.37 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.40
↑ 2% · DE 1.37This facility: 1.40, 2% above the DE average of 1.37 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 7 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
57.9%
↑ 8% · US 53.7This facility: 57.9, 8% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
57.9%
↑ 8% · US 53.7This facility: 57.9, 8% above the US average of 53.7 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
↑ 15% · DE 0.9This facility: 1.0, 15% above the DE average of 0.9 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
↑ 15% · DE 0.9This facility: 1.0, 15% above the DE average of 0.9 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
↑ 15% · DE 84.5This facility: 97.5, 15% above the DE average of 84.5 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
↑ 15% · DE 84.5This facility: 97.5, 15% above the DE average of 84.5 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.5%
↑ 9% · DE 88.4This facility: 96.5, 9% above the DE average of 88.4 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.5%
↑ 9% · DE 88.4This facility: 96.5, 9% above the DE average of 88.4 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.1%
↑ 17% · DE 21.5This facility: 25.1, 17% above the DE average of 21.5 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.1%
↑ 17% · DE 21.5This facility: 25.1, 17% above the DE average of 21.5 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.4%
↓ 7% · DE 11.2This facility: 10.4, 7% below the DE average of 11.2 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
10.4%
↓ 7% · DE 11.2This facility: 10.4, 7% below the DE average of 11.2 (among DE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Finances and operations
Based on CMS SNF Cost Report for a partial period, Apr 1 – Dec 31, 2024 (9 months). This home has no complete fiscal year on file, so these figures are not comparable to a full year.
For-profit
Operated by a business corporation.
Net patient revenue
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M*Partial period: Apr 1 – Dec 31, 2024 (9 months)This home has no complete fiscal year on file, so these figures cover a shorter period and are not comparable to a full year. Rankings are not shown.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$539.9K*Partial period: Apr 1 – Dec 31, 2024 (9 months)This home has no complete fiscal year on file, so these figures cover a shorter period and are not comparable to a full year. Rankings are not shown.
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
For-profit
Operated by a business corporation.
Net patient revenue
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M*Partial period: Apr 1 – Dec 31, 2024 (9 months)This home has no complete fiscal year on file, so these figures cover a shorter period and are not comparable to a full year. Rankings are not shown.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$539.9K*Partial period: Apr 1 – Dec 31, 2024 (9 months)This home has no complete fiscal year on file, so these figures cover a shorter period and are not comparable to a full year. Rankings are not shown.
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Other income
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$885*Partial period: Apr 1 – Dec 31, 2024 (9 months)This home has no complete fiscal year on file, so these figures cover a shorter period and are not comparable to a full year. Rankings are not shown.
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Payroll costs
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$4.1M*Partial period: Apr 1 – Dec 31, 2024 (9 months)This home has no complete fiscal year on file, so these figures cover a shorter period and are not comparable to a full year. Rankings are not shown.
57.8% of net patient revenue
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.5M*Partial period: Apr 1 – Dec 31, 2024 (9 months)This home has no complete fiscal year on file, so these figures cover a shorter period and are not comparable to a full year. Rankings are not shown.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
Total costs
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.7M*Partial period: Apr 1 – Dec 31, 2024 (9 months)This home has no complete fiscal year on file, so these figures cover a shorter period and are not comparable to a full year. Rankings are not shown.
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
143 admissions · FY2024
Residents admitted during the year.
Medicare
72 · 50%
Medicaid
41 · 29%
Private pay & other
30 · 21%
Resident snapshot
70 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
7 · 10%
Medicaid
56 · 80%
Private pay & other
7 · 10%
Leaving
126 discharges · FY2024
Residents discharged during the year.
Medicare
47 · 37%
Medicaid
53 · 42%
Private pay & other
26 · 21%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Courtland Manor
1.4 miles from city center
Estimated distance in miles from Dover's city center to Courtland Manor's address, calculated via Google Maps.
Calculate Travel Distance to Courtland Manor
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Compare Nursing Homes around Dover
Info below is compiled from CMS reports & the DE Dept. of Health & Social Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Delaware average is: 51.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Center at Eden Hill | NH SNF | Dover | 80
Facility
80
DE AVG
109
Rank
#31 / 41 | A |
85.1%
Facility
85.1%
DE AVG
83.6%
Rank
#24 / 34 | +2% | 4.66
Facility
4.66
DE AVG
4.93
Rank
#11 / 37 | -4% | -5% | $0
Facility
$0
DE AVG
$83.3k
Rank
#1 / 37 | 23
Facility
23
DE AVG
36.5
Rank
#11 / 37 | 7.7
Facility
7.7
DE AVG
8.3
Rank
#20 / 37 | - | 68 | - |
48
Facility
48
DE AVG
39
Rank
#15 / 42 | - | $17.3MFiscal year ending 12/2024
Facility
$17.3MFiscal year ending 12/2024
DE AVG
$17.5M
Rank
#14 / 32 | $8.1MFiscal year ending 12/2024
Facility
$8.1MFiscal year ending 12/2024
DE AVG
$8.6M
Rank
#19 / 32 | 47.2%Fiscal year ending 12/2024
Facility
47.2%Fiscal year ending 12/2024
DE AVG
51.1%
Rank
#19 / 32 | 085057 | ||||
| Complete Care at Silver Lake | NH HOS PC RC SNF | Dover | 120
Facility
120
DE AVG
109
Rank
#17 / 41 | A |
94.9%
Facility
94.9%
DE AVG
83.6%
Rank
#6 / 34 | +13% | 3.99
Facility
3.99
DE AVG
4.93
Rank
#21 / 37 | -4% | -19% | $47.5k
Facility
$47.5k
DE AVG
$83.3k
Rank
#19 / 37 | 30
Facility
30
DE AVG
36.5
Rank
#13 / 37 | 10.0
Facility
10.0
DE AVG
8.3
Rank
#24 / 37 | 1 | 114 | A+ |
7
Facility
7
DE AVG
39
Rank
#37 / 42 | - | $16.6MFiscal year ending 06/2025
Facility
$16.6MFiscal year ending 06/2025
DE AVG
$17.5M
Rank
#15 / 32 | $6.2MFiscal year ending 06/2025
Facility
$6.2MFiscal year ending 06/2025
DE AVG
$8.6M
Rank
#28 / 32 | 37.3%Fiscal year ending 06/2025
Facility
37.3%Fiscal year ending 06/2025
DE AVG
51.1%
Rank
#25 / 32 | 085027 | ||||
| Westminster Village Assisted Living | NH AL HOS IL MC RC SNF | Dover (The Hamlet) | 99
Facility
99
DE AVG
109
Rank
#27 / 41 | ? | - | - | 4.60
Facility
4.60
DE AVG
4.93
Rank
#12 / 37 | +43% | -7% | $30.5k
Facility
$30.5k
DE AVG
$83.3k
Rank
#16 / 37 | 33
Facility
33
DE AVG
36.5
Rank
#17 / 37 | 6.6
Facility
6.6
DE AVG
8.3
Rank
#14 / 37 | 2 | 58 | - |
35
Facility
35
DE AVG
39
Rank
#23 / 42 | Phi | $20.8MFiscal year ending 12/2024
Facility
$20.8MFiscal year ending 12/2024
DE AVG
$17.5M
Rank
#6 / 32 | $8.4MFiscal year ending 12/2024
Facility
$8.4MFiscal year ending 12/2024
DE AVG
$8.6M
Rank
#17 / 32 | 40.1%Fiscal year ending 12/2024
Facility
40.1%Fiscal year ending 12/2024
DE AVG
51.1%
Rank
#24 / 32 | 085032 | ||||
| Cadia Healthcare Capitol Healthcare | NH HOS MC PC RC SNF | Dover (Zurkow Development) | 120
Facility
120
DE AVG
109
Rank
#17 / 41 | C- |
84.2%
Facility
84.2%
DE AVG
83.6%
Rank
#25 / 34 | +1% | 4.53
Facility
4.53
DE AVG
4.93
Rank
#14 / 37 | -38% | -8% | $8.0k
Facility
$8.0k
DE AVG
$83.3k
Rank
#9 / 37 | 31
Facility
31
DE AVG
36.5
Rank
#15 / 37 | 7.8
Facility
7.8
DE AVG
8.3
Rank
#21 / 37 | 2 | 101 | - |
32
Facility
32
DE AVG
39
Rank
#27 / 42 | Eric Schafer | $14.1MFiscal year ending 12/2024
Facility
$14.1MFiscal year ending 12/2024
DE AVG
$17.5M
Rank
#22 / 32 | $7.8MFiscal year ending 12/2024
Facility
$7.8MFiscal year ending 12/2024
DE AVG
$8.6M
Rank
#22 / 32 | 55.4%Fiscal year ending 12/2024
Facility
55.4%Fiscal year ending 12/2024
DE AVG
51.1%
Rank
#11 / 32 | 085048 | ||||
| Courtland Manor | NH AL MC | Dover | 85
Facility
85
DE AVG
109
Rank
#30 / 41 | C- |
85.6%
Facility
85.6%
DE AVG
83.6%
Rank
#23 / 34 | +2% | 3.99
Facility
3.99
DE AVG
4.93
Rank
#21 / 37 | -23% | -19% | $34.8k
Facility
$34.8k
DE AVG
$83.3k
Rank
#17 / 37 | 38
Facility
38
DE AVG
36.5
Rank
#21 / 37 | 7.6
Facility
7.6
DE AVG
8.3
Rank
#19 / 37 | 2 | 73 | - |
54
Facility
54
DE AVG
39
Rank
#10 / 42 | Daniel Schurman | - | - | - | 085019 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other DE nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Delaware
Courtland Manor is in Dover, Delaware. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
Diamond State Health Plan Plus (DSHP Plus)
Delaware Diamond State Health Plan Plus (DSHP Plus)
- Income limit
- 2026 · The LTC standard is 250% of SSI, equal to $2,485/month for an individual in 2026; a qualifying income trust may be relevant above the limit.
- Asset limit
- Individual countable assets generally cannot exceed $2,000; applicants with a spouse require separate spousal-protection assessment.
Eligibility
- General
- Delaware residents meeting Medicaid long-term-care and functional criteria; current services are administered through Diamond State Health Plan Plus.
- DE specifics
- Long-term-care services are administered through Diamond State Health Plan Plus managed care.
What it provides
- Assessed long-term-care services through DSHP Plus including home/community support; care management; respite and eligible residential services.
Medicare Savings Program (MSP)
Delaware Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
- Income limit
- 2026 · 2026 monthly countable-income limits (single/couple): QMB $1,330/$1,804; SLMB $1,596/$2,164; QI $1,796/$2,435. Disregards may affect countable income.
- Asset limit
- Delaware does not use an MSP asset test.
Eligibility
- General
- Delaware residents entitled to Medicare Part A and meeting the applicable Medicare Savings Program rules.
- DE specifics
- QMB, SLMB and QI have different coverage; DMMA determines countable income and category eligibility.
What it provides
- QMB pays eligible Medicare premiums and cost sharing; SLMB and QI pay the Part B premium.
Know before you visit
Frequently Asked Questions about Courtland Manor
Quick answers from public records and the community's own listing.01 Is Courtland Manor in a walkable area?
Courtland Manor has a walk score of 54. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the occupancy rate at Courtland Manor?
Courtland Manor's occupancy is 85.6%.
03 Are pets allowed at Courtland Manor?
No, Courtland Manor has a no-pet policy.
04 Does Courtland Manor operate as a for-profit or non-profit?
Courtland Manor is registered as a for-profit.
05 What is the overall rating for Courtland Manor?
Courtland Manor received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
06 How many beds does Courtland Manor have?
Courtland Manor has 85 beds.
07 Are there photos of Courtland Manor?
Yes — there are 4 photos of Courtland Manor in the photo gallery on this page.
Updated on
