We arrange tours, appointments, and even moving support so you don’t have to
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.
Delaware Hospital for the Chronically Ill is for those who seek a home that is considered the “last resort” in such a case. The center provides graceful living for short-term or long-term residents. Delaware Hospital is a community focused on creating an efficient and accessible approach to nursing its residents.
The nursing center allows participants of Medicare and Medicaid to receive quality care. In a 205-bed facility, residents receive various services to help them get by through daily living, such as ADLs, rehabilitation, specialized programs, and specific meals served daily.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 1st out of 38 homes in Delaware. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 2h 38m per day | ▲ 155% State avg: 1h 2m per day · National avg: 41m per day |
|
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.
| 1h 50m per day | ▲ 80% State avg: 1h 1m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 5h 50m per day | ▲ 136% State avg: 2h 28m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 8h 25m per day | ▲ 109% State avg: 4h 2m per day · National avg: 3h 26m per day |
|
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.
| 4m per day | ▼ 56% State avg: 9m per day · National avg: 4m per day |
|
Weekend RN
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.
| 1h 36m per day | ▲ 123% State avg: 43m per day · National avg: 29m per day |
Lower than the Delaware average: 80.7%Delaware Hospital for the Chronically Ill is administrated by Geraldine Stewart.
Key information about the people who lead and staff this community.
In Delaware, the Department of Health and Social Services, Division of Health Care Quality is responsible for the oversight, unannounced inspection, and licensing of all long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Delaware state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | DE Average | vs. DE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 35 | 64 | This facility has 45% fewer total deficiencies than a typical Delaware nursing home (35 vs. DE avg 64).↓ 45% better |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 5 | 9.1 | This facility has 45% fewer deficiencies per year than a typical Delaware nursing home (5 vs. DE avg 9.1).↓ 45% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 3, 2025, found the facility to be in substantial compliance with no deficiencies at that time. Earlier inspections showed multiple deficiencies primarily related to resident supervision, including failures to prevent elopement and falls resulting in injury, as well as issues with emergency preparedness policies. Substantiated complaint investigations documented inadequate supervision during transfers and elopement risks, with one instance involving immediate jeopardy that was abated promptly. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates improvement in compliance with recent surveys showing no deficiencies after prior issues.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsDelaware average 4.4
Last Health inspection on Oct 2025
Delaware average 38.9
Delaware average 8.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 11 citations resulted from standard inspections; and 2 of 11 resulted from complaint investigations.
122% worse than Delaware averageDelaware average: 0.9
100% better than Delaware averageDelaware average: 1.2
Corrected
Corrected
Corrected
Corrected
Includes penalties issued in 2025
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)
16% lower than Delaware averageDelaware average: $98K
7% more fines than Delaware averageDelaware average: 1.9
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 24, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.0
69% better than Delaware averageDelaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.5
66% better than Delaware averageDelaware average: 19.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
4.5%
71% better than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
4.0%
80% better than Delaware averageDelaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.9%
51% better than Delaware averageDelaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
77% better than Delaware averageDelaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
3.5%
21% better than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.1%
In line with Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
2.1%
63% better than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
9.5%
14% better than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.3%
16% worse than Delaware averageDelaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Delaware averageDelaware average: 97.4%
Number of hospitalizations per 1,000 long-stay resident days.
2.29
25% worse than Delaware averageDelaware average: 1.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.98
28% better than Delaware averageDelaware average: 1.37
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Delaware Hospital for the Chronically Ill based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
1 mile from city center
— 0.64 miles to nearest hospital (ChristianaCare Wound Care Center at Smyrna)
Add your location
Delaware Hospital for the Chronically Ill is located in Smyrna, Delaware.
Here are the financial assistance programs available to residents in Delaware.
The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
| Delaware Hospital for the Chronically Ill |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
N Nursing | Smyrna | 205 | 42.7% | -47% | 10.95 | - | +135% | $17.3k | 11 | 3.7 | 2 | 71 | 18 | State Of Delaware | - | - | - | 85035 | ||||
| Pinnacle Rehabilitation & Health Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Smyrna (South Dupont Boulevard) | 151 | 88.2% | +9% | 4.05 | -64% | -13% | $109.4k | 68 | 11.3 | 6 | 131 | 24 | Efraim Rooz | $30.6M | $10.2M | 33.4% | 85020 | ||||
| Caring Angel Home Health |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Smyrna | 181 | 80.6% | 0% | - | - | -6% | - | $0 | 81 | 13.5 | - | - | 79 | Linda Murray | $34.3M | $12.5M | 36.5% | 85037 |
Juan Marrero is the Director of Nursing at Delaware Hospital for the Chronically Ill.
Delaware Hospital for the Chronically Ill has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to DE state health department records, Delaware Hospital for the Chronically Ill's license number is 1046.
According to DE state health department records, Delaware Hospital for the Chronically Ill's license expires on December 31, 2025.
Delaware Hospital for the Chronically Ill's occupancy is 37%.
Geraldine Stewart is the administrator of Delaware Hospital for the Chronically Ill.
Delaware Hospital for the Chronically Ill has 205 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
