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Nursing Home

Delaware Hospital for the Chronically Ill

Nursing Home

Delaware Hospital for the Chronically Ill

100 Sunnyside Rd, Smyrna, DE 19977 View map
Overview of Delaware Hospital for the Chronically Ill

Delaware Hospital for the Chronically Ill is for those who seek a home that is considered the “last resort” in such a case. The center provides graceful living for short-term or long-term residents. Delaware Hospital is a community focused on creating an efficient and accessible approach to nursing its residents.

The nursing center allows participants of Medicare and Medicaid to receive quality care. In a 205-bed facility, residents receive various services to help them get by through daily living, such as ADLs, rehabilitation, specialized programs, and specific meals served daily.

 

(302) 223-1000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5
Delaware average: 3.3/5
Health Inspection Info 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.
2/5
Delaware average: 2.7/5
Staffing Info 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.
5/5
Delaware average: 4.0/5
Quality Measures Info 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.
5/5
Delaware average: 4.2/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
10h 57m per day

This home provides 132% more nursing time per resident than the Delaware average.

Delaware average: 4h 43m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 2h 38m per day 1h 2m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 5h 50m per day 2h 28m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 8h 21m per day 4h 2m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 4m per day 9m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 1h 36m per day 43m per day 29m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 205

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Delaware average
Occupancy rate 37.1%
Residents per day (avg) 71
Occupancy rate
37.1%
Residents per day (avg)
71
Bed community size
205-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 18 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
37%
In line with Delaware average
Occupied beds
76 / 205
Average residents 86 per day

License details

Facility type
Nursing Home
Issuance January 1, 2025
Expiration December 31, 2025

Additional licensing details

License number: 1046

Ownership & operating entity

Delaware Hospital for the Chronically Ill is administrated by Geraldine Stewart.

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of Nursing: Juan Marrero
Director of Nursing email: [email protected]
Administrator email: [email protected]

Types of Care at Delaware Hospital for the Chronically Ill

Skilled Nursing Assisted Living
Contact Delaware Hospital for the Chronically Ill

Inspection History

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.

10 visits/inspections

Latest inspection

Date:December 3, 2025
Type:Re Inspection

35 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Delaware Hospital for the Chronically Ill

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.

Health Inspection History

Inspections
Total health inspections 3

Delaware average 4.4


Last Health inspection on Oct 2025

Total health citations 11

Delaware average 38.9

Citations per inspection
3.67

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.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 2
122% worse than Delaware average

Delaware average: 0.9


Serious Health citations More info 0
100% better than Delaware average

Delaware average: 1.2

2 critical citations More info Delaware average: 0.9

0 serious citations More info Delaware average: 1.2

8 moderate citations More info Delaware average: 35.7

1 minor citation More info Delaware average: 1
Citations history (last 3 years)
Quality of Care critical citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 03, 2025
Corrected

Quality of Care critical citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Feb 24, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Feb 22, 2022
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Feb 22, 2022
Corrected

Compare Nursing Homes around Smyrna The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.

4 facilities compared · CMS & DE Dept. of Health data · Updated Apr 2026

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
175
42.7%
-47%
10.95
-
+135%
1
11
2
71
18
State Of Delaware
-
-
-
85035
Pinnacle Rehabilitation and Healthcare Center
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.

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).

Smyrna
151
88.2%
+9%
4.05
-58%
-13%
3
68
6
131
0
Rooz, Efraim
$30,5M
$7,7M
25.1%
85020
Evergreen Post Acute LLC
-
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.

Smyrna
151
-
-
-
-
-
-
-
-
0
0
0
-
-
-
-
-
-
-
HomeWell Care Services
-
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.

N

Nursing

Smyrna
-
-
-
-
-
-
-
-
-
0
0
0
-
8
-
-
-
-
-

Places of interest near Delaware Hospital for the Chronically Ill

Address 1 mile from city center — 0.64 miles to nearest hospital (ChristianaCare Wound Care Center at Smyrna)

Address 100 Sunnyside Rd, Smyrna, DE 19977

Calculate Travel Distance to Delaware Hospital for the Chronically Ill

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Address

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
73 residents
Residents by payment source
Medicare
64 residents (87.7%)
Medicaid
9 residents (12.3%)
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.

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 Info 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 average

Delaware average: 9.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 6.5
66% better than Delaware average

Delaware average: 19.0

Long-stay resident measures
Significantly above average Delaware avg: 4.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 4.5%
71% better than Delaware average

Delaware average: 15.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 4.0%
80% better than Delaware average

Delaware average: 19.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 10.9%
51% better than Delaware average

Delaware average: 22.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.7%
77% better than Delaware average

Delaware average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.5%
21% better than Delaware average

Delaware average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
In line with Delaware average

Delaware average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.1%
63% better than Delaware average

Delaware average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Delaware average

Delaware average: 6.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.5%
14% better than Delaware average

Delaware average: 11.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.3%
16% worse than Delaware average

Delaware average: 95.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
In line with Delaware average

Delaware average: 97.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.29
25% worse than Delaware average

Delaware average: 1.83

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.98
28% better than Delaware average

Delaware average: 1.37

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 $83K
16% lower than Delaware average

Delaware average: $98K

Number of fines 2
7% more fines than Delaware average

Delaware average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Delaware average

Delaware average: 0.2

Fines amount comparison
Fines amount comparison
This facility $83K
Delaware average $98K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 3, 2025
$66K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 24, 2025
$17K

Last updated: Jan 2026

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Financial Aid for Delaware Seniors

Get financial aid guidance

Elderly and Disabled Waiver

Delaware Medicaid E&D Waiver

Age 65+ or disabled, Delaware resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Small state, faster processing in some areas.

Delaware Caregiver Support Program

DE Caregiver Support (NFCSP)

Caregiver of someone 60+, Delaware resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural focus.

Program of All-Inclusive Care for the Elderly (PACE)

Delaware Medicaid PACE

Age 55+, Delaware resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited to specific areas (e.g., New Castle County); few providers.

Medicare Savings Program (MSP)

Delaware Medicare Savings Program

Age 65+ or disabled, Delaware resident, enrolled in Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.

$9,430 (individual), $14,130 (couple).

Three tiers; broader limits than some states.

Senior Community Service Employment Program (SCSEP)

Delaware SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Delaware resident.

~$1,983/month (125% FPL, individual).

Not specified; income-focused.

Priority for veterans, rural residents; ~400 slots/year.