Occupancy rate
37%
In line with Delaware averageDelaware Hospital for the Chronically Ill
Nursing Home in Smyrna
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Delaware Hospital for the Chronically Ill
Nursing Home in Smyrna
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
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 hours breakdown
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.
Total nursing care / resident
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.
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.
10h 57m per day
vs Delaware avg
+132%
Standout metric
Registered Nurse (RN) is +155% above state avg
| Staff type | Hours / day | 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 |
|
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 |
|
Total Nursing (Weekend)
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 21m per day | ▲ 107% 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 |
|
RN (Weekend)
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 |
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
205
205-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 18 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with Delaware averageOccupied beds
76 / 205
Average residents
86 per day
Facility TypeNursing Home
IssuanceJanuary 1, 2025
ExpirationDecember 31, 2025
License Number1046
Delaware Hospital for the Chronically Ill is administrated by Geraldine Stewart.
Staffing
Key information about the people who lead and staff this community.
Director of NursingJuan 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
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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
December 3, 2025
Re Inspection35 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Delaware average: 64 deficiencies
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
2
2
122% worse than Delaware averageDelaware average: 0.9
Serious Health citations
0
0
100% better than Delaware averageDelaware average: 1.2
2 critical citations
0 serious citations
8 moderate citations
1 minor citation
Citations history (last 3 years)
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 03, 2025
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 24, 2025
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
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Feb 22, 2022
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Feb 22, 2022
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Feb 22, 2022
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Feb 22, 2022
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Smyrna The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
Filter by care type
| 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 | 3.7 | 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 (South Dupont Boulevard) | 151 | 88.2% | +9% | 4.05 | -58% | -13% | 3 | 68 | 11.3 | 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 | 0.0 | 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 | 0.0 | 0 | - | - | 8 | - | - | - | - | - |
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Places of interest near Delaware Hospital for the Chronically Ill
1 mile from city center
— 0.64 miles to nearest hospital (ChristianaCare Wound Care Center at Smyrna)
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Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73
Medicare
64
87.7% of residents
Medicaid
9
12.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.0
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.5
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
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
4.5%
Percent of long-stay residents whose need for help with daily activities has increased
4.5%
71% better than Delaware averageDelaware average: 15.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.0%
Percent of long-stay residents whose ability to move independently worsened
4.0%
80% better than Delaware averageDelaware average: 19.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.9%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
77% better than Delaware averageDelaware average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.5%
Percent of long-stay high risk residents with pressure ulcers
3.5%
21% better than Delaware averageDelaware average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.1%
Percent of long-stay residents with a urinary tract infection
2.1%
In line with Delaware averageDelaware average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.1%
Percent of long-stay residents who lose too much weight
2.1%
63% better than Delaware averageDelaware average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Delaware averageDelaware average: 6.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.5%
Percent of long-stay residents who received an antipsychotic medication
9.5%
14% better than Delaware averageDelaware average: 11.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.3%
16% worse than Delaware averageDelaware average: 95.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Delaware averageDelaware average: 97.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.29
Number of hospitalizations per 1,000 long-stay resident days.
2.29
25% worse than Delaware averageDelaware average: 1.83
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.98
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.
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 averageDelaware average: $98K
Number of fines
2
7% more fines than Delaware averageDelaware average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Delaware averageDelaware average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$83K
Delaware average
$98K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2025
$66K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 24, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 24, 2025
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Delaware Hospital for the Chronically Ill based on CMS SNF Cost Reports.
Occupancy Rate
55.6%
Net Income
-$28.8M
Total Payroll
$32.4M
Profit Margin
N/A
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