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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.
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Meadowcrest in Middletown is a trusted home for seniors where upscale design and modern accents blend harmoniously with natural-looking interiors, creating a refreshing and visually appealing environment. The common areas are simply amazing, and the spacious suites exude a sense of luxury, setting the stage for high-standard living. Whether you’re looking for assisted living homes, memory care units, or independent living floor plans, Meadowcrest has thoughtfully crafted spaces to cater to all preferences and needs.
Engaging events and activities abound in the community, fostering social interactions, encouraging learning, and nurturing hobbies, making each day fulfilling and enjoyable. With complimentary transportation services, individually controlled apartment temperatures, and top-notch housekeeping, residents can enjoy a carefree lifestyle. Meadowcrest at Middletown promises a delightful living experience for all its cherished residents.
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 27th 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 |
|---|---|---|
|
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.
|
3h 30m per day | ▼ 14% State avg: 4h 4m per day · National avg: 3h 25m per day |
The community offers various floor plans for independent living, assisted living, and memory care, designed to meet the specific needs of residents.
Meadowcrest – Middletown is administrated by Nathan Millman.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsDelaware average 4.4
Last Health inspection on Nov 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.
31 of 41 citations resulted from standard inspections; 6 of 41 resulted from complaint investigations; and 4 of 41 came from combined inspections (standard and complaint).
122% worse than Delaware average
Delaware average: 0.9
67% worse than Delaware average
Delaware average: 1.2
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Delaware average
0% compared with Delaware average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
822 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 78 | 0 | 78 | 22,366 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 27 | 0 | 27 | 8,808 | 92 | 100% | 7.7 |
| Clinical Nurse Specialist | 14 | 0 | 14 | 4,758 | 90 | 98% | 8.2 |
| Registered Nurse | 16 | 0 | 16 | 3,116 | 92 | 100% | 7.8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,807 | 92 | 100% | 7.4 |
| Physical Therapy Aide | 10 | 0 | 10 | 1,686 | 83 | 90% | 7.3 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,662 | 79 | 86% | 7.5 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,255 | 72 | 78% | 6.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 816 | 69 | 75% | 7.7 |
| Mental Health Service Worker | 2 | 0 | 2 | 782 | 74 | 80% | 7.2 |
| Qualified Social Worker | 3 | 0 | 3 | 713 | 68 | 74% | 7 |
| Nurse Practitioner | 2 | 1 | 3 | 653 | 63 | 68% | 8 |
| Administrator | 0 | 3 | 3 | 540 | 63 | 68% | 7.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 508 | 64 | 70% | 7.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 52 | 84 | 91% | 0.6 |
| Medical Director | 0 | 2 | 2 | 14 | 3 | 3% | 4.6 |
| RN Director of Nursing | 1 | 0 | 1 | 13 | 2 | 2% | 6.3 |
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)
10% lower than Delaware average
Delaware average: $98K
7% more fines than Delaware average
Delaware 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 average
Delaware 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.
Jul 7, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 22, 2025
Last 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.
8.7
9% better than Delaware average
Delaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
19% better than Delaware average
Delaware average: 19.0
Percent of long-stay residents whose need for help with daily activities has increased
13.4%
13% better than Delaware average
Delaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
14.9%
25% better than Delaware average
Delaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.6%
20% better than Delaware average
Delaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
52% better than Delaware average
Delaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
6.8%
54% worse than Delaware average
Delaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.5%
29% better than Delaware average
Delaware average: 2.1%
Percent of long-stay residents who lose too much weight
7.1%
23% worse than Delaware average
Delaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
2.0%
68% better than Delaware average
Delaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
9.7%
12% better than Delaware average
Delaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than Delaware average
Delaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Delaware average
Delaware average: 97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
16% better than Delaware average
Delaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Delaware average
Delaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.1%
7% worse than Delaware average
Delaware average: 83.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
66% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
112
Residents 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 Meadowcrest – Middletown 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.
Rank #20 / 35Payroll — State benchmarkedThis home is ranked 20th out of 35 homes in Delaware. Shows total annual staff payroll benchmarked to the Delaware average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Nathan Millman serves as the Executive Director at Meadowcrest - Middletown. He leads the community with a focus on delivering quality senior living experiences. Nathan is dedicated to fostering a warm and supportive environment for residents and their families.
2.5 miles from city center
Estimated distance in miles from Middletown's city center to Meadowcrest – Middletown's address, calculated via Google Maps.
— 10.7 miles to nearest hospital (Delaware Imaging Network | Glasgow)
Add your location
Meadowcrest – Middletown is located in Middletown, Delaware.
Here are the financial assistance programs available to residents in Delaware.
Christie Hynson is the Director of Nursing at Meadowcrest – Middletown.
Meadowcrest – Middletown has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to DE state health department records, Meadowcrest – Middletown's license number is 3159.
According to DE state health department records, Meadowcrest – Middletown's license expires on August 31, 2026.
Yes — see the floorplan options available at Meadowcrest – Middletown on this page.
Nathan Millman is the administrator of Meadowcrest – Middletown.
Meadowcrest – Middletown has 90 beds.
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