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.
At 151 beds on South Dupont Boulevard, Pinnacle Rehabilitation & Health Center serves one of the broader care mandates you’ll find in Smyrna: nursing home and assisted living, yes, but also respite and hospice. The facility is running at 88.2% occupancy with 135 residents, which puts it in active, well-used territory rather than somewhere still finding its footing.
The average stay is about 90 days. That figure sits at the intersection of short-term rehab and longer-term care, reflecting the range of residents actually present: some here to recover and leave, some here to stay. Total nursing coverage comes to 4 hours and 3 minutes per resident per day. Residents have a structured seat at the table through an active resident council that meets regularly on care quality and facility policies.
Payment options cover Medicare, Medicaid, and private pay. For families managing a post-acute Medicare benefit or planning for Medicaid coverage over a longer stay, that range matters practically.
The neighborhood is car-dependent. Walk Score 24 means visiting family will drive, and most surrounding errands require a vehicle.
Pinnacle fits the profile of a facility carrying both a rehabilitation caseload and a longer-term resident population, with the payment flexibility to accommodate both. The staffing figures and breadth of care types suggest it’s built for range rather than specialization.
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 24th out of 40 homes 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.
| 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.
| 28m per day | ▼ 54% State avg: 1h 0m 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 1m per day | ■ Avg State avg: 1h 2m 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.
| 2h 15m per day | ▼ 10% State avg: 2h 29m per day · National avg: 2h 20m 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.
| 3h 23m per day | ▼ 20% State avg: 4h 14m per day · National avg: 3h 27m 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 | ▼ 70% State avg: 12m 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.
| 17m per day | ▼ 59% State avg: 42m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
10% fewer staff per resident than 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.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
All 32 LPN Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
All 107 CNA Staff are full-time employees. No contractors work on this role.
107
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,538 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 107 | 0 | 107 | 26,989 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 32 | 0 | 32 | 10,222 | 92 | 100% | 8.3 |
| Clinical Nurse Specialist | 16 | 0 | 16 | 3,658 | 92 | 100% | 6.9 |
| RN Director of Nursing | 5 | 0 | 5 | 1,965 | 75 | 82% | 8 |
| Registered Nurse | 9 | 0 | 9 | 1,430 | 88 | 96% | 8.1 |
| Physical Therapy Aide | 0 | 3 | 3 | 1,340 | 70 | 76% | 7.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,020 | 70 | 76% | 7.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 968 | 68 | 74% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 842 | 86 | 93% | 7.3 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 707 | 70 | 76% | 7.8 |
| Qualified Social Worker | 0 | 6 | 6 | 503 | 59 | 64% | 7.9 |
| Administrator | 1 | 0 | 1 | 461 | 60 | 65% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 460 | 59 | 64% | 7.8 |
| Dietitian | 1 | 0 | 1 | 457 | 61 | 66% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 447 | 58 | 63% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 422 | 54 | 59% | 7.8 |
| Occupational Therapist | 1 | 0 | 1 | 32 | 4 | 4% | 8 |
Includes penalties issued in 2024-2025
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)
In line with 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.
Apr 17, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2024Last 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.
8.5
12% better than Delaware averageDelaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
In line with Delaware averageDelaware average: 19.0
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
9% better than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
16.4%
17% better than Delaware averageDelaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
17% worse than Delaware averageDelaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Delaware averageDelaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
6.1%
38% worse than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.1%
48% better than Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
2.7%
53% better than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
3.8%
37% better than Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
20.4%
86% worse than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
In line with Delaware averageDelaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Delaware averageDelaware average: 97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
14% better than Delaware averageDelaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
41% better than Delaware averageDelaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
17% better than Delaware averageDelaware average: 83.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
135Residents 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 Pinnacle Rehabilitation & Health Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 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."
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 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."
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.
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.
Rank #7 / 37Payroll — State benchmarkedThis home is ranked 7th out of 37 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.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
Rank #32 / 37Payroll % — State benchmarkedThis home is ranked 32nd out of 37 homes in Delaware. Shows payroll as a percentage of revenue versus the Delaware average. Well-run Delaware facilities typically land around 52–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (47% of admissions), and a typical private pay stay runs around 23 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.0 miles from city center
Estimated distance in miles from Smyrna's city center to Pinnacle Rehabilitation & Health Center's address, calculated via Google Maps.
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The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
| Pinnacle Rehabilitation & Health Center | NH AL HC RC | Smyrna (South Dupont Boulevard) | 151
Facility
151
DE AVG
102
Rank
#8 / 73 |
88.2%
Facility
88.2%
DE AVG
80.7%
Rank
#18 / 44 | +9% | 4.05
Facility
4.05
DE AVG
4.66
Rank
#24 / 40 | -64% | -13% | $94.2k
Facility
$94.2k
DE AVG
$96.1k
Rank
#34 / 41 | 68
Facility
68
DE AVG
38.9
Rank
#36 / 41 | 11.3
Facility
11.3
DE AVG
8.7
Rank
#30 / 41 | 6 | 130 | - |
24
Facility
24
DE AVG
40
Rank
#78 / 110 | Efraim Rooz | $17.6M
Facility
$17.6M
DE AVG
$19.5M
Rank
#7 / 37 | $8.7M
Facility
$8.7M
DE AVG
$6.3M
Rank
#7 / 37 | 49.4%
Facility
49.4%
DE AVG
35.2%
Rank
#32 / 37 | 85020 | ||||
| Delaware Hospital for the Chronically Ill | NH AL | Smyrna | 205
Facility
205
DE AVG
102
Rank
#1 / 73 |
37.1%
Facility
37.1%
DE AVG
80.7%
Rank
#43 / 44 | -54% | 10.95
Facility
10.95
DE AVG
4.66
Rank
#1 / 40 | - | +135% | $59.9k
Facility
$59.9k
DE AVG
$96.1k
Rank
#29 / 41 | 11
Facility
11
DE AVG
38.9
Rank
#4 / 41 | 3.7
Facility
3.7
DE AVG
8.7
Rank
#4 / 41 | 2 | 74 | - |
18
Facility
18
DE AVG
40
Rank
#85 / 110 | State Of Delaware | - | - | - | 85035 |
Pinnacle Rehabilitation & Health Center is located in Smyrna, Delaware.
Here are the financial assistance programs available to residents in Delaware.
Pinnacle Rehabilitation & Health Center is in the South Dupont Boulevard neighborhood.
Pinnacle Rehabilitation & Health Center has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
Pinnacle Rehabilitation & Health Center's occupancy is 88.2%.
Pinnacle Rehabilitation & Health Center is registered as a for-profit.
Yes — there are 5 photos of Pinnacle Rehabilitation & Health Center in the photo gallery on this page.
Pinnacle Rehabilitation & Health Center is located at 3034 S Dupont Blvd, Smyrna, DE 19977.
(302) 653-5085 will put you in contact with the team at Pinnacle Rehabilitation & Health Center.
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