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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.
The Pinnacle of Rehabilitation and Health Center is a nursing home in Smyrna where a vibrant lifestyle surrounds its residents. The luxurious community creates an open space for seniors to live on their terms and where dedicated professionals are more than willing to follow through with the resident’s needs– whatever they may be. The Pinnacle of Southaven maintains an active lifestyle where endless possibilities await exploring.
The upscale lifestyle at The Pinnacle is centered on meeting the holistic wellness of each resident. Seniors can immerse themselves in comprehensive services that help with recovery and relaxation– specialized programs, social activities, and professional rehabilitative services for short-term respite stays.
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 23rd 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 23m per day |
Occupancy between 85% and 95% suggests balanced demand.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
10% worse 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 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.
8.3 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.
7.4 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
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 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.
Apr 17, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2024
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.
8.5
12% better than Delaware average
Delaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
In line with Delaware average
Delaware average: 19.0
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
9% better than Delaware average
Delaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
16.4%
17% better than Delaware average
Delaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
17% worse than Delaware average
Delaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Delaware average
Delaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
6.1%
38% worse than Delaware average
Delaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.1%
48% better than Delaware average
Delaware average: 2.1%
Percent of long-stay residents who lose too much weight
2.7%
53% better than Delaware average
Delaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
3.8%
37% better than Delaware average
Delaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
20.4%
86% worse than Delaware average
Delaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
In line with Delaware average
Delaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Delaware average
Delaware average: 97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
14% better than Delaware average
Delaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
41% better than Delaware average
Delaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
17% better 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.
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
135
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 Pinnacle Rehabilitation & Health Center 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 #7 / 35Payroll — State benchmarkedThis home is ranked 7th 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
— 2.77 miles to nearest hospital (ChristianaCare Wound Care Center at Smyrna)
Add your location
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.
(302) 653-5085 will put you in contact with the team at Pinnacle Rehabilitation & Health Center.
Yes — Pinnacle Rehabilitation & Health Center is a CMS-certified provider of Medicare and Medicaid.
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