Total health inspections
6
Delaware average 4.4
Last Health inspection on Apr 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Pinnacle Rehabilitation & Health Center
Assisted Living in Smyrna
CMS overall rating
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.
Pinnacle Rehabilitation & Health Center
Assisted Living in Smyrna
CMS overall rating
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.
Overview of Pinnacle Rehabilitation & Health Center
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.
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
This home is ranked 20th out of 37 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.
This home is ranked 20th out of 37 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.
4h 3m per day
Rank #20 / 37Nurse hours — state benchmarkedThis home is ranked 20th out of 37 homes in Delaware.Shows adjusted nurse hours per resident per day benchmarked to the Delaware average, with a ranking across 37 Delaware SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Delaware avg
-13%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
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.
| 3h 23m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
88.2%
Rank #11 / 37Occupancy rate — state benchmarkedThis home is ranked 11th out of 37 homes in Delaware.Shows this facility's occupancy rate versus the Delaware average, with its statewide rank out of 37. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
90 days
Occupancy rate
88.2%
Rank #11 / 37Occupancy rate — state benchmarkedThis home is ranked 11th out of 37 homes in Delaware.Shows this facility's occupancy rate versus the Delaware average, with its statewide rank out of 37. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
90 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
47% of new residents, often for short stays.
Typical stay
23 days
Medicaid
23% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$30.6M
Operating loss
-$1.1M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$30.6M Rank #3 / 34Revenue — state benchmarkedThis home is ranked 3rd out of 34 homes in Delaware.Shows this facility's annual revenue compared to the Delaware SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #10 / 34Payroll — state benchmarkedThis home is ranked 10th out of 34 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.
$7.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #10 / 34Payroll — state benchmarkedThis home is ranked 10th out of 34 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$31.7M
Walk Score: 24 / 100 Rank #18 / 27Walk Score — state benchmarkedThis home is ranked 18th out of 27 homes in Delaware.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Delaware SNFs. Higher scores benefit residents, families, and staff.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Types of Care at Pinnacle Rehabilitation & Health Center
Assisted Living
Respite Care
Hospice Care
Health Inspection History
Inspections
Total health citations
68
Rank #32 / 37Health citations — state benchmarkedThis home is ranked 32nd out of 37 homes in Delaware.Shows this facility's total health deficiency citations benchmarked to the Delaware state average, with a ranking across all 37 DE SNFs. Lower citation counts earn a better rank.
Delaware average 38.9
Citations per inspection
11.33
Delaware average 8.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
35 of 68 citations resulted from standard inspections; 19 of 68 resulted from complaint investigations; and 14 of 68 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
Rank #21 / 26Severe citations — state benchmarkedThis home is ranked 21st out of 26 homes in Delaware.Shows citations where actual resident harm occurred, compared to the Delaware average and ranked across 26 SNFs statewide. Even a single severe citation is significant — lower is always better.
11% worse than Delaware averageDelaware average: 0.9
Serious Health citations
5
5
317% worse than Delaware averageDelaware average: 1.2
1 critical citation
5 serious citations
61 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 17, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 17, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 2025
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 Assisted Living 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
| Pinnacle Rehabilitation & Health Center |
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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Smyrna (South Dupont Boulevard) | 151 | No | 24 | - | - |
| Kpanah HomeCare Services |
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. | Middletown | - | No | 6 | - | - |
Financial Assistance for
Assisted Living in Delaware
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Places of interest near Pinnacle Rehabilitation & Health Center
3 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)
Calculate Travel Distance to Pinnacle Rehabilitation & Health Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
189
Employees
165
Contractors
24
Staff to resident ratio
1.40:1
13% worse than Delaware averageDelaware average ratio: 1.61:1
Avg staff/day
71
Average shift
7.9 hours
0% compared with Delaware averageDelaware average: 7.6 hours
Total staff hours (quarter)
51,340
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
95
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7.8%
3,987 contractor hours this quarter
Physical Therapy Assistant: 7
Respiratory Therapy Technician: 5
Speech Language Pathologist: 4
Physical Therapy Aide: 4
Qualified Social Worker: 4
Staff by category
| Certified Nursing Assistant | 95 | 0 | 95 | 27,350 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 29 | 0 | 29 | 9,945 | 91 | 100% | 8.7 |
| Clinical Nurse Specialist | 15 | 0 | 15 | 3,753 | 91 | 100% | 7.5 |
| Registered Nurse | 10 | 0 | 10 | 2,035 | 90 | 99% | 8.8 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,290 | 69 | 76% | 7.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,279 | 77 | 85% | 8.1 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,046 | 85 | 93% | 7.1 |
| RN Director of Nursing | 2 | 0 | 2 | 892 | 67 | 74% | 7.7 |
| Physical Therapy Assistant | 0 | 7 | 7 | 647 | 66 | 73% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 500 | 64 | 70% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 496 | 63 | 69% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 476 | 61 | 67% | 7.8 |
| Administrator | 1 | 0 | 1 | 464 | 60 | 66% | 7.7 |
| Qualified Social Worker | 0 | 4 | 4 | 394 | 54 | 59% | 7.1 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 377 | 54 | 59% | 6.8 |
| Dietitian | 2 | 0 | 2 | 356 | 48 | 53% | 7.4 |
| Occupational Therapist | 1 | 0 | 1 | 40 | 5 | 5% | 8 |
95 Certified Nursing Assistant
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
15 Clinical Nurse Specialist
% of Days
100%
10 Registered Nurse
% of Days
99%
4 Physical Therapy Aide
% of Days
76%
4 Speech Language Pathologist
% of Days
85%
7 Other Dietary Services Staff
% of Days
93%
2 RN Director of Nursing
% of Days
74%
7 Physical Therapy Assistant
% of Days
73%
1 Nurse Practitioner
% of Days
70%
1 Dental Services Staff
% of Days
69%
1 Mental Health Service Worker
% of Days
67%
1 Administrator
% of Days
66%
4 Qualified Social Worker
% of Days
59%
5 Respiratory Therapy Technician
% of Days
59%
2 Dietitian
% of Days
53%
1 Occupational Therapist
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
135
Private pay or other
135
100% 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.
8.5
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
9% better than Delaware averageDelaware average: 15.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.4%
Percent of long-stay residents whose ability to move independently worsened
16.4%
17% 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
25.8%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Delaware averageDelaware average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.1%
Percent of long-stay high risk residents with pressure ulcers
6.1%
38% worse than Delaware averageDelaware average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
48% better than Delaware averageDelaware average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.7%
Percent of long-stay residents who lose too much weight
2.7%
53% better than Delaware averageDelaware average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.8%
Percent of long-stay residents who have depressive symptoms
3.8%
37% better than Delaware averageDelaware average: 6.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.4%
Percent of long-stay residents who received an antipsychotic medication
20.4%
86% worse than Delaware averageDelaware average: 11.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
In line with Delaware averageDelaware average: 95.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Delaware averageDelaware average: 97.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
14% better than Delaware averageDelaware average: 82.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
41% better than Delaware averageDelaware average: 0.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
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.
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
$94K
In line with Delaware averageDelaware average: $98K
Number of fines
2 Rank #20 / 25Federal fines — state benchmarkedThis home is ranked 20th out of 25 homes in Delaware.Shows this facility's CMS fine count alongside the Delaware average, and where it ranks among all 25 skilled nursing facilities in the state. Fewer fines mean a better rank.
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
$94K
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.
Apr 17, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 17, 2025
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2024
$77K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Pinnacle Rehabilitation & Health Center based on CMS SNF Cost Reports.
Occupancy Rate
88.2%
↑ 2.4pp vs 2022
Net Income
-$1.1M
↓ ~$1.3M vs 2022
Total Payroll
$10.2M
↑ ~$86.4K vs 2022
Profit Margin
-3.6%
↓ 4.4pp vs 2022
Loading trend charts...
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