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2/5
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.
2/5
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.
Regal Heights Healthcare and Rehabilitation Center is Hockessin’s premier subacute and skilled nursing facility that aims to change the meaning of recovery for seniors. The CCRC understands that aging can be daunting, much more so with a disability or condition. The exceptional level of care delivered by their patient-friendly staff is an approach to offering the best care possible for their residents. Regal Heights is where residents feel comfortable and secure in a nurturing environment.
Specializing in short-term rehabilitation and long-term nursing care, The community provides essential service that includes 24-hour nursing care, stimulating activities, engaging social activities and programs; therapy services that include speech, occupational, and physical, orthopedic care, wound care, and memory care training that include specialized programs designed to fit the individual’s unique needs.
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 20th out of 38 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.
| 24m per day | ▼ 60% 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 19m per day | ▲ 28% 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 7m per day | ▼ 15% 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 37m per day | ▼ 15% 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.
| 3m per day | ▼ 76% 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.
| 16m per day | ▼ 60% State avg: 42m per day · National avg: 29m per day |
Higher than the Delaware average: 80.7%Regal Heights Healthcare and Rehabilitation Center is administrated by Sara Jane Thompson.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Delaware state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | DE Average | vs. DE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 77 | 64 | This facility has 20% more total deficiencies than a typical Delaware nursing home (77 vs. DE avg 64).↑ 20% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 19.3 | 16 | This facility has 21% more deficiencies per year than a typical Delaware nursing home (19.3 vs. DE avg 16).↑ 21% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Delaware average 4.4
Last Health inspection on May 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.
35 of 67 citations resulted from standard inspections; 23 of 67 resulted from complaint investigations; and 9 of 67 came from combined inspections (standard and complaint).
11% worse than Delaware averageDelaware average: 0.9
150% worse than Delaware averageDelaware average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% fewer staff per resident than Delaware average
5% better than Delaware average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
21 total: 20 full-time employees and 1 contractor.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
62 total: 58 full-time employees and 4 contractors.
62
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
103 total: 90 full-time employees and 13 contractors.
103
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,868 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 90 | 13 | 103 | 32,001 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 58 | 4 | 62 | 19,565 | 92 | 100% | 8.2 |
| Registered Nurse | 20 | 1 | 21 | 4,474 | 92 | 100% | 7.8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,839 | 91 | 99% | 7.4 |
| Speech Language Pathologist | 9 | 0 | 9 | 1,716 | 88 | 96% | 6.3 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,081 | 89 | 97% | 6.9 |
| Respiratory Therapist | 4 | 0 | 4 | 1,080 | 78 | 85% | 7.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 904 | 67 | 73% | 8 |
| Dietitian | 2 | 0 | 2 | 893 | 67 | 73% | 7.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 706 | 81 | 88% | 6.8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 564 | 64 | 70% | 6.9 |
| Administrator | 1 | 0 | 1 | 473 | 60 | 65% | 7.9 |
| Qualified Social Worker | 4 | 0 | 4 | 463 | 63 | 68% | 7.2 |
| RN Director of Nursing | 1 | 0 | 1 | 460 | 58 | 63% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 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)
43% higher than Delaware averageDelaware average: $98K
114% 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.
3 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.
May 23, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 10, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 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.
10.9
14% worse than Delaware averageDelaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.6
8% worse than Delaware averageDelaware average: 19.0
Percent of long-stay residents whose need for help with daily activities has increased
18.9%
22% worse than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
19.4%
In line with Delaware averageDelaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
6% worse than Delaware averageDelaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
47% worse than Delaware averageDelaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
5.3%
18% worse than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.5%
15% worse than Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
6.6%
15% worse than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.2%
96% better than Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
12.8%
16% worse than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
6% worse than Delaware averageDelaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
In line with Delaware averageDelaware average: 97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
29.2%
64% worse than Delaware averageDelaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Delaware averageDelaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
40.0%
52% worse 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.
31% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
167Residents 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 Regal Heights Healthcare and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 35Payroll — State benchmarkedThis home is ranked 2nd 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.
Pets Allowed
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-storey
Transportation Services
Fitness and Recreation
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 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.8 miles from city center
Estimated distance in miles from Hockessin's city center to Regal Heights Healthcare and Rehabilitation Center's address, calculated via Google Maps.
— 3.03 miles to nearest hospital (VA Medical Center- Wilmington)
Add your location
Regal Heights Healthcare and Rehabilitation Center is located in Hockessin, Delaware.
Here are the financial assistance programs available to residents in Delaware.
The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
| Cokesbury Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Hockessin (Loveville) | 49
Facility
49
DE AVG
102
Rank
#63 / 73 |
57.1%
Facility
57.1%
DE AVG
80.7%
Rank
#42 / 44 | -29% | 4.72
Facility
4.72
DE AVG
4.66
Rank
#7 / 38 | +79% | +1% | $0
Facility
$0
DE AVG
$96.1k
Rank
#1 / 39 | 11
Facility
11
DE AVG
38.9
Rank
#3 / 39 | 3.7
Facility
3.7
DE AVG
8.7
Rank
#3 / 39 | - | 3 | A+ |
12
Facility
12
DE AVG
40
Rank
#91 / 110 | - | $31.7M
Facility
$31.7M
DE AVG
$19.5M
Rank
#5 / 35 | $10.3M
Facility
$10.3M
DE AVG
$6.3M
Rank
#6 / 35 | 32.5%
Facility
32.5%
DE AVG
35.2%
Rank
#33 / 35 | 85017 | ||||
| Complete Care at Brackenville |
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).
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.
NC Nursing Care
PC Palliative Care
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. | Hockessin (Saint Claire Drive) | 104
Facility
104
DE AVG
102
Rank
#33 / 73 |
94.2%
Facility
94.2%
DE AVG
80.7%
Rank
#4 / 44 | +17% | 3.53
Facility
3.53
DE AVG
4.66
Rank
#37 / 38 | -10% | -24% | $16.8k
Facility
$16.8k
DE AVG
$96.1k
Rank
#18 / 39 | 40
Facility
40
DE AVG
38.9
Rank
#22 / 39 | 10.0
Facility
10.0
DE AVG
8.7
Rank
#24 / 39 | 2 | 98 | - |
6
Facility
6
DE AVG
40
Rank
#99 / 110 | - | $16.4M
Facility
$16.4M
DE AVG
$19.5M
Rank
#26 / 35 | $7.3M
Facility
$7.3M
DE AVG
$6.3M
Rank
#31 / 35 | 44.7%
Facility
44.7%
DE AVG
35.2%
Rank
#20 / 35 | 85042 | ||||
| Regal Heights Healthcare and Rehabilitation 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).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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. | Hockessin | 172
Facility
172
DE AVG
102
Rank
#6 / 73 |
91.9%
Facility
91.9%
DE AVG
80.7%
Rank
#10 / 44 | +14% | 4.21
Facility
4.21
DE AVG
4.66
Rank
#20 / 38 | -27% | -10% | $140.3k
Facility
$140.3k
DE AVG
$96.1k
Rank
#34 / 39 | 67
Facility
67
DE AVG
38.9
Rank
#33 / 39 | 16.8
Facility
16.8
DE AVG
8.7
Rank
#36 / 39 | 4 | 165 | - |
1
Facility
1
DE AVG
40
Rank
#104 / 110 | Leah Gelley | $23.9M
Facility
$23.9M
DE AVG
$19.5M
Rank
#9 / 35 | $12.6M
Facility
$12.6M
DE AVG
$6.3M
Rank
#2 / 35 | 52.6%
Facility
52.6%
DE AVG
35.2%
Rank
#11 / 35 | 85006 |
BethAnn Troy is the Director of Nursing at Regal Heights Healthcare and Rehabilitation Center.
Regal Heights Healthcare and Rehabilitation Center has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to DE state health department records, Regal Heights Healthcare and Rehabilitation Center's license number is 1079.
According to DE state health department records, Regal Heights Healthcare and Rehabilitation Center's license expires on August 31, 2026.
Regal Heights Healthcare and Rehabilitation Center's occupancy is 92%.
Sara Jane Thompson is the administrator of Regal Heights Healthcare and Rehabilitation Center.
Regal Heights Healthcare and Rehabilitation Center has 172 beds.
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