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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.
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.
Wilmington Nursing and Rehabilitation is a 138-bed skilled nursing and long-term care facility at 700 Foulk Road in Wilmington, Delaware, offering rehabilitation and memory care services. The facility is operated by Wilmington SNF Operator Holdings LLC and accepts Medicare, Medicaid, and private pay.
CMS rates the facility 1 star overall — 62.8% below the Delaware average on health inspections, the sub-rating that carries the most weight in the composite score. Over the inspection window, the facility has averaged 13.3 deficiencies per year, roughly 51% above Delaware’s average of 8.8.
Enforcement actions include $409,000 in federal fines across three penalty events, 316% above the Delaware average among penalized facilities. A substantiated complaint in April 2024 found the facility failed to report resident injuries within required timeframes. The most recent inspection, in May 2025, cited deficiencies involving a failure to maintain required CNA staffing ratios.
Overall staffing levels are close to Delaware averages — total nursing hours average 4 hours and 16 minutes per resident per day, ranking the facility 15th of 38 Delaware skilled nursing facilities — though CNA hours specifically run 16% below the state’s average at 2 hours and 5 minutes per day versus the state’s 2 hours and 28 minutes. Therapy staffing includes physical therapy aides, physical therapy assistants, and respiratory therapy technicians. The facility’s occupancy rate is 83%, in line with Delaware’s average of 80.7%.
Wilmington Nursing and Rehabilitation is best suited for residents in Wilmington who require long-term skilled nursing care or post-acute rehabilitation, with memory care capacity for residents needing dementia-specific services.
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 15th 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.
| 39m per day | ▼ 37% State avg: 1h 2m 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 11m per day | ▲ 16% State avg: 1h 1m 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 5m per day | ▼ 16% State avg: 2h 28m 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 20m per day | ▼ 17% State avg: 4h 2m per day · National avg: 3h 26m 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.
| 8m per day | ▼ 11% State avg: 9m 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.
| 22m per day | ▼ 49% State avg: 43m per day · National avg: 28m per day |
Similar to the Delaware average: 80.7%Wilmington Nursing and Rehabilitation is administrated by Renee Boyer.
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.
| 147 | 64 | This facility has 130% more total deficiencies than a typical Delaware nursing home (147 vs. DE avg 64).↑ 130% worse |
|
Deficiencies per year
Average deficiencies per year since 2012.
| 10.5 | 4.6 | This facility has 128% more deficiencies per year than a typical Delaware nursing home (10.5 vs. DE avg 4.6).↑ 128% 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 Oct 2024
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.
38 of 80 citations resulted from standard inspections; 14 of 80 resulted from complaint investigations; and 28 of 80 came from combined inspections (standard and complaint).
456% worse than Delaware averageDelaware average: 0.9
233% 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.
23% 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.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursAssists with medical care and medications.
All 33 LPN Staff are full-time employees. No contractors work on this role.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 68 CNA Staff are full-time employees. No contractors work on this role.
68
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
156 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 68 | 0 | 68 | 24,395 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 33 | 0 | 33 | 13,489 | 92 | 100% | 8.7 |
| Registered Nurse | 13 | 0 | 13 | 3,640 | 92 | 100% | 7.4 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,645 | 70 | 76% | 7.3 |
| Respiratory Therapy Technician | 7 | 1 | 8 | 1,667 | 85 | 92% | 7.3 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,403 | 79 | 86% | 7.2 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,337 | 70 | 76% | 7.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,082 | 89 | 97% | 6.6 |
| Qualified Social Worker | 5 | 0 | 5 | 838 | 69 | 75% | 6.6 |
| Physical Therapy Assistant | 7 | 0 | 7 | 738 | 77 | 84% | 6.7 |
| Dental Services Staff | 1 | 0 | 1 | 485 | 66 | 72% | 7.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 461 | 61 | 66% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 457 | 63 | 68% | 7.3 |
| Dietitian | 1 | 0 | 1 | 440 | 60 | 65% | 7.3 |
| Administrator | 1 | 0 | 1 | 425 | 57 | 62% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 402 | 56 | 61% | 7.2 |
Includes penalties issued in 2023-2024
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)
316% higher than Delaware averageDelaware average: $98K
61% 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.
3
1186% more payment denials than Delaware averageDelaware average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
6 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.
Oct 2, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 10, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 10, 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.
10.6
11% worse than Delaware averageDelaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.4
13% worse than Delaware averageDelaware average: 19.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
12% worse than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
17.8%
10% better than Delaware averageDelaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
33% 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
5.6%
27% worse than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.6%
73% better than Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
9.4%
64% worse than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
10.6%
75% worse than Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
16.3%
48% worse than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
In line with Delaware averageDelaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.4%
10% worse than Delaware averageDelaware average: 97.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.77
In line with Delaware averageDelaware average: 1.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.56
87% worse than Delaware averageDelaware average: 1.37
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.3%
12% worse than Delaware averageDelaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
54% better than Delaware averageDelaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.5%
In line with Delaware averageDelaware average: 83.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.1%
21% worse than Delaware averageDelaware average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.2%
9% worse than Delaware averageDelaware average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
30% better than Delaware averageDelaware average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
73.1%
36% better than Delaware averageDelaware average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.6%
20% better than Delaware averageDelaware average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
128Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Wilmington Nursing and Rehabilitation 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 #24 / 35Payroll — State benchmarkedThis home is ranked 24th out of 35 homes in Delaware for payroll. 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
3.6 miles from city center
Estimated distance in miles from Wilmington's city center to Wilmington Nursing and Rehabilitation's address, calculated via Google Maps.
Add your location
Wilmington Nursing and Rehabilitation is located in Wilmington, 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.
| Cardia Healthcare Silverside |
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. | Wilmington | 128
Facility
128
DE AVG
102
Rank
#22 / 73 | 86.7% | +7% | 4.55 | -32% | -2% | $10.4k | 22 | 5.5 | 1 | 111 |
29
Facility
29
DE AVG
40
Rank
#73 / 111 | - | $25.5M | $9.7M | 38% | 85056 | ||||
| Shipley Living |
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. | Wilmington | 17
Facility
17
DE AVG
102
Rank
#72 / 73 | - | - | 4.07 | -11% | -13% | $32.4k | 60 | 10.0 | 2 | 61 |
13
Facility
13
DE AVG
40
Rank
#91 / 111 | Timothy Ballas | $13.5M | $7.6M | 56.4% | 85031 | ||||
| Cadia Rehabilitation Pike Creek |
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. | Wilmington | 177
Facility
177
DE AVG
102
Rank
#4 / 73 | 78.5% | -3% | 3.02 | -26% | -35% | $181.2k | 53 | 8.8 | 6 | 139 |
49
Facility
49
DE AVG
40
Rank
#37 / 111 | - | $33.6M | $15.1M | 44.8% | 85054 | ||||
| Wilmington Nursing and Rehabilitation |
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. | Wilmington | 138
Facility
138
DE AVG
102
Rank
#14 / 73 | 82.6% | +2% | 4.27 | -36% | -8% | $408.7k | 80 | 20.0 | 9 | 114 |
65
Facility
65
DE AVG
40
Rank
#21 / 111 | Wilmington Snf Operator Holdings LLC | $14.4M | $8.1M | 56.2% | 85028 | ||||
| Kutz Senior Living Campus |
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.
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. | Wilmington | 90
Facility
90
DE AVG
102
Rank
#45 / 73 | 87.8% | +9% | 5.21 | -83% | +12% | $168.0k | 59 | 14.8 | 4 | 79 |
41
Facility
41
DE AVG
40
Rank
#52 / 111 | David Bacher | $16.5M | $8.6M | 52.1% | 85043 |
Rebecca Famularo is the Director of Nursing at Wilmington Nursing and Rehabilitation.
Wilmington Nursing and Rehabilitation has a walk score of 65. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to DE state health department records, Wilmington Nursing and Rehabilitation's license number is 1137.
Wilmington Nursing and Rehabilitation's occupancy is 83%.
The team at Wilmington Nursing and Rehabilitation can be reached at [email protected].
Renee Boyer is the administrator of Wilmington Nursing and Rehabilitation.
Wilmington Nursing and Rehabilitation has 138 beds.
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