32 of the 44 Medicare-certified nursing homes in Delaware (73%) are for-profit, and all are listed below. They average 3.98 nursing hours per resident per day, 0.37 hours below the 4.35 for every home in Delaware. 6 of the 32 graded homes earn an A and 5 earn a D or F. Center At Eden Hill, Llc in Dover grades highest at A (95 out of 100).
How for-profit homes in Delaware compare
This group set against every nursing home in Delaware, from the current CMS release.
Nursing hours per resident per day
3.98
All homes in Delaware: 4.35
Worse than the local average
Nurse staff turnover
42.2%
All homes in Delaware: 41.3%
Worse than the local average
Average ElderGrade score
72.3/100
All homes in Delaware: 73.7/100
Worse than the local average
Grade spread
A
B
C
D
6 grade A, 11 grade B, 10 grade C, 5 grade D,
The best-graded for-profit home in Delaware is
Center At Eden Hill, Llc
in Dover, DE, grade A, 95/100.
The Center at Eden Hill runs 80 certified beds in Dover under individual for-profit ownership, and the staffing numbers are the first thing worth noticing: 5.35 nurse hours per resident day, roughly 39% above the national average of 3.86. Weekend coverage drops about 16% from its own weekday level, so ask how that gap gets covered. Annual turnover sits at 25%, well under the national 45.8%, which suggests a staff that mostly stays put. The inspection record shows 24 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Its last inspection was June 2024, and CMS rates it 4 of 5 on health inspections and 5 of 5 on both quality measures and staffing.
Stonegates runs on unusually heavy staffing, 5.96 nurse hours per resident day against a national average of 3.86. That's not a rounding quirk; it's roughly half again as much hands-on time as the typical home, and turnover at 26.4% sits well under the 45.8% national figure, meaning the people providing that care tend to stay. Weekends thin out about 14% from weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The caution sits in the inspection record: 20 deficiencies, one serious enough to involve harm or jeopardy, one abuse-related, and a $48,696 fine. The most recent inspection came in December 2025, so the picture is current.
Lofland Park Center runs 110 certified beds in Seaford under corporate for-profit ownership, and its recent inspection history is solid, the last state visit was in June 2025, and none of the 20 deficiencies on record rose to harm or jeopardy level. One abuse-related citation is there, so ask about that specifically. Nurse staffing sits at 3.84 hours per resident day, roughly a hair under the national average, and weekends run about 9% lighter than weekdays, which is worth watching if your family member needs more help on Saturdays and Sundays. Staff turnover is the real bright spot: 30.2% against a national average of 45.8%, meaning aides and nurses tend to stick around longer here than at most homes.
Encore At Foulk runs a tight ship on staffing. At 3.91 nurse hours per resident day, it sits just above the national average of 3.86, and its staff turnover of 13.3% is remarkably low next to the 45.8% national figure, that kind of retention usually means people stay because the place is run well. Weekend coverage dips about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection record is strong too: a five-star health inspection rating, last survey dated April 2026, and no abuse-related deficiencies. Twelve total deficiencies with one at the harm level and a single $13,544 fine are not nothing, but they're modest for a nursing home this size.
Delmar Nursing & Rehabilitation Center runs 109 beds under for-profit LLC ownership, and the numbers tell a mixed story. Staffing sits at 3.90 nurse hours per resident day, barely above the national average of 3.86, and weekends drop about 8% below what the home manages Monday through Friday. Turnover is where it looks better than most: 36.4% against a national 45.8%. The inspection record is the concern, 17 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $23,998 fine. A December 2025 inspection is recent, and the four-star health and quality ratings suggest the home corrected course, but those abuse-related citations are the kind of thing you'd want to ask about directly before deciding.
Cadia Rehabilitation Silverside runs 116 certified beds under for-profit LLC ownership, and its staffing numbers sit slightly above the national average, about 3.99 nurse hours per resident day versus 3.86 nationally, though weekends dip roughly 5% below its own weekday coverage. Staff turnover is 48.1%, a bit higher than the 45.8% national figure, which matters because consistent caregivers know residents' routines. The bigger concern is the inspection record: 28 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with one fine of $10,608 and a health inspection rating of 2 out of 5. The most recent inspection was March 27, 2025, so the record is current.
Complete Care At Hillside runs 4.14 nurse hours per resident day, about 7% above the national average, though weekend coverage dips roughly 9% below its own weekday staffing. The 35 deficiencies on record include one abuse-related finding, but none at the harm or jeopardy level, and the most recent inspection was in February 2025. Staff turnover of 45.1% is essentially the national rate. The quality measure side looks strong; the inspection history and a for-profit limited liability company structure are the drags. If you're considering it, ask how the abuse-related deficiency was resolved and what weekend coverage actually looks like on the floor.
Complete Care at Silver Lake is a for-profit LLC home in Dover with 120 certified beds. Nurse staffing runs 3.75 hours per resident day, about 3% under the national average, and weekends drop roughly 11% below the home's own weekday coverage, so the hours thin out exactly when families tend to visit. Turnover is the relative bright spot at 34.5%, well below the 45.8% national figure, though the inspection record carries 30 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $47,541 fine. The last inspection was January 2026, so that record is recent.
Bay Terrace runs on a for-profit corporate model with 85 certified beds, and the staffing numbers are the strongest part of the picture: 4.19 nurse hours per resident day, roughly 8% above the national average, with a 36.6% turnover rate that's meaningfully better than the 45.8% national figure. Weekend coverage does slip about 10% below weekday levels, worth knowing if you'll be visiting Saturdays and Sundays. The trouble sits in the inspection record: 38 deficiencies, including two at the harm level and two tied to abuse, plus three fines totaling $42,862. The most recent inspection was April 2026, so the record is current rather than stale. Good daily staffing, but the compliance history is what pulls the overall picture down.
Encore At Wilmington runs 82 certified beds under corporate ownership, and its nurse staffing sits at 3.95 hours per resident day, just slightly above the national average of 3.86. That edge narrows on weekends, when coverage drops about 13% below the home's own weekday level, and staff turnover is 51.3% against a national average of 45.8%. The inspection record is where the real weight sits: 59 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $32,394. The most recent inspection was June 2025. Strong quality-measure scores don't erase that paper trail.
Cadia Rehabilitation Capitol runs 120 beds in Dover under for-profit LLC ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86. That's not a cushion, it's a coin flip. Weekend coverage drops about 11% below its own weekday level, so the thinnest shifts land when families visit. Turnover is 45.8%, identical to the national figure, meaning roughly half the nursing staff turns over in a year. The inspection record shows 31 deficiencies, including two at harm or jeopardy level and five tied to abuse. One fine totaling $8,018. Last inspection: January 2026. Quality and staffing each earned 4 of 5 stars from CMS; health inspections earned 3.
Cadia Rehabilitation Renaissance runs 130 beds in Millsboro under for-profit LLC ownership, and its current record carries 39 deficiencies, one of them serious enough to reach harm or jeopardy level, seven tied to abuse. Inspectors were last in on August 25, 2025, so that picture is recent, not stale. Nurse staffing sits at 3.61 hours per resident day, about 7% under the national average, and it thins further on weekends, dropping roughly 9% below the home's own weekday coverage. Annual turnover of 48.4% runs slightly above the national 45.8%, meaning the aides and nurses at the bedside change often. The quality measure score looks strong on paper, but paperwork and daily coverage aren't the same thing.
Milford Center runs 136 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.95 hours per resident day, slightly above the national average, with weekend coverage dipping about 9% below its own weekday levels. Turnover is 42%, a bit better than the 45.8% national figure. The trouble shows up in its inspection record: 61 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus three fines totaling $176,862. The most recent inspection was March 9, 2026. Strong quality and staffing scores sit alongside a two-star health inspection rating, which is where the concern lives.
Seaford Center runs 124 beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 4% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the one number that looks better than average: 37.2% against a national 45.8%, meaning aides and nurses stick around longer than at most homes. But the inspection record is where things get heavy, 55 deficiencies on file, including three at harm or jeopardy level and three tied to abuse, with two fines totaling $192,384. The most recent inspection was September 2025.
Excelcare At Newark runs 101 certified beds under for-profit LLC ownership, and its staffing sits at 3.82 nurse hours per resident day, just under the national average of 3.86, with weekends running about 8% thinner than weekdays. Staff turnover of 39.4% actually beats the national 45.8%, and the quality measure rating is high, but the inspection record is where this home struggles: 41 deficiencies on the current record, including 3 at harm or jeopardy level and 4 abuse-related, plus two fines totaling $29,309. The most recent inspection was April 1, 2026. Strong numbers on one side, serious findings on the other, that split is what drives the grade here.
Complete Care at Brackenville runs 104 certified beds in Hockessin under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86 nationwide. That headline number hides a wrinkle: weekends run about 8% thinner than weekdays, so the coverage your family member gets on a Saturday won't quite match a Tuesday. Staff turnover is 51.9%, well above the 45.8% national figure, which matters for anyone hoping for consistent caregivers. The current inspection record shows 41 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus one fine of $16,801. The last inspection was February 2025.
Delaware Bay Rehabilitation and Healthcare Center runs 139 certified beds in Georgetown under for-profit LLC ownership. Nurse staffing sits at 4.00 hours per resident day, roughly 4% above the national average, but weekends drop about 12% below the home's own weekday levels, and turnover runs 49.3% against a national 45.8%, so the coverage looks steadier on paper than it likely feels on a Saturday. The inspection record is where the picture darkens: 38 deficiencies, four at harm or jeopardy level, two tied to abuse, and a $62,618 fine. A 2/5 health inspection rating against 3/5 marks for staffing and quality measures suggests the clinical care itself isn't the main trouble. Ask about weekend coverage and the abuse findings specifically.
Evergreen Post Acute runs 151 beds in Smyrna, and its inspection record is the main thing to know going in. The current file shows 69 deficiencies, seven of them serious enough to cause harm or jeopardy, plus six tied to abuse. Two fines total $94,156, and the last inspection was April 2025. Nurse staffing sits at 3.71 hours per resident day, about 4 percent under the national average, and it thins further on weekends. Staff turnover of 51 percent runs above the 45.8 percent national figure, which matters for whether caregivers know your family member. The quality measure stars look strong, but that score comes from resident assessments, not from how the place is run day to day.
Cadia Rehabilitation Pike Creek runs a for-profit operation under an LLC, with 177 certified beds in Wilmington. The raw nurse staffing number looks strong at 4.52 hours per resident day, about 17% above the national average, but that average hides a drop of roughly 12% on weekends, when families often do their visiting. Staff turnover sits at 48.2%, slightly worse than the 45.8% national figure, and CMS gives the home just 2 out of 5 stars for staffing and 2 for health inspections, despite a 5-star quality measure score. The inspection record carries 40 deficiencies, five at harm or jeopardy level and one abuse-related, plus three fines totaling $78,351, with the most recent inspection in April 2025.
Excelcare At Wilmington runs 150 certified beds under corporate ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. Weekends dip roughly 9% below weekday coverage, though its 34.9% turnover is better than the 45.8% national figure. The real concern is the inspection record: 22 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $38,290 fine. A March 2025 inspection is recent, and the two-star health inspection rating reflects those findings. Quality measures score well, but a family should ask directly how those abuse-related citations were resolved.
Frequently asked questions
How many for-profit nursing homes are there in Delaware?
There are 32 for-profit Medicare-certified nursing homes in Delaware, 73% of the 44 nursing homes there.
Are for-profit nursing homes better staffed?
In Delaware they average 3.98 total nursing hours per resident per day, against 4.35 for all nursing homes in Delaware, a difference of -0.37 hours. Staff turnover averages 42.2% against 41.3%.
Which for-profit nursing home grades best in Delaware?