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.
Regal Heights runs 172 certified beds under corporate ownership in Hockessin, and the staffing numbers are the strongest thing it has going. Nurse hours per resident day sit essentially at the national average, and weekend coverage dips only about 5% below weekdays, which is a narrower gap than many homes manage. Turnover is 41.7%, slightly better than the 45.8% national figure. The trouble is everything else: a 2-out-of-5 health inspection rating, 65 deficiencies on the current record including 4 at harm or jeopardy level and 9 tied to abuse, plus three fines totaling $46,999. Staffing can hold a building together, but it doesn't erase an inspection history like that.
Regency Healthcare & Rehab Center is a for-profit LLC home in Wilmington with 100 beds, and its recent inspection history is the first thing to notice: 19 deficiencies on record, including two at the harm or jeopardy level and five tied to abuse. Two fines totaling $77,867 have been levied. Staffing sits at 3.74 nurse hours per resident day, about 3% under the national average, and weekends run roughly 8% leaner than weekdays. Annual turnover of 63.8% is well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The most recent inspection was July 2025, so the picture is current.
Excelcare At Lewes runs 179 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.89 hours per resident day, just barely above the national average of 3.86, though weekends run about 5% lighter than weekdays, worth asking about if your family visits then. The bigger concern is the inspection record: 46 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, with two fines totaling $106,560. Staff turnover of 45.7% is essentially the national average. The last inspection was February 2026. Quality measures score well, but the inspection history is what's dragging this home's overall picture down.
Ocean Grove Post Acute runs 181 beds under for-profit LLC ownership, and its inspection history is the weak spot: 71 deficiencies on the current record, including 4 abuse-related citations, though none rose to actual harm or jeopardy. That record earned a 2 out of 5 on CMS health inspections. Staffing tells a different story, 3.69 nurse hours per resident day sits about 4% under the national average, and weekends drop roughly 9% below the home's own weekday levels, so coverage thins when families tend to visit. Turnover at 36.1% is meaningfully better than the 45.8% national figure, which matters for consistency of care. The last inspection was July 2025, so the picture is current.
Newark Manor runs on a for-profit, individually owned model, and its staffing is the strongest part of the picture: 4.27 nurse hours per resident day, about 11% above the national average, which is why it earns top marks on that measure alone. The catch is that weekends run roughly 13% thinner than weekdays, so coverage can shift depending on when you visit. Turnover sits at 32.8%, lower than the national 45.8%, which suggests a relatively stable crew. But the health inspection record is weaker, 26 deficiencies, including three tied to abuse and two at the harm level, with the last inspection in January 2024. Good staffing, real compliance problems.
Coral Springs Rehab runs 169 beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends dip roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 60.8% against a 45.8% national figure, which means the aides and nurses on the floor keep changing. The inspection record backs that up: 63 deficiencies, four at harm or jeopardy level, four tied to abuse, and $99,184 in fines across three penalties. Two stars for health inspections and two for staffing, with a recent December 2025 inspection. Worth asking hard questions before you decide.
The staffing number looks fine on paper, 3.96 nurse hours per resident day, just above the national average, but that average hides a churn problem. Nearly 68% of staff turned over in a year, against a national rate around 46%, and weekend coverage drops about 7% below weekdays, so the people at the bedside keep changing. The inspection record is the harder read: 67 deficiencies, four serious enough to involve harm or jeopardy, four tied to abuse, and $153,884 in fines. A for-profit limited liability company runs it, and its last inspection was February 2026. Quality measures score well; staffing and inspections do not.
Encore At Parkside has 53 deficiencies on its current record, three of them at the harm or jeopardy level and two tied to abuse. That's the number that matters most here, because CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The inspection star rating sits at 1 out of 5, and the last survey was in January 2026. Nurse staffing runs 3.51 hours per resident day, about 9% under the national average, with weekends roughly 14% thinner than weekdays. Staff turnover is 38.9%, better than the 45.8% national figure, and ownership changed within the past year.
Wilmington Nursing & Rehabilitation Center carries 101 deficiencies on its current record, and the ones that matter most are hard to look past: 12 at the harm or jeopardy level, 5 tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and three fines total $408,742. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 11% leaner than weekdays. The one number that runs the other way is turnover at 31% against a 45.8% national average. Its last inspection was December 2025.
Pike Creek runs 177 certified beds under individual for-profit ownership, and its staffing sits at 3.88 nurse hours per resident day, barely a hair above the national average of 3.86. That thin margin matters less than what happens on weekends, when coverage drops roughly 8% below the home's own weekday levels, and turnover runs at 45.3%, almost exactly the national rate. The real problems show up in inspections: a 1-out-of-5 health inspection rating, 97 deficiencies on the current record including 6 at harm or jeopardy level and 8 tied to abuse, plus $484,596 in fines across two penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems.
New Castle Health and Rehabilitation Center holds 120 certified beds and is run by a for-profit corporation. Staffing sits at 3.82 nurse hours per resident day, just under the national average, and weekends run about 10 percent lighter than weekdays, a gap families often notice when they visit on Saturdays and Sundays. The inspection record is where the trouble concentrates: 47 deficiencies, including 3 at harm or jeopardy level and 7 tied to abuse, with $47,300 in fines and placement in CMS's Special Focus Facility program. Turnover, at 45.6 percent, is essentially the national norm, so the problem isn't retention, it's what inspections keep finding.
Cadia Rehabilitation Broadmeadow runs 120 certified beds in Middletown under for-profit LLC ownership, and its staffing sits right at the national mark, 3.88 nurse hours per resident day against 3.86, with weekend coverage dropping roughly 8% below weekday levels and turnover at 44.9%, slightly better than the 45.8% national figure. That's respectable on paper. What the paper also shows is a health inspection rating of 1 out of 5, 41 deficiencies on the current record, five of them at harm or jeopardy level and six tied to abuse allegations, plus $79,126 in fines across two penalties. CMS has placed it in the Special Focus Facility program, and the most recent inspection closed January 30, 2026.
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?