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25 Medicaid Nursing Homes With a Clean Record in Delaware

25 of the 44 Medicare-certified nursing homes in Delaware (57%) are Medicaid-certified, clean-record, and all are listed below. 7 of the 25 graded homes earn an A and 0 earn a D or F. They average 4.09 nursing hours per resident per day, 0.26 hours below the 4.35 for every home in Delaware. Willowbrooke Court Skilled Center At Manor House in Seaford grades highest at A (96 out of 100).

How Medicaid-certified, clean-record homes in Delaware compare

This group set against every nursing home in Delaware, from the current CMS release.

Nursing hours per resident per day

4.09

All homes in Delaware: 4.35

Worse than the local average

Nurse staff turnover

41.9%

All homes in Delaware: 41.3%

Worse than the local average

Average ElderGrade score

79.5/100

All homes in Delaware: 73.7/100

Better than the local average

Grade spread

A
B
C

7 grade A, 14 grade B, 4 grade C,

The best-graded Medicaid-certified, clean-record home in Delaware is Willowbrooke Court Skilled Center At Manor House in Seaford, DE, grade A, 96/100.

Every Medicaid-certified, clean-record nursing home in Delaware

Showing 1 to 20 of 25, best-graded first.

A

96/100

Willowbrooke Court Skilled Center At Manor House

Seaford, DE · Sussex County

CMS 5/515 bedsNon-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
23%
Serious cites
0

Willowbrooke Court runs just 15 certified beds, which tends to mean staff know residents individually, and the numbers back that up. Nurse staffing sits at 4.05 hours per resident day, about 5% above the national average, though weekend coverage dips roughly 12% below what the home staffs during the week, a gap worth asking about. Turnover is the standout: 23.1% against a national average near 46%, so the people caring for your family member are more likely to still be there next year. Seven deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with a May 2025 inspection.

A

91.5/100

Jeanne Jugan Residence

Newark, DE · New Castle County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
6.78 /day
Staff turnover
29%
Serious cites
0

Jeanne Jugan Residence runs on a nonprofit model with 40 certified beds, and the staffing numbers back it up: 6.78 nurse hours per resident day, roughly 76% above the national average. Weekends dip about 17% below weekdays, which is worth asking about if your family visits then, but overall retention is strong, 29.3% turnover against a national 45.8% means caregivers tend to stay. The tradeoff shows up in the inspection record: 14 deficiencies on file, none at harm or jeopardy level, though 2 are abuse-related and should be questioned directly. With a 4/5 inspection rating, 5/5 staffing, and a recent April 2026 survey, the fundamentals hold up well.

A

89/100

Lofland Park Center

Seaford, DE · Sussex County

CMS 4/5110 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
30%
Serious cites
0

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.

A

87/100

Encore At Foulk

Wilmington, DE · New Castle County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
13%
Serious cites
0

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.

A

86/100

The Moorings At Lewes

Lewes, DE · Sussex County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
42%
Serious cites
0

The Moorings At Lewes runs 4.38 nurse hours per resident day, roughly 13% above the national average, with a five-star staffing rating to match. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Annual turnover sits at 42.2%, better than the 45.8% national figure but still meaning nearly half the staff changes in a year. On inspections, two deficiencies on record, neither at the harm level nor abuse-related, and the last survey was in January 2026. This is a small nonprofit home with 40 beds whose numbers hold up well against the national baseline.

A

85/100

Delmar Nursing & Rehabilitation Center

Delmar, DE · Sussex County

CMS 4/5109 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
36%
Serious cites
0

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.

A

85/100

Cadia Rehabilitation Silverside

Wilmington, DE · New Castle County

CMS 5/5116 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
48%
Serious cites
0

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.

B

84/100

Complete Care At Hillside Llc

Wilmington, DE · New Castle County

CMS 4/5106 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
45%
Serious cites
0

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.

B

84/100

Complete Care At Silver Lake Llc

Dover, DE · Kent County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
35%
Serious cites
0

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.

B

83/100

Kentmere Rehabilitation And Healthcare Center

Wilmington, DE · New Castle County

CMS 3/5104 bedsNon-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
39%
Serious cites
0

Kentmere runs on decent staffing for a nonprofit home: 4.51 nurse hours per resident day, roughly 17% above the national average, and weekend coverage dips only about 7% below weekdays. Turnover sits at 39.4%, better than the 45.8% national figure, and the most recent inspection was in December 2025, so the record is current. What holds it back is the deficiency history, 33 citations on the active record, including one at the harm level and five tied to abuse. One fine totaling $8,278 has been assessed. The staffing is there; the compliance side is where the questions are.

B

81/100

Bay Terrace Rehabilitation And Health Center

Dover, DE · Kent County

CMS 3/585 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
37%
Serious cites
0

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.

B

81/100

Encore At Wilmington

Wilmington, DE · New Castle County

CMS 3/582 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
51%
Serious cites
0

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.

B

79/100

Cadia Rehabilitation Capitol

Dover, DE · Kent County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
46%
Serious cites
0

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.

B

79/100

Cadia Rehabilitation Renaissance

Millsboro, DE · Sussex County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
48%
Serious cites
0

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.

B

78/100

Milford Center

Milford, DE · Sussex County

CMS 2/5136 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
42%
Serious cites
0

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.

B

78/100

Westminster Village Health

Dover, DE · Kent County

CMS 4/575 bedsNon-profitMedicaid
Nurse hours
4.33 /day
Staff turnover
35%
Serious cites
0

Westminster Village Health runs on 4.33 nurse hours per resident day, roughly 12% above the national average, and its staff turnover of 35.1% sits well below the 45.8% norm. That's a genuinely strong staffing picture, and it's the main reason the home earns top marks on CMS's staffing measure. The trouble is what inspections keep finding: 33 deficiencies on the current record, including 2 at the harm or jeopardy level and 4 tied to abuse. Two fines total $30,494, and the most recent inspection closed in December 2025. Weekend coverage also dips about 9% below weekday levels. Good hands on deck, but a documented pattern of serious problems alongside them.

B

77.5/100

Exceptional Care For Children

Newark, DE · New Castle County

CMS 5/546 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Exceptional Care For Children is a 46-bed nonprofit in Newark, and its inspection record looks strong: five stars on health inspections, a May 2024 survey, and only three deficiencies on the current record, none of which rose to harm or jeopardy. One of those three is abuse-related, which is worth asking about directly, since even a single flag in that category matters more than the count suggests. What likely holds the overall picture back is size and staffing, not inspection findings, small pediatric-focused homes can struggle to match national staffing averages per resident. Ask about turnover and who covers nights before deciding.

B

77/100

Seaford Center

Seaford, DE · Sussex County

CMS 3/5124 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
37%
Serious cites
0

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.

B

77/100

Excelcare At Newark Llc

Newark, DE · New Castle County

CMS 2/5101 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
39%
Serious cites
0

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.

B

77/100

Complete Care At Brackenville Llc

Hockessin, DE · New Castle County

CMS 4/5104 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
52%
Serious cites
0

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.

Frequently asked questions

How many Medicaid-certified, clean-record nursing homes are there in Delaware?
There are 25 Medicaid-certified, clean-record Medicare-certified nursing homes in Delaware, 57% of the 44 nursing homes there.
Are Medicaid-certified, clean-record nursing homes better staffed?
In Delaware they average 4.09 total nursing hours per resident per day, against 4.35 for all nursing homes in Delaware, a difference of -0.26 hours. Staff turnover averages 41.9% against 41.3%.
Which Medicaid-certified, clean-record nursing home grades best in Delaware?
Willowbrooke Court Skilled Center At Manor House in Seaford, DE, grade A, 96 out of 100.
Does being Medicaid-certified, clean-record mean a nursing home is safe?
No. Of the 25 graded Medicaid-certified, clean-record homes in Delaware, 7 grade A and 0 grade D or F.
Do Medicaid-certified, clean-record nursing homes in Delaware accept Medicaid?
25 of the 25 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Delaware