13 Nursing Homes That Accept Medicaid in Wilmington, DE
13 of the 14 Medicare-certified nursing homes in Wilmington, DE (93%) are Medicaid-certified, and all are listed below. They average 4.14 nursing hours per resident per day, 0.01 hours above the 4.13 for every home in Wilmington, DE. Nurse staff turnover runs 44.9%, level with the 44.9% across all homes there. Encore At Foulk in Wilmington grades highest at A (87 out of 100).
How Medicaid-certified homes in Wilmington, DE compare
This group set against every nursing home in Wilmington, DE, from the current CMS release.
Nursing hours per resident per day
4.14
All homes in Wilmington, DE: 4.13
Better than the local average
Nurse staff turnover
44.9%
All homes in Wilmington, DE: 44.9%
Better than the local average
Average ElderGrade score
70.4/100
All homes in Wilmington, DE: 71.5/100
Worse than the local average
Grade spread
A
B
C
D
2 grade A, 3 grade B, 6 grade C, 2 grade D,
The best-graded Medicaid-certified home in Wilmington, DE is
Encore At Foulk
in Wilmington, DE, grade A, 87/100.
Every Medicaid-certified nursing home in Wilmington, DE
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.
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.
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.
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 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.
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.
Kutz Rehabilitation And Nursing has real staffing depth, 5.15 nurse hours per resident day, about a third more than the national average, and that's the strongest thing it has going for it. But the compliance record is heavy: 61 deficiencies, four of them at harm or jeopardy level and nine tied to abuse, plus two fines totaling $168,019. Staff turnover sits at 75.3% against a national 45.8%, meaning most of the people providing that generous staffing are new or on their way out, and weekend coverage drops about 17% below weekday levels. The 1-out-of-5 inspection rating fits that picture. Ask about the abuse findings and who's actually on the floor on Saturdays.
Gilpin Hall runs on a nonprofit model with 96 beds, and its staffing is the clearest strength here: 4.95 nurse hours per resident day, about 28% above the national average, with a 5/5 staffing rating and turnover at 27.8% versus 45.8% nationally. Weekend coverage dips roughly 9% below weekday levels, which matters if your visits or care concerns cluster around Saturdays and Sundays. The harder question is the inspection record, 23 deficiencies on file, 7 of them abuse-related, none at the harm or jeopardy level, and the most recent inspection was August 2025. Strong staffing and a thin inspection history can coexist; ask what those abuse citations involved before deciding.
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.
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.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Wilmington, DE?
There are 13 Medicaid-certified Medicare-certified nursing homes in Wilmington, DE, 93% of the 14 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Wilmington, DE they average 4.14 total nursing hours per resident per day, against 4.13 for all nursing homes in Wilmington, DE, a difference of +0.01 hours. Staff turnover averages 44.9% against 44.9%.
Which Medicaid-certified nursing home grades best in Wilmington, DE?