32 of the 44 Medicare-certified nursing homes in Delaware (73%) are chain-owned, and all are listed below. 7 of the 32 graded homes earn an A and 4 earn a D or F. They average 3.95 nursing hours per resident per day, 0.4 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 chain-owned homes in Delaware compare
This group set against every nursing home in Delaware, from the current CMS release.
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.
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.
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.
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 chain-owned nursing homes are there in Delaware?
There are 32 chain-owned Medicare-certified nursing homes in Delaware, 73% of the 44 nursing homes there.
Are chain-owned nursing homes better staffed?
In Delaware they average 3.95 total nursing hours per resident per day, against 4.35 for all nursing homes in Delaware, a difference of -0.4 hours. Staff turnover averages 42.9% against 41.3%.
Which chain-owned nursing home grades best in Delaware?