Every Medicare-certified nursing home in Delaware, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
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.
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.
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.
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.
The Delaware Veterans Home runs on unusually heavy nurse staffing, 7.08 hours per resident day, roughly 83% above the national figure, and its quality measure and staffing ratings both come back at the top of CMS's scale. That's the case for the place. The case against sits in the inspection record: 21 deficiencies, two of them serious enough to involve harm or jeopardy, three tied to abuse, and $118,757 in fines across two penalties. Staff turnover runs 54%, above the national average, and weekend coverage drops about 11% from weekday levels. The most recent inspection was March 2026. Strong day-to-day care numbers, a troubled survey history, and a workforce that keeps changing.
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.