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.
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.
State-run and sitting in Smyrna, this home has 175 certified beds and a nursing staff that's roughly two and a half times the national average, 10.25 hours per resident day against 3.86. Turnover runs 17.5%, well under the national 45.8%, though weekend coverage dips about 17% below its own weekday level. Those numbers sit alongside a harder fact: 11 deficiencies on the current record, three of them serious enough to put residents at risk of harm, plus two fines totaling $59,947, and CMS has placed the home in its Special Focus Facility program. The last inspection was January 9, 2026.
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.