Nursing homes in Delaware
44 Medicare- and Medicaid-certified nursing homes, with an average CMS overall rating of 3.2/5 — +0.19 stars vs. the national average of 3.0. 36% are rated below average, and federal fines on record total $2,970,511.
What nursing care costs in Delaware Cost of care in Delaware
Source: CMS Provider Data Catalog, processing date 2026-09-01. Ratings are official CMS figures, not endorsements.
Top-rated nursing homes in Delaware
Sorted by CMS overall rating, then by size.
CADIA REHABILITATION SILVERSIDE
5/5Wilmington · 116 bedsMuch above average →CENTER AT EDEN HILL, LLC
5/5Dover · 80 bedsMuch above average →ENCORE AT FOULK
5/5Wilmington · 46 bedsMuch above average →EXCEPTIONAL CARE FOR CHILDREN
5/5Newark · 46 bedsMuch above average →JEANNE JUGAN RESIDENCE
5/5Newark · 40 bedsMuch above average →THE MOORINGS AT LEWES
5/5Lewes · 40 bedsMuch above average →All 44 facilities in Delaware
Filter by name or minimum star rating, and click a column heading to sort.
Beds are CMS-certified beds. Fines are the total dollar value of civil money penalties on record. Abuse icon and Watch list are CMS designations explained on the national directory.
Nursing homes by city in Delaware
Pick a city to compare its facilities on rating, staffing, and fines.
City pages cover the 6 cities with three or more facilities. Smaller towns appear in the full table below.
Facilities carrying a CMS flag in Delaware
10 with a substantiated abuse citation and 5 on the Special Focus Facility watch list. These are official CMS designations, listed here as they appear in the source data.
| Facility | City | Overall | Beds | Fines |
|---|---|---|---|---|
| DELAWARE VETERANS HOME Abuse icon | Milford, DE | 4/5 | 144 | $118,757 |
| EXCELCARE AT WILMINGTON LLC Abuse icon | Wilmington, DE | 3/5 | 150 | $38,290 |
| GILPIN HALL Abuse icon | Wilmington, DE | 3/5 | 96 | — |
| NEWARK MANOR NURSING HOME Abuse icon | Newark, DE | 3/5 | 67 | — |
| EXCELCARE AT LEWES LLC Abuse icon | Lewes, DE | 2/5 | 179 | $99,938 |
| PIKE CREEK NURSING & REHABILITATION CENTER Watch list | Wilmington, DE | 2/5 | 177 | $484,596 |
| DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) Watch list | Smyrna, DE | 2/5 | 175 | $59,947 |
| REGAL HEIGHTS HEALTHCARE & REHAB CENTER Abuse icon | Hockessin, DE | 2/5 | 172 | $119,899 |
| NEW CASTLE HEALTH AND REHABILITATION CENTER Watch list | New Castle, DE | 2/5 | 120 | $47,730 |
| ENCORE AT WEST MEADOW L.L.C. Watch list | Newark, DE | 2/5 | 110 | $56,814 |
| REGENCY HEALTHCARE & REHAB CENTER Abuse icon | Wilmington, DE | 2/5 | 100 | $77,867 |
| KUTZ REHABILITATION AND NURSING Abuse icon | Wilmington, DE | 2/5 | 90 | $168,019 |
| OCEAN GROVE POST ACUTE Abuse icon | Millsboro, DE | 1/5 | 181 | — |
| CADIA REHABILITATION BROADMEADOW Watch list | Middletown, DE | 1/5 | 120 | $216,429 |
| WILMINGTON NURSING & REHABILITATION CENTER Abuse icon | Wilmington, DE | Not rated | 138 | $424,128 |
Choosing between nursing homes in Delaware
The state average hides wide variation. In Delaware the facilities in this directory run from one star to five, and that gap matters more than the average when you are choosing for a specific person.
Work the list in this order: filter to 4- and 5-star facilities, check the staffing and turnover numbers on each profile, then read the inspection and fine history. Distance from family, Medicaid acceptance, and the specific clinical services offered — ventilator care, dialysis, memory units — usually narrow the list faster than ratings do.
If the person needs this level of care for more than a short rehabilitation stay, ask each facility's admissions office directly how Medicaid is handled, whether they accept a pending application, and what happens if private funds run out. Those answers vary by facility, not by state, and they matter more than any published average.
How many nursing homes are there in Delaware?
44 CMS-certified nursing homes, holding 4717 certified beds in total.
What is the average nursing home rating in Delaware?
3.2 out of 5 stars across 43 rated facilities, against a national average of 3.0.
Which nursing home in Delaware has the highest rating?
CMS rates facilities, not states, and every 5-star home in the state is listed above. Compare staffing and inspection detail on the individual profiles.
Does Medicare pay for a nursing home in Delaware?
Medicare Part A covers up to 100 days of skilled nursing after a qualifying hospital stay, with cost sharing after day 20. Longer stays are generally paid privately or through Medicaid.