Lowest-rated nursing homes in Delaware

44 nursing homes in Delaware with a CMS rating, ordered from the lowest. Each row shows what is behind the stars: inspection points, citations, fines and any federal flags.

⚠ How to read this ranking

Homes are ordered by the overall star rating the U.S. government (CMS) publishes, as of October 1, 2026, lowest first. Ties go to the home with the higher health inspection score (more citation points), then to larger fines.^[1] Homes in CMS's Special Focus Facility program carry no star rating and are listed first.^[11]

A low rating reflects inspection results, staffing and resident outcomes at the time of CMS's data. It is not a finding of wrongdoing by anyone, ratings change every month, and a home can improve quickly. See the contact page to report an error or an out-of-date entry, and check Medicare Care Compare for the latest figures.

Average overall rating, Delaware

3.21

≈ About the state average. State 3.20 · National 3.00

This home State average National average

Homes CMS rates: 44
1-star homes: 2 (5%)
Abuse-citation flags: 8
Special Focus program: 1
Fines: 67 ($2,664,318)

Nursing homes ranked from lowest CMS overall rating
#	Nursing home	Overall rating	Inspection points	Latest citations	Fines	CMS flags
1	Wilmington Nursing & Rehabilitation Center Wilmington, DE · Lifeworks Rehab	Not rated In Special Focus program	386.8	35	4 ($442,816)	⚑ Abuse citation ⚑ Special Focus Facility
2	Ocean Grove Post Acute Millsboro, DE · Prestige Healthcare Administrative Services	1 of 5 · Much below average	143.0	28	None	⚑ Abuse citation
3	Regal Heights Healthcare & Rehab Center Hockessin, DE · Nationwide Healthcare Services	1 of 5 · Much below average	128.0	14	4 ($94,384)	⚑ Abuse citation
4	Cadia Rehabilitation Broadmeadow Middletown, DE · Cadia Healthcare	2 of 5 · Below average	215.8	17	3 ($168,373)	⚑ Special Focus candidate
5	Delaware Hospital F/t Chronically Ill (dhci) Smyrna, DE	2 of 5 · Below average	207.8	10	2 ($59,947)	⚑ Special Focus candidate
6	Encore at West Meadow L.L.C. Newark, DE	2 of 5 · Below average	202.8	28	4 ($51,090)	⚑ Special Focus candidate ⚑ New owner
7	New Castle Health and Rehabilitation Center New Castle, DE · Saber Healthcare Group	2 of 5 · Below average	176.0	13	2 ($47,730)	⚑ Special Focus candidate
8	Pike Creek Nursing & Rehabilitation Center Wilmington, DE · Lifeworks Rehab	2 of 5 · Below average	164.3	20	1 ($221,208)	⚑ Special Focus candidate
9	Evergreen Post Acute Smyrna, DE · Prestige Healthcare Administrative Services	2 of 5 · Below average	157.0	21	2 ($94,156)	—
10	Excelcare at Newark LLC Newark, DE · Excelcare	2 of 5 · Below average	139.3	12	2 ($29,309)	—
11	Delaware Bay Rehabilitation and Healthcare Center Georgetown, DE · Venza Care Management	2 of 5 · Below average	130.3	9	1 ($62,618)	—
12	Coral Springs Rehab & Healthcare Wilmington, DE · Prestige Healthcare Administrative Services	2 of 5 · Below average	129.0	8	3 ($99,184)	—
13	Polaris Healthcare and Rehabilitation Center Milford, DE · Nationwide Healthcare Services	2 of 5 · Below average	118.3	7	3 ($144,544)	—
14	Excelcare at Lewes LLC Lewes, DE · Excelcare	2 of 5 · Below average	109.0	24	2 ($69,264)	⚑ Abuse citation
15	Kutz Rehabilitation and Nursing Wilmington, DE	2 of 5 · Below average	106.5	5	2 ($168,019)	⚑ Abuse citation
16	Regency Healthcare & Rehab Center Wilmington, DE · Nationwide Healthcare Services	2 of 5 · Below average	57.0	8	2 ($77,867)	⚑ Abuse citation
17	Cadia Rehabilitation Silverside Wilmington, DE · Cadia Healthcare	3 of 5 · Average	126.3	13	3 ($87,126)	—
18	Milford Center Milford, DE · Genesis Healthcare	3 of 5 · Average	112.8	12	3 ($176,862)	—
19	Encore at Wilmington Wilmington, DE	3 of 5 · Average	103.5	10	3 ($58,772)	—
20	Cadia Rehabilitation Renaissance Millsboro, DE · Cadia Healthcare	3 of 5 · Average	80.0	13	1 ($13,627)	—
21	Bay Terrace Rehabilitation and Health Center Dover, DE · Prestige Healthcare Administrative Services	3 of 5 · Average	79.5	6	3 ($34,838)	—
22	Kentmere Rehabilitation and Healthcare Center Wilmington, DE	3 of 5 · Average	63.0	5	1 ($8,278)	—
23	Gilpin Hall Wilmington, DE	3 of 5 · Average	60.0	12	None	⚑ Abuse citation
24	Seaford Center Seaford, DE · Genesis Healthcare	3 of 5 · Average	58.0	10	1 ($33,933)	—
25	Delaware Veterans Home Milford, DE	3 of 5 · Average	56.0	7	2 ($88,335)	⚑ Abuse citation

Source: CMS Nursing Home Provider Information^[1] . Open a home for its full inspection history, staffing and quality measures.

By city in Delaware

Cities with at least two rated homes, lowest average rating first.

Millsboro (2)

2.00
Smyrna (2)

2.00
Milford (3)

2.67
Wilmington (14)

3.15
Lewes (2)

3.50
Newark (5)

3.60
Hockessin (3)

3.67
Dover (5)

3.80
Seaford (3)

4.00

Lowest-rated owners & operators → All facilities in Delaware →

Sources

[1] Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data.
[9] Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison.
[11] Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined.
[12] Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures.

Attendant Homes is not affiliated with or endorsed by CMS.