Gilpin Hall
1101 Gilpin Avenue, Wilmington, DE 19806 · New Castle County · 96 certified beds · avg 92 residents/day · certified since Jan 7, 1997
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · from a complaint |
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 29, 2025 | E · Potential for harm, repeated | The facility did not properly protect the personal money residents deposited with it for safekeeping. |
| Aug 29, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Aug 29, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 29, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Aug 29, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Aug 29, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 29, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Aug 29, 2025 | C · Minimal risk, facility-wide | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 29, 2025 | C · Minimal risk, facility-wide | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 17, 2024 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 17, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 9 | 0 | E |
| 2025 | 11 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Delaware avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.96 | 4.67 | 3.95 | top 12% in Delaware; top 4% in the U.S. |
| Registered Nurse hours | 0.76 | 1.04 | 0.69 | bottom 35% in Delaware; top 31% in the U.S. |
| Weekend total nurse staffing | 5.43 | 4.18 | 3.50 | top 12% in Delaware; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.64 | 0.48 | bottom 26% in Delaware; top 50% in the U.S. |
| Total nursing staff turnover (%) | 27.8 | 41.3 | 45.8 | top 12% in Delaware; top 11% in the U.S. |
| RN turnover (%) | 21.4 | 41.2 | 42.9 | top 13% in Delaware; top 16% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.95, RN 0.63, weekend 4.51. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bannan, Jessica | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/03/2022 |
| Bannan, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Clark, Stephen | Individual | Corporate Director | NOT APPLICABLE | 11/01/1990 |
| Clark, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 11/01/1990 |
| Guggenberger, Paul | Individual | Corporate Director | NOT APPLICABLE | 01/01/2010 |
| Guggenberger, Paul | Individual | Corporate Officer | NOT APPLICABLE | 11/28/2022 |
| Lind, Gail | Individual | Corporate Director | NOT APPLICABLE | 11/28/2022 |
| McBride, Terrence | Individual | Corporate Director | NOT APPLICABLE | 11/28/2016 |
| Reese, C | Individual | Corporate Director | NOT APPLICABLE | 01/01/2005 |
| Smiley, Paul | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2022 |
| Smith, Harvey | Individual | Corporate Director | NOT APPLICABLE | 01/01/1989 |
| Smith, Harvey | Individual | Corporate Officer | NOT APPLICABLE | 01/01/1989 |
| Smith, Matthew | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Smith, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2018 |
| Warrington, Alan | Individual | Contracted Managing Employee | NOT APPLICABLE | 08/01/1991 |
| Warrington, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Wolcott, Daniel | Individual | Corporate Director | NOT APPLICABLE | 04/01/1996 |
| Wolcott, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 04/01/1996 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How is residents' personal money protected and tracked, and how can families review the account statements?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Regency Healthcare & Rehab Center | 0.5 mi | Wilmington, DE | ★★★★☆ | 4/5 | |
| Kentmere Rehabilitation and Healthcare Center | 0.6 mi | Wilmington, DE | ★★★☆☆ | 3/5 | |
| Excelcare at Wilmington LLC | 1.3 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Complete Care at Hillside LLC | 1.3 mi | Wilmington, DE | ★★★★☆ | 3/5 | |
| Wilmington Nursing & Rehabilitation Center | 2.6 mi | Wilmington, DE | —/5 | abuseSFF | |
| Stonegates | 3.2 mi | Greenville, DE | ★★★★☆ | 3/5 | |
| Kutz Rehabilitation and Nursing | 3.3 mi | Wilmington, DE | ★★☆☆☆ | 2/5 | abuse |
| Encore at Foulk | 3.3 mi | Wilmington, DE | ★★★★★ | 5/5 | |
| Cadia Rehabilitation Silverside | 3.9 mi | Wilmington, DE | ★★★★★ | 3/5 | |
| Willowbrooke Court at Country House | 4.1 mi | Wilmington, DE | ★★★★★ | 5/5 | |
| Coral Springs Rehab & Healthcare | 4.2 mi | Wilmington, DE | ★★☆☆☆ | 2/5 | |
| Encore at Wilmington | 4.5 mi | Wilmington, DE | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 085047.