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Nursing homes in Delaware

Delaware has 44 Medicare-certified nursing homes.8 currently carry the federal abuse flag, and 6 are in or nominated for the Special Focus program for persistently poor performance. Average total nurse staffing is 4.35 hours per resident per day (national average 3.86, both as reported).

Health inspection ratings across Delaware

This chart counts facilities by their health inspection rating — the on-site survey result, and the one component CMS grades on a curve within each state, so it compares facilities with their in-state peers. The overall CMS rating shown in the table below also folds in staffing and self-reported quality measures — how ratings really work.

Cities

Wilmington (14) · Dover (5) · Newark (5) · Hockessin (3) · Milford (3) · Seaford (3) · Lewes (2) · Millsboro (2) · Smyrna (2) · Delmar (1) · Georgetown (1) · Greenville (1) · Middletown (1) · New Castle (1)

All facilities

How to read this table: "Overall" is the CMS star rating; "Inspection" is the on-site health inspection rating — the most independent signal. Click a column header to sort.

Help and oversight in Delaware

• Inspections & complaints: nursing homes in Delaware are surveyed by the Delaware Department of Health and Social Services, Division of Health Care Quality, which also takes complaints about care.
• Resident advocacy: the Long-Term Care Ombudsman program provides a free, independent advocate for residents in every state.
• Paying for care: in Delaware, Medicaid is called Delaware Medicaid (Diamond State Health Plan) and covers long-term nursing home care for those who qualify — see the official Delaware Medicaid (Diamond State Health Plan) site and our guide to who pays for nursing home care.
• Before you tour: our visit checklist and guide to reading inspection reports.

State agency and Medicaid links compiled from official state government sites, verified 2026-08-28. If one has moved, please tell us.