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Lowest-rated nursing homes in Delaware

All states › Delaware › Lowest rated

These are the 25 nursing homes in Delaware that CMS rates lowest, out of 44. Homes CMS lists as Special Focus Facilities come first, then Special Focus candidates, then the lowest overall star ratings; ties go to homes with the CMS abuse icon, a lower health inspection rating and more fines. The order comes from CMS's own ratings and flags, not from us; people often search for these as the worst-rated nursing homes in Delaware. In Delaware, CMS rates 2 homes 1 star, lists 1 as a Special Focus Facility and 5 as candidates, and shows its abuse icon on 8.

Ratings come from CMS and are updated monthly; these are from October 2026. A star rating summarizes a lot, so read each home's inspection history and visit before you decide.

Lowest-rated nursing homes in Delaware

1
Wilmington Nursing & Rehabilitation Center Wilmington
138 beds Medicaid Medicare 4 fines Cited for abuseSpecial Focus Facility
Not rated
Inspection — Staffing — Quality —
Nurse hours 3.85 hrs/day
2
Encore at Parkside Newark
110 beds Medicaid Medicare 4 fines SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 4/5 Quality 5/5
Nurse hours 3.84 hrs/day
3
Cadia Rehabilitation Broadmeadow Middletown
120 beds Medicaid Medicare 3 fines SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 4/5 Quality 5/5
Nurse hours 3.84 hrs/day
4
Delaware Hospital F/T Chronically Ill (Dhci) Smyrna
175 beds Medicaid Medicare 2 fines SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 5/5 Quality 4/5
Nurse hours 10.57 hrs/day
5
New Castle Health and Rehabilitation Center New Castle
120 beds Medicaid Medicare 2 fines SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 4/5 Quality 5/5
Nurse hours 3.75 hrs/day
6
Pike Creek Nursing & Rehabilitation Center Wilmington
177 beds Medicaid Medicare 1 fine SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 4/5 Quality 5/5
Nurse hours 3.96 hrs/day
7
Ocean Grove Post Acute Millsboro
181 beds Medicaid Medicare Cited for abuse
★☆☆☆☆
Inspection 1/5 Staffing 4/5 Quality 4/5
Nurse hours 3.72 hrs/day
8
Regal Heights Healthcare & Rehab Center Hockessin
172 beds Medicaid Medicare 4 fines Cited for abuse
★☆☆☆☆
Inspection 2/5 Staffing 4/5 Quality 1/5
Nurse hours 3.87 hrs/day
9
Kutz Rehabilitation and Nursing Wilmington
90 beds Medicaid Medicare 2 fines Cited for abuse
★★☆☆☆
Inspection 2/5 Staffing 4/5 Quality 2/5
Nurse hours 7.01 hrs/day
10
Regency Healthcare & Rehab Center Wilmington
100 beds Medicaid Medicare 2 fines Cited for abuse
★★☆☆☆
Inspection 2/5 Staffing 4/5 Quality 2/5
Nurse hours 3.88 hrs/day
11
Excelcare at Lewes Lewes
179 beds Medicaid Medicare 2 fines Cited for abuse
★★☆☆☆
Inspection 2/5 Staffing 2/5 Quality 4/5
Nurse hours 3.53 hrs/day
12
Evergreen Post Acute Smyrna
151 beds Medicaid Medicare 2 fines
★★☆☆☆
Inspection 1/5 Staffing 3/5 Quality 5/5
Nurse hours 3.71 hrs/day
13
Excelcare at Newark Newark
101 beds Medicaid Medicare 2 fines
★★☆☆☆
Inspection 1/5 Staffing 4/5 Quality 5/5
Nurse hours 3.89 hrs/day
14
Polaris Healthcare and Rehabilitation Center Milford
100 beds Medicaid Medicare 3 fines
★★☆☆☆
Inspection 2/5 Staffing 3/5 Quality 4/5
Nurse hours 4.06 hrs/day
15
Coral Springs Rehab & Healthcare Wilmington
169 beds Medicaid Medicare 3 fines
★★☆☆☆
Inspection 2/5 Staffing 2/5 Quality 4/5
Nurse hours 3.71 hrs/day
16
Delaware Bay Rehabilitation and Healthcare Center Georgetown
139 beds Medicaid Medicare 1 fine
★★☆☆☆
Inspection 2/5 Staffing 3/5 Quality 4/5
Nurse hours 4.14 hrs/day
17
Delaware Veterans Home Milford
144 beds Medicaid Medicare 2 fines Cited for abuse
★★★☆☆
Inspection 2/5 Staffing 5/5 Quality 4/5
Nurse hours 7.21 hrs/day
18
Gilpin Hall Wilmington
96 beds Medicaid Medicare Cited for abuse
★★★☆☆
Inspection 2/5 Staffing 5/5 Quality 4/5
Nurse hours 5.01 hrs/day
19
Milford Center Milford
136 beds Medicaid Medicare 3 fines
★★★☆☆
Inspection 2/5 Staffing 4/5 Quality 5/5
Nurse hours 3.81 hrs/day
20
Cadia Rehabilitation Silverside Wilmington
116 beds Medicaid Medicare 3 fines
★★★☆☆
Inspection 2/5 Staffing 4/5 Quality 5/5
Nurse hours 3.76 hrs/day
21
Encore at Wilmington Wilmington
82 beds Medicaid Medicare 3 fines
★★★☆☆
Inspection 2/5 Staffing 4/5 Quality 5/5
Nurse hours 3.96 hrs/day
22
Bay Terrace Rehabilitation and Health Center Dover
85 beds Medicaid Medicare 3 fines
★★★☆☆
Inspection 3/5 Staffing 4/5 Quality 4/5
Nurse hours 4.00 hrs/day
23
Seaford Center Seaford
124 beds Medicaid Medicare 1 fine
★★★☆☆
Inspection 3/5 Staffing 4/5 Quality 4/5
Nurse hours 3.58 hrs/day
24
Cadia Rehabilitation Renaissance Millsboro
130 beds Medicaid Medicare 1 fine
★★★☆☆
Inspection 3/5 Staffing 4/5 Quality 4/5
Nurse hours 3.78 hrs/day
25
Kentmere Rehabilitation and Healthcare Center Wilmington
104 beds Medicaid Medicare 1 fine
★★★☆☆
Inspection 3/5 Staffing 4/5 Quality 3/5
Nurse hours 4.32 hrs/day
Compare

How this list works

Where do the ratings come from?
From CMS's Nursing Home Care Compare (the same data as Medicare.gov), October 2026. The overall rating combines health inspections, staffing and quality measures; inspections weigh the most.
What are the Special Focus Facility list and the abuse icon?
CMS lists this nursing home as a Special Focus Facility: homes "included in a special program to stimulate improvements in their quality of care" because of a persistent record of serious problems. CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years.
Is this a recommendation?
No. It is a ranking of CMS's published ratings. Ratings can change every month, and a home's rating may not reflect a recent change in ownership or staff. Visit, ask questions and read the inspection reports.

More lists for Delaware

Lowest-rated nursing homes in other Delaware cities

Source: CMS Provider Data Catalog, nursing home provider information and penalties, October 2026. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data.

https://www.nursinghomesineachstate.com/delaware/lowest-rated-nursing-homes/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.