All states › Delaware › New Castle › New Castle Health and Rehabilitation Center
32 Buena Vista Drive New Castle, DE 19720 · New Castle County
CMS certification number 085039 · See this home on Medicare Care Compare
Is New Castle Health and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for New Castle Health and Rehabilitation Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Delaware average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.75 hours per resident per day at New Castle Health and Rehabilitation Center, below the Delaware median of 3.98 (US median: 3.72). About 0.92 of those hours are from registered nurses. On weekends it falls to 3.37 hours, 10% below its all-week average. 47.8% of nursing staff left within a year (Delaware median 40%).
About this nursing home
Paying for care at New Castle Health and Rehabilitation Center: Medicare and Medicaid
New Castle Health and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Delaware's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 13, 2025 and found 13 deficiencies. In total, inspectors issued 47 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 47 citations at New Castle Health and Rehabilitation Center across 4 inspection dates, 16 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 13, 2025. The most common areas cited were quality of life and care (12) and resident assessment and care planning (8). The most serious was cited under the CMS rule to "ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube" (tag F0693, level J, December 13, 2025). 7 citations were under CMS's abuse, neglect and exploitation rules.
December 13, 2025 · 13 citations
JEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EEnsure that residents are fully informed and understand their health status, care and treatments.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide enough food/fluids to maintain a resident's health.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DEnsure medication error rates are not 5 percent or greater.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
May 6, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DRespond appropriately to all alleged violations.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DEnsure services provided by the nursing facility meet professional standards of quality.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 26, 2024 · 10 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DAllow residents to self-administer drugs if determined clinically appropriate.
DReasonably accommodate the needs and preferences of each resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DProvide and implement an infection prevention and control program.
February 1, 2024 · 19 citations · includes complaint inspection
EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
EEnsure that the resident and his/her doctor meet face-to-face at all required visits.
EObserve each nurse aide's job performance and give regular training.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DPlan the resident's discharge to meet the resident's goals and needs.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe, appropriate pain management for a resident who requires such services.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Questions to ask on a tour of New Castle Health and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on December 13, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 13, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $47,730 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 13, 2025 | Fine | $29,206 |
| May 6, 2025 | Fine | $18,524 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 4/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 4/5 | 5/5 |
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Location
Hospitals near New Castle Health and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.1 mi
-
4.0 mi
Christiana Care Health Services, INC. NewarkEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 32m for patients treated and sent home
- 4.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare New Castle Health and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Jeanne Jugan Residence · Newark · 5 stars · 3.9 mi
- Exceptional Care for Children · Newark · 5 stars · 7.2 mi
- Willowbrooke Court at Cokesbury Village · Hockessin · 5 stars · 9.5 mi
- Complete Care at Brackenville · Hockessin · 5 stars · 9.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.