All states › Delaware › Wilmington › Wilmington Nursing & Rehabilitation Center
700 Foulk Road Wilmington, DE 19803 · New Castle County
All 14 nursing homes in Wilmington, DE (13 take Medicaid)
CMS certification number 085028 · See this home on Medicare Care Compare
Is Wilmington Nursing & 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 Wilmington Nursing & Rehabilitation Center as of October 2026.
CMS has not given it an overall rating yet.
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 3.85 hours per resident per day at Wilmington Nursing & Rehabilitation Center, below the Delaware median of 3.98 (US median: 3.72). About 0.73 of those hours are from registered nurses. On weekends it falls to 3.32 hours, 14% below its all-week average. 28.7% of nursing staff left within a year (Delaware median 40%). That is lower than most homes in Delaware, a sign of a steadier team.
About this nursing home
Paying for care at Wilmington Nursing & Rehabilitation Center: Medicare and Medicaid
Wilmington Nursing & 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 4, 2025 and found 11 deficiencies, plus 24 from complaint inspections in the same period. In total, inspectors issued 105 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 105 citations at Wilmington Nursing & Rehabilitation Center across 5 inspection dates, 41 of them from complaint investigations. 7 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 11, 2026 (complaint inspection). The most common areas cited were quality of life and care (34) and resident rights (16). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level K, May 11, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
May 11, 2026 · 19 citations · includes complaint inspection
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JEnsure that residents are free from significant medication errors.
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GProvide care and assistance to perform activities of daily living for any resident who is unable.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DKeep residents' personal and medical records private and confidential.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHave a plan that describes the process for conducting QAPI and QAA activities.
DProvide and implement an infection prevention and control program.
December 4, 2025 · 16 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide or obtain dental services for each resident.
CThe resident has the right to receive notices in a format and a language he or she understands.
October 2, 2024 · 25 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that residents are free from significant medication errors.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
EProvide and implement an infection prevention and control program.
EEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DEnsure each resident receives an accurate assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DPost nurse staffing information every day.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 10, 2024 · 6 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
CEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
August 10, 2023 · 39 citations, includes immediate jeopardy
KProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
KEnsure that residents are free from significant medication errors.
JProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
JProvide safe and appropriate respiratory care for a resident when needed.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GProvide enough food/fluids to maintain a resident's health.
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.
FKeep all essential equipment working safely.
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.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProvide safe, appropriate pain management for a resident who requires such services.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DAssist a resident in gaining access to vision and hearing services.
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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
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.
DEnsure 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DHave enough outside ventilation via a window or mechanical ventilation, or both.
DDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
DEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DProvide training in compliance and ethics.
DProvide behavior health training consistent with the requirements and as determined by a facility assessment.
Questions to ask on a tour of Wilmington Nursing & Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on May 11, 2026 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 May 11, 2026. 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
6 penalties in the last three years, including $442,816 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 11, 2026 | Fine | $18,688 |
| May 11, 2026 | Fine | $191,981 |
| Oct 2, 2024 | Fine | $212,076 |
| Oct 2, 2024 | Payment Denial | 38 days of payments denied |
| Apr 10, 2024 | Fine | $20,071 |
| Apr 10, 2024 | Payment Denial | 43 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | — | — | — | — |
| August 2026 | — | — | — | — |
Location
Hospitals near Wilmington Nursing & 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.
- 1.2 mi
- 4.9 mi
- 6.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Wilmington Nursing & Rehabilitation Center › All nursing homes in Wilmington ›
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Other Lifeworks Rehab nursing homes in Delaware
- Pike Creek Nursing & Rehabilitation Center · Wilmington · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 64 Lifeworks Rehab nursing homes ›
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.