Nursing Homes in Delaware: Staffing, Turnover, and Penalties
Delaware has 44 Medicare- or Medicaid-certified nursing homes in 14 cities. On CMS's August 2026 figures, nurse aides there log 2.40 hours per resident per day, 3% above the US average of 2.32, and 41.3% of nursing staff leave in a year (US 45.8%).
Delaware averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Wilmington (14), Dover (5), Newark (5). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Delmar (1)
- Dover (5)
- Georgetown (1)
- Greenville (1)
- Hockessin (3)
- Lewes (2)
- Middletown (1)
- Milford (3)
- Millsboro (2)
- Newark (5)
- New Castle (1)
- Seaford (3)
- Smyrna (2)
- Wilmington (14)
Largest nursing home chains in Delaware
CMS links 32 of Delaware's homes to these 14 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in DE | Homes nationwide |
|---|---|---|
| Cadia Healthcare | 5 | 5 |
| Prestige Healthcare Administrative Services | 4 | 15 |
| Acts Retirement-Life Communities | 3 | 27 |
| Complete Care | 3 | 85 |
| Excelcare | 3 | 8 |
| Genesis Healthcare | 3 | 184 |
| Nationwide Healthcare Services | 3 | 7 |
| Lifeworks Rehab | 2 | 64 |
| Eden Healthcare | 1 | 7 |
| Presbyterian Senior Living | 1 | 11 |
| Saber Healthcare Group | 1 | 126 |
| Springpoint Senior Living | 1 | 8 |
| Venza Care Management | 1 | 25 |
| Veritas Management Group | 1 | 13 |
Chain as recorded in the CMS Provider Information file, August 2026 release