State data · CMS September 2026
Nursing homes in Delaware
Delaware has 44 nursing homes certified for Medicare or Medicaid, with 4,717 certified beds and a median occupancy of 86.6% (US median 85.7%). 73% are for-profit, 23% nonprofit and 5% government-owned, and 73% belong to a chain or affiliated group. HUD has endorsed 22 FHA-insured Section 232 nursing home loans in Delaware since fiscal 2001, totaling $0.3 billion in original principal, 3 of them since fiscal 2021.
- Facilities
- 44
- Certified beds
- 4,717
- Median occupancy
- 86.6%
- Median nurse hours / resident day
- 3.92
- HUD 232 loans since FY2001
- 22
Star ratings
CMS overall ratings for the 43 rated Delaware facilities. 1 are Special Focus Facilities and 5 are candidates, the CMS list for homes with a history of serious quality problems.
Ownership
| Measure | Delaware | Share |
|---|---|---|
| For-profit | 32 | 73% |
| Nonprofit | 10 | 23% |
| Government | 2 | 5% |
| Changed ownership in the last 12 months | 2 | 5% |
| Private equity owner self-reported to CMS | 0 | 0% |
| REIT owner self-reported to CMS | 5 | 11% |
Largest chains and affiliated groups in Delaware
- Cadia Healthcare: 5 facilities
- Prestige Healthcare Administrative Services: 4 facilities
- Complete Care: 3 facilities
- Nationwide Healthcare Services: 3 facilities
- Acts Retirement-Life Communities: 3 facilities
- Excelcare: 3 facilities
- Genesis Healthcare: 3 facilities
- Lifeworks Rehab: 2 facilities
- Eden Healthcare: 1 facility
- Veritas Management Group: 1 facility
Facilities with HUD Section 232 history
6 Delaware facilities match at least one FHA-insured loan in HUD's healthcare database, most recent endorsement first.
| Facility | City | Beds | Latest endorsement | Amount |
|---|---|---|---|---|
| Coral Springs Rehab & Healthcare | Wilmington | 169 | Jun 26, 2024 | $23,600,000 |
| Center at Eden Hill, LLC | Dover | 80 | Jun 25, 2024 | $18,625,000 |
| Delmar Nursing & Rehabilitation Center | Delmar | 109 | Mar 26, 2021 | $6,616,000 |
| Regency Healthcare & Rehab Center | Wilmington | 100 | Jan 26, 2017 | $7,318,500 |
| Cadia Rehabilitation Silverside | Wilmington | 116 | Sep 15, 2016 | $14,780,300 |
| Regal Heights Healthcare & Rehab Center | Hockessin | 172 | Jul 30, 2012 | $9,851,500 |
Largest by certified beds
- Ocean Grove Post Acute, Millsboro: 181 beds
- Excelcare at Lewes LLC, Lewes: 179 beds
- Cadia Rehabilitation Pike Creek, Wilmington: 177 beds
- Pike Creek Nursing & Rehabilitation Center, Wilmington: 177 beds
- Delaware Hospital F/T Chronically Ill (Dhci), Smyrna: 175 beds
- Regal Heights Healthcare & Rehab Center, Hockessin: 172 beds
- Coral Springs Rehab & Healthcare, Wilmington: 169 beds
- Evergreen Post Acute, Smyrna: 151 beds
- Excelcare at Wilmington LLC, Wilmington: 150 beds
- Delaware Veterans Home, Milford: 144 beds
Every Delaware facility
The full list is sorted by city, on one page.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.