The 10 Worst Nursing Homes in Delaware

Finding the Right Nursing Home in Delaware: Why It Matters

When it comes to choosing a nursing home for your loved ones in Delaware, it's crucial to have access to accurate and comprehensive information. Our "Worst Nursing Homes in Delaware" page aims to provide you with insights into the facilities that have fallen short in various aspects of care. Understanding these ratings can help you make more informed decisions and ensure the well-being of those who matter most.

Top Worst Nursing Homes in Delaware

Our state rankings highlight the nursing homes in Delaware that have received the lowest quality scores based on a variety of factors, including health inspections, staffing levels, and resident care. These scores are designed to give you a clear picture of which facilities may require closer scrutiny.

Factors Considered:

• Health and safety inspections
• Staffing ratios
• Resident care and outcomes
• Compliance with federal and state regulations

Our scoring methodology is transparent and designed to provide an unbiased look at each facility's performance. Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Disclaimer: Our rankings are based on data collected from reputable sources, including government reports and independent evaluations. While we strive for accuracy, we encourage you to visit facilities and conduct your own research before making any decisions.

Worst Nursing Homes in Delaware By City

Every city in Delaware has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Dover

• Country Club Center I (326.25)
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (2026-05-21)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-05-21)
• Bay Terrace Rehabilitation and Health Center (125.5)
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (2026-03-23)
  • Conduct risk assessment and an All-Hazards approach. (2025-04-10)
• Excel Care at Dover (118.25)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-04-22)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-04-22)
• New Dawn Rehabilitation and Healthcare Center (111)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-03-17)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-03-17)
• Westminster Village Health (85)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-01-22)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-01-22)
• Cadia Rehabilitation Capitol (81)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-03-13)
  • Ensure that residents are free from significant medication errors. (2025-12-11)
• Complete Care at Silver Lake LLC (77)
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (2026-03-11)
  • Reasonably accommodate the needs and preferences of each resident. (2026-03-11)
• Hennis Care Centre of Dover (50)
  • Provide properly protected cooking facilities. (2025-06-16)
  • Have approved installation, maintenance and testing program for fire alarm systems. (2025-06-16)
• Park Village Health Care Center Inc (46.75)
  • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (2026-06-09)
  • Have properly located and lighted "Exit" signs. (2024-05-10)
• Dover Center For Health and Rehabilitation (28)
  • Provide properly protected cooking facilities. (2025-06-10)
  • Inspect, test, and maintain automatic sprinkler systems. (2025-06-10)

Worst Nursing Homes in Wilmington

• Pike Creek Nursing and Rehabilitation Center (394.75)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-09-26)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-09-26)
• Wilmington Nursing and Rehabilitation Center (242.75)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-01-09)
  • Provide timely, quality laboratory services/tests to meet the needs of residents. (2026-01-09)
• Aperion Care Wilmington (206.75)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-05-18)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-05-18)
• Kutz Rehabilitation and Nursing (170)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-04-21)
  • Provide care and assistance to perform activities of daily living for any resident who is unable. (2026-04-21)
• Coral Springs Rehab and Healthcare (129)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-01-22)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-01-22)
• Cadia Rehabilitation Silverside (84)
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2026-01-15)
  • Ensure residents have reasonable access to and privacy in their use of communication methods. (2026-01-15)
• Willow Brook Rehabilitation and Healthcare Center (81)
  • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2025-10-31)
  • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2025-10-31)
• Complete Care at Hillside LLC (78)
  • Honor 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. (2026-03-16)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-03-16)
• Cadia Rehabilitation Pike Creek (77)
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2025-06-02)
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-06-02)
• Encore at Wilmington (75.5)
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (2025-07-16)
  • Ensure that residents are free from significant medication errors. (2025-07-16)

Worst Nursing Homes in Middletown

• Cadia Rehabilitation Broadmeadow (200.25)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-03-17)
  • Ensure that residents are fully informed and understand their health status, care and treatments. (2026-03-17)
• Majestic Care of Middletown LLC (155.75)
  • Have proper power supply for life support equipment. (2025-10-05)
  • Install corridor and hallway doors that block smoke. (2025-09-05)
• Oak Hill Center For Rehabilitation and Nursing (151)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-05-04)
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (2026-01-12)
• Water's Edge Center For Health and Rehab (140.25)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-04-30)
  • Ensure that residents are free from significant medication errors. (2026-03-09)
• Wadsworth Glen Health Care and Rehabilitation Cent (85)
  • Honor 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. (2025-09-29)
  • Honor 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. (2025-09-29)
• Highland Rehabilitation and Nursing Center (81)
  • Ensure each resident receives an accurate assessment. (2026-03-30)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-03-30)
• Apple Rehab Middletown (80)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-01-22)
  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (2024-12-31)
• Hawthorn Glen Nursing Center (73)
  • Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. (2025-11-21)
  • Inspect, test, and maintain automatic sprinkler systems. (2025-09-03)
• The Laurels of Middletown (68)
  • Ensure that residents are free from significant medication errors. (2025-11-26)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-11-26)
• Middletown Park Rehab and Health Care Center (36)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-12-18)
  • Use approved construction type or materials. (2024-04-15)

Worst Nursing Homes in Newark

• Sinai Post-Acute Nursing and Rehab Center (256.5)
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2026-05-20)
  • Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. (2025-11-06)
• New Community Extended Care Facility (184.25)
  • Have exits that are accessible at all times. (2025-07-31)
  • Have elevators that firefighters can control in the event of a fire. (2025-06-26)
• Forest Hills Center For Rehabilitation and Healing (143.25)
  • Have elevators that firefighters can control in the event of a fire. (2025-10-23)
  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-10-22)
• Excelcare at Newark LLC (139.25)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-05-12)
  • Honor 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. (2026-05-12)
• Newark Nursing and Rehab (105)
  • Ensure that residents are free from significant medication errors. (2026-04-17)
  • Ensure medication error rates are not 5 percent or greater. (2026-04-17)
• Encore at West Meadow (104.75)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-11-28)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2025-11-28)
• New Vista Nursing and Rehabilitation Ctr (86)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2026-04-15)
  • Respond appropriately to all alleged violations. (2026-04-15)
• Flint Ridge Nrsg and Rehab Ctr (81)
  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (2025-11-22)
  • Provide and implement an infection prevention and control program. (2025-09-19)
• Altercare Newark North Inc. (77)
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2026-04-24)
  • Provide safe and appropriate respiratory care for a resident when needed. (2025-08-18)
• Altercare Newark South Inc. (69.75)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-12-19)
  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (2025-12-19)

Worst Nursing Homes in Lewes

• Excelcare at Lewes LLC (92)
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (2026-04-06)
  • Honor 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. (2026-04-06)
• The Moorings at Lewes (0)
  • Implement 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. (2024-02-21)
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-02-21)

Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Delaware
• Analysis of Nursing Homes in Delaware

Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

Tips for Evaluating Nursing Homes in Delaware:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit