These are the lowest-rated nursing homes in Delaware based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $1,781,962. 6 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Kutz Rehabilitation and Nursing | Wilmington | $168,019 | |
| 2 | Cadia Rehabilitation Broadmeadow | Middletown | $79,126 | |
| 3 | Evergreen Post Acute | Smyrna | $94,156 | |
| 4 | Encore at Parkside | Newark | $48,483 | |
| 5 | Excelcare at Newark LLC | Newark | $29,309 | |
| 6 | Pike Creek Nursing & Rehabilitation Center | Wilmington | $484,596 | |
| 7 | Delaware Hospital F/t Chronically ILL (dhci) | Smyrna | $59,947 | |
| 8 | New Castle Health and Rehabilitation Center | New Castle | $47,300 | |
| 9 | Coral Springs Rehab & Healthcare | Wilmington | $99,184 | |
| 10 | Regal Heights Healthcare & Rehab Center | Hockessin | $46,999 | |
| 11 | Milford Center | Milford | $176,862 | |
| 12 | Delaware Bay Rehabilitation and Healthcare Center | Georgetown | $62,618 | |
| 13 | Excelcare at Lewes LLC | Lewes | $106,560 | |
| 14 | Ocean Grove Post Acute | Millsboro | $0 | |
| 15 | Polaris Healthcare and Rehabilitation Center | Milford | $153,884 | |
| 16 | Excelcare at Wilmington LLC | Wilmington | $38,290 | |
| 17 | Gilpin Hall | Wilmington | $0 | |
| 18 | Cadia Rehabilitation Pike Creek | Wilmington | $78,351 | |
| 19 | Newark Manor Nursing Home | Newark | $0 | |
| 20 | Kentmere Rehabilitation and Healthcare Center | Wilmington | $8,278 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.