Nursing Homes in New Castle, Delaware

New Castle has 1 Medicare-certified nursing home with 120 beds. The city average CMS rating is 2.0 stars, which is below Delaware's state average of 3.3 stars. 0 facilities earn a B grade or better and are recommended for family consideration.

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Worth Considering

Facilities graded A or B that meet our quality standards

0 recommended 0 mixed 1 avoid
See our top picks

City Average

2.0

-1.28 vs state

Total Beds

120

across 1 facility

High Risk Facilities

0

0 under CMS review

0 with abuse citations

Nurse Availability

49 min

RN time per resident daily

Meets CMS recommendation

Well Staffed

1

exceed staffing threshold

100% of facility

Zero Fines

1 /1

passed all inspections

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Trend

0

improved vs last year

0 declined

F

Top Rated in New Castle

New Castle Health And Rehabilitation Center

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Fines · Deficiencies · Ownership Data · Quality Comparisons

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About Nursing Home Care in New Castle

THE VERDICT: Families considering nursing home care in New Castle, DE should be cautious. The nursing home landscape here is concerning, with an average rating of 2.0 stars, significantly below the state average of 3.3 stars. The standout is New Castle Health and Rehabilitation Center, but it’s important to note that this facility does not fully meet our standards, making the overall options limited and potentially problematic.

WHO TO CONSIDER: Unfortunately, there are no facilities in New Castle that come highly recommended. New Castle Health and Rehabilitation Center has a clean record with zero fines in the past three years, which is a positive aspect. However, families should still explore neighboring cities, such as Wilmington or Middletown, for better options that may provide higher quality care.

WHO TO AVOID: Families should skip New Castle Health and Rehabilitation Center, which has received a troubling Grade F due to serious concerns about care quality. This facility has been flagged for issues that could impact your loved one's well-being. When visiting any facility, always ask to speak with current residents and their families to get a sense of the care and environment firsthand.

New Castle at a Glance

Good News

  • 1 facility with clean records—no fines in 3 years
  • 1 facility has more nurses than required

Be Aware

  • City average is below state average—research carefully

What's Changing

  • 1 facility stayed the same
  • Overall: New Castle is stable

Questions New Castle Families Should Ask

Based on what we found in local inspection data

1

How many RN hours per resident do you provide daily?

CMS recommends 0.75 hrs; New Castle avg is 0.81 hrs (49 min)

2

Have you received any fines in the past 3 years?

1 of 1 New Castle facility has zero fines

3

What were your most recent inspection findings?

Ask for specifics—0 local facilities have serious deficiencies

4

What is your staff-to-resident ratio on weekends?

Weekend staffing often differs from weekday levels

Finding Quality Nursing Home Care in New Castle, Delaware

New Castle, Delaware's New Castle County seat, has 1 Medicare-certified nursing homes with approximately 120 beds. Families should research carefully—quality varies significantly from one facility to the next.

New Castle vs. Delaware: A Concerning Gap

New Castle nursing homes fall below the state average on key quality metrics. The city's average CMS rating of 2.00 stars trails Delaware's statewide average of 3.28 stars by nearly 1.3 stars—a significant gap that families should take seriously. The below-average performance is somewhat surprising for a major urban area, where competition and workforce availability typically drive higher quality.

Federal inspection data reveals 0 facilities classified as high-risk based on patterns of serious deficiencies, complaints, or CMS enforcement actions. Only 0 of 1 facilities earn a B grade or better, meaning families should be prepared to look beyond the closest option to find quality care.

Understanding Our Trust Score System

The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:

  • Health Inspection Results — Recent deficiencies, their severity, and patterns over time
  • Staffing Levels — RN hours, total nursing hours, and weekend staffing
  • Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
  • Penalties — Fines, payment denials, and enforcement actions
  • Complaints — Substantiated complaints and their severity

In New Castle, 0 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.

Staffing: Meeting Standards in New Castle

Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.

New Castle facilities average 0.81 RN hours per resident day, which meets the CMS-recommended threshold of 0.75 hours. The typical New Castle resident receives approximately 49 minutes of RN attention daily—compared to the 45 minutes experts recommend.

1 New Castle facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.

Ownership: An All For-Profit Market

New Castle has no non-profit nursing homes—all 1 facility with reported ownership data are for-profit operations. 1 of 1 facility is chain-owned, meaning these facilities are part of larger corporate systems rather than independently operated.

Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average. The absence of non-profit options in New Castle may be worth noting. Families seeking non-profit care should consider facilities in surrounding areas.

Ownership type alone does not guarantee quality. Several for-profit facilities in New Castle perform well. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports rather than ownership type alone.

Nearby Alternatives Worth Considering

New Castle's below-average ratings mean families may benefit from expanding their search to nearby cities. The following Delaware cities offer multiple nursing home options:

Frequently Asked Questions

How many nursing homes are in New Castle, Delaware?

New Castle has 1 Medicare-certified nursing home with a total of 120 beds. The city average CMS rating is 2.0 stars, which is below Delaware's state average of 3.3 stars.

What are the best nursing homes in New Castle?

Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in New Castle include:

  • New Castle Health And Rehabilitation Center — Grade F, 38/100 Trust Score

These facilities have strong inspection records and staffing levels.

Which New Castle nursing homes should I avoid?

We flag 0 facilities in New Castle as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.

We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.

The Bottom Line on New Castle Nursing Homes

New Castle has below-average nursing home ratings. Research carefully and consider nearby cities. Focus your search on the 0 facilities graded A or B, particularly those with zero fines and strong staffing.

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