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ElderCareCosts
Updated August 2026

Assisted Living in Middletown, Delaware

Middletown, DE has 2 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $7,049/mo. That's below the Delaware state median by about 7%.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Middletown

$7,049/mo

Estimated range $6,846 – $8,180

● Middletown $7,049 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Middletown

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingMiddletownDelawareNational
25th percentile$6,846/mo$7,255/mo$5,488/mo
Median$7,049/mo$7,600/mo$6,230/mo
75th percentile$8,180/mo$8,260/mo$7,083/mo

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Staying home instead

Home care in Middletown runs about $32 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,813
44 hrs/weekMost of every weekday$6,189
24/7 (168 hrs/week)Round-the-clock coverage~$23,631

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby: Newark 7,049 · Dover 7,600 · Wilmington 7,049 · Hockessin 7,049

What can you afford?

Here is what different monthly budgets cover in Middletown.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care and help from family are the usual options at this budget. Income-restricted affordable senior housing is the other common choice. Ask each property about its income limits. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $6,189 a month. The local assisted living median is $7,049 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Middletown assisted living median of $7,049 a month with room to spare. It also covers close to full-time home care, about $6,189 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Middletown run about $13,443 a month at the median. Around-the-clock home care usually costs more.
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2 assisted living communities in Middletown

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In the last 365 days: 3 newly licensed. Counts come from our ingestion diffs, not a complete state registry dump.

Free local help worth saving

Middletown, in New Castle County, has about 24,661 residents. About 3,806 of them (15%) are 65 or older. The median household income is $112,831.

Source: US Census Bureau
  • Delaware Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • Delaware State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

  • Delaware Aging & Disability Resource Center1-800-223-9074delawareadrc.com

    Statewide help for older adults, people with disabilities and caregivers.

  • Wilmington VA Medical Centerva.gov

    VA Medical Center in Wilmington.

  • Diamond State Health Plan Plus (DSHP-Plus)Official program page

    Can help pay for care if your parent qualifies.

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Middletown more expensive than the rest of Delaware?

Middletown's median assisted living cost is about 7% lower than the Delaware state median.

Find Middletown care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Assisted Living across Delaware → · Assisted Living cost across Delaware → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Assisted Living in Middletown: 2026 Costs & Licensed Providers