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ElderCareCosts

Nursing Homes in New Castle County, DE

County directory of licensed nursing homes providers, cities in New Castle County, and real Area Agency on Aging / state Medicaid contacts. We never invent county Medicaid offices.

Licensed nursing homes providers: 26

A note on counting: we show 26 licensed nursing homes listed for New Castle County proper. Other sites show bigger numbers when they count a wide radius. Nearby options are linked below, labeled by city.

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Cities in New Castle County

What federal inspectors recorded here

New Castle County, DE has 25 facilities certified by Medicare or Medicaid, as of the CMS penalty file published August 1, 2026. CMS publishes what it fined them, when it stopped paying for new admissions, how many nursing hours they staffed, and what its inspectors wrote up. These are those records counted. A penalty is an enforcement action on a date, not a verdict on the care a resident receives today.

Facilities with a federal penalty

72%18 of 25 (72%)

A civil money penalty, a payment denial, or both, among the penalties CMS recorded between July 17, 2023 and July 29, 2026.

Facilities where CMS stopped paying for new admissions

12%3 of 25 (12%)

A payment denial is CMS refusing to pay for newly admitted Medicare and Medicaid residents until the facility corrects the problem it cited.

Median penalty total, among facilities that were fined

$52,755in fines · 18 facilities

The middle facility's total across every civil money penalty CMS recorded for it in this window, not the amount of a single fine.

Median nurse staffing hours per resident day

3.91hours · 24 facilities

The same as the Delaware median of 3.91 hours.

Total nurse hours per resident per day from payroll records CMS collects, quarter Q1 2026. Staffing is an input, not an outcome.

Facilities with an inspection citation in the last 12 months

80%20 of 25 (80%)

Counts facilities with at least one deficiency CMS inspectors wrote up in the last 365 days. The most recent one here is dated June 25, 2026. A facility inspected and found compliant records no citation, so this is not a survey date.

These figures cover nursing homes and nothing else on this site. Penalties, payroll staffing and inspection citations in this form are federal records that CMS keeps for Medicare and Medicaid certified nursing homes. Assisted living, memory care and in-home agencies are licensed by each state under different rules, and the state penalty files we hold are not comparable to these. We would rather show one honest set of numbers than a national-looking figure stitched from regulators that do not measure the same thing.

Every share above is printed with the number of facilities behind it. Where a place has too few facilities for a share to mean anything, we print the count and say so rather than a percentage. How we count, and what we will not count, is in our methodology.

Local aging & Medicaid contacts

No county-matched Area Agency on Aging row yet for New Castle County.

Aging & Disability Resource Center

Delaware Aging & Disability Resource Center · 1-800-223-9074

Official ADRC page

Source: Aging & disability resource center.GOV

Delaware Medicaid HCBS / LTSS programs

State-level Medicaid waiver contacts (not invented county Medicaid offices). Official agency pages only.

  • Diamond State Health Plan Plus (DSHP-Plus). Delaware’s prior 1915(c) Elderly and Disabled Waiver is terminated on Medicaid.gov. Elderly / disabled LTSS HCBS is delivered through DSHP-Plus under the Diamond State Health Plan 1115 demonstration.
Source: State Medicaid program.GOV

Questions families ask

How many nursing homes are listed in New Castle County, DE?

We currently list 26 licensed nursing homes in New Castle County, DE.

Which cities in New Castle County have nursing homes listings?

We track 6 cities in New Castle County with nursing homes. See the city list on this page.

How do families in New Castle County learn about Medicaid long-term care options?

Delaware publishes named Medicaid HCBS / LTSS waiver programs. We link official state pages on this county page and do not invent county Medicaid office contacts.

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