Abuse citation flag

Overview

Address
6525 LANCASTER PIKE, HOCKESSIN, DE 19707
Phone
3029980181
Certified beds
172
Avg daily residents
161 (94% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-01
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 3/5
Short-Stay Quality Measures 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.94 3.47 4.38 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.37 0.61 0.41 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.39 0.77 1.55
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.18 2.10 2.43
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.76
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.05

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.64
hrs / resident / day
RN (weekend)
0.21
hrs / resident / day
Total nurse (adjusted, weekend)
4.05
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
42.0%
annual
RN turnover
43.8%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.23
higher acuity than avg
Case-Mix Index Ratio
0.89
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-05-23 20 16 7 96 1 96
Cycle 2/3 (prior) 2024-05-01 32 9 25 208 1 208
Total weighted health score
124.0
lower is better

Deficiencies (67)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

4 A/B/C No actual harm — minor
59 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-05-23 2025-07-08
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. G 2025-05-23 2025-05-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-05-23 2025-07-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-05-23 2025-07-08
0551 Give the resident's representative the ability to exercise the resident's rights. D 2025-05-23 2025-07-08
0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. D 2025-05-23 2025-07-08
0641 Ensure each resident receives an accurate assessment. D 2025-05-23 2025-07-08
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2025-05-23 2025-07-08
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-05-23 2025-07-08
0685 Assist a resident in gaining access to vision and hearing services. D 2025-05-23 2025-07-08
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2025-05-23 2025-07-08
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-05-23 2025-07-08
0759 Ensure medication error rates are not 5 percent or greater. D 2025-05-23 2025-07-08
0880 Provide and implement an infection prevention and control program. D 2025-05-23 2025-07-08
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-05-23 2025-07-08
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. D 2025-05-23 2025-07-08
0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. D 2025-05-23 2025-07-08
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-05-23 2025-07-08
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-05-23 2025-07-08
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-05-23 2025-07-08
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-02-10 2025-03-05
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-02-10 2024-10-13
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-02-10 2025-03-05
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-02-10 2025-03-05
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-02-10 2025-03-05
0908 Keep all essential equipment working safely. D 2025-02-10 2025-03-05
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. E 2024-05-01 2024-05-29
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-05-01 2024-05-29
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2024-05-01 2024-05-29
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-05-01 2024-05-29
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-05-01 2024-05-29
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-05-01 2024-01-01
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. E 2024-05-01 2024-05-29
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2024-05-01 2024-05-29
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-05-01 2024-05-29
0578 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. D 2024-05-01 2024-05-29
0620 Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. B 2024-05-01 2024-05-29
0641 Ensure each resident receives an accurate assessment. D 2024-05-01 2024-05-29
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2024-05-01 2024-05-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-05-01 2024-05-29
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. B 2024-05-01 2024-05-29
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. B 2024-05-01 2024-05-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-05-01 2024-05-29
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-06-08 2023-08-10
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-06-08 2023-08-10
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-06-08 2023-08-10
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2023-06-08 2023-08-10
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-06-08 2023-08-10
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. B 2023-06-08 2023-08-10
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2023-06-08 2023-08-10

Showing 50 most recent of 67. See the All Data CSV for the full list.

Penalties (4)

Fines issued
4
last 3 years
Total fines
$140,261
Date Type Fine amount
2025-02-10 Fine $12,438
2024-05-01 Fine $16,801
2025-05-23 Fine $17,760
2023-06-08 Fine $93,262

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 4.7% Medicaid 70.2% Other 25.1%

Operating performance

Operating Margin
-1.2%
Total Margin
10.1%
Occupancy Rate
94.7%
Cost per Resident Day
$29

Revenue & costs

Net Patient Revenue
$20.7M
Total Costs
$1.7M
Net Income
$2.4M

Balance sheet

Total Assets
$5.1M
Total Liabilities
$56K
Fund Balance
$5.0M
Current Ratio
3.70

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: NATIONWIDE HEALTHCARE SERVICES

Chain ID
366
Facilities in chain
7
Legal business name
REGAL HEIGHTS HEALTHCARE & REHAB CENTER, LLC
Chain-average star ratings (for peer context)
Overall
2.4
Health
2.4
Staffing
2.9
QM
3.1

Owner / manager individuals (3)

Name Role Association
GELLEY, LEAH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/01/2006
GELLEY, MEIR 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/01/2006
GELLEY, MEIR W-2 MANAGING EMPLOYEE since 06/01/2006

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $29 metrics.cost_per_resident_day
Cost Report Current Ratio 3.70 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 70.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 4.7% metrics.medicare_day_share
Cost Report Net Income ($) $2,361,523 metrics.net_income
Cost Report Net Patient Revenue ($) $20,743,062 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 94.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -1.2% metrics.operating_margin
Cost Report Total Assets ($) $5,101,815 metrics.total_assets
Cost Report Total Costs ($) $1,698,899 metrics.total_costs
Cost Report Total Fund Balances ($) $5,045,476 metrics.fund_balance
Cost Report Total Liabilities ($) $56,339 metrics.total_liabilities
Cost Report Total Margin (%) 10.1% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.54594 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.42513 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.40666 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.37773 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.04674 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 161.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.77107 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.09560 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.60777 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.47445 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.06236 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.9 Chain Average Staffing Rating
Provider Information Chain ID 366 Chain ID
Provider Information Chain Name NATIONWIDE HEALTHCARE SERVICES Chain Name
Provider Information City/Town HOCKESSIN City/Town
Provider Information CMS Certification Number (CCN) 085006 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish New Castle County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 39.7659 Latitude
Provider Information Legal Business Name REGAL HEIGHTS HEALTHCARE & REHAB CENTER, LLC Legal Business Name
Provider Information Location 6525 LANCASTER PIKE,HOCKESSIN,DE,19707 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -75.654 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 172 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 7 Number of Facilities in Chain
Provider Information Number of Fines 4 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.23084 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.89344 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 6525 LANCASTER PIKE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name REGAL HEIGHTS HEALTHCARE & REHAB CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 010 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 96 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 7 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 16 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-05-23 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 96 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 20 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 9 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-01 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 208 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 25 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 208 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 32 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.21393 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 43.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.75714 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.39119 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.18237 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04571 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.36595 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.93951 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State DE State
Provider Information Telephone Number 3029980181 Telephone Number
Provider Information Total Amount of Fines in Dollars 140261.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.64166 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 42.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 124.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 19707 ZIP Code