SNF

ENCORE AT WEST MEADOW

CCN: 085021 · NEWARK, DE 19711 · New Castle County

ℹ CCRC

Overview

Address
255 POSSUM PARK ROAD, NEWARK, DE 19711
Phone
3023660160
Certified beds
110
Avg daily residents
88 (80% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1982-03-17
Setting
Urban
4 /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.
★★★★★ 4/5
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.
★★★★★ 5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures ★★★★★ 5/5

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
 4.56 3.82 4.61 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.97 0.67 0.97 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.19 0.85 1.20 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.41 2.31 2.43 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.16 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.11 — — —

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)
3.84
hrs / resident / day
RN (weekend)
0.59
hrs / resident / day
Total nurse (adjusted, weekend)
3.88
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
38.4%
annual
RN turnover
26.3%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
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) 2024-11-26 15 12 3 92 1 92
Cycle 2/3 (prior) 2023-10-19 16 9 15 155 1 155
Total weighted health score
107.8
lower is better

Deficiencies (39)

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).

1 A/B/C No actual harm — minor
36 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2025-10-29 2025-11-28
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-10-29 2025-11-28
0760 Ensure that residents are free from significant medication errors. G 2025-10-29 2025-08-08
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2024-11-26 2025-01-23
0583 Keep residents' personal and medical records private and confidential. D 2024-11-26 2025-01-23
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. D 2024-11-26 2025-01-23
0641 Ensure each resident receives an accurate assessment. D 2024-11-26 2025-01-23
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-11-26 2025-01-23
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-11-26 2025-01-23
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-11-26 2025-01-23
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-11-26 2025-01-23
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-11-26 2025-01-23
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-11-26 2025-01-23
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2024-11-26 2025-01-23
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-11-26 2025-01-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2024-08-28 2024-10-07
0610 Respond appropriately to all alleged violations. D 2024-08-28 2024-10-07
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-08-28 2024-10-07
0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. B 2024-08-28 2024-10-07
0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment. E 2024-08-28 2024-10-07
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-10-19 2023-12-06
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-10-19 2023-12-06
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-10-19 2023-12-06
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 2023-10-19 2023-12-06
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-10-19 2023-12-06
0728 Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. D 2023-10-19 2023-12-06
0730 Observe each nurse aide's job performance and give regular training. D 2023-10-19 2023-12-06
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-10-19 2023-12-06
0760 Ensure that residents are free from significant medication errors. D 2023-10-19 2023-12-06
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2023-04-14 2023-05-26
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-04-14 2023-05-26
0558 Reasonably accommodate the needs and preferences of each resident. D 2021-03-31 2021-05-28
0574 The resident has the right to receive notices in a format and a language he or she understands. E 2021-03-31 2021-05-28
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. E 2021-03-31 2021-05-28
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. E 2021-03-31 2021-05-28
0641 Ensure each resident receives an accurate assessment. D 2021-03-31 2021-05-28
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 2021-03-31 2021-05-28
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F 2021-03-31 2021-05-28
0880 Provide and implement an infection prevention and control program. E 2021-03-31 2021-05-28

Penalties (1)

Fines issued
1
last 3 years
Total fines
$16,448
Date Type Fine amount
2024-08-28 Fine $16,448

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.8% Medicaid 27.4% Other 62.9%

Operating performance

Operating Margin
-48.2%
Total Margin
-20.3%
Occupancy Rate
72.0%
Cost per Resident Day
$43

Revenue & costs

Net Patient Revenue
$12.4M
Total Costs
$1.5M
Net Income
-$3.1M

Balance sheet

Total Assets
$8.0M
Total Liabilities
$2.7M
Fund Balance
$5.3M
Current Ratio
0.79

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

Ownership & Corporate Structure

Owner / manager individuals (1)

Name Role Association
— Ownership Data Not Available —

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

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
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.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $43 metrics.cost_per_resident_day
Cost Report Current Ratio 0.79 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 27.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.8% metrics.medicare_day_share
Cost Report Net Income ($) $-3,091,592 metrics.net_income
Cost Report Net Patient Revenue ($) $12,389,014 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 72.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -48.2% metrics.operating_margin
Cost Report Total Assets ($) $8,012,626 metrics.total_assets
Cost Report Total Costs ($) $1,549,806 metrics.total_costs
Cost Report Total Fund Balances ($) $5,311,159 metrics.fund_balance
Cost Report Total Liabilities ($) $2,701,467 metrics.total_liabilities
Cost Report Total Margin (%) -20.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.20334 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.42832 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.97494 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.60660 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.87728 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 88.3 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 0.84869 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.30655 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66895 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.82419 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.37062 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town NEWARK City/Town
Provider Information CMS Certification Number (CCN) 085021 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish New Castle County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1982-03-17 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 39.7093 Latitude
Provider Information Legal Business Name Legal Business Name Not Available Legal Business Name
Provider Information Location 255 POSSUM PARK ROAD,NEWARK,DE,19711 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -75.734 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 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 110 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 — Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.35474 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.98337 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 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 255 POSSUM PARK ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ENCORE AT WEST MEADOW 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 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 92 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 3 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 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-11-26 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 92 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 15 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 2023-10-19 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 155 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 15 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 155 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.59133 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 26.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.15755 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.19189 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.40522 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10608 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.96566 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 4.56277 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 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 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State DE State
Provider Information Telephone Number 3023660160 Telephone Number
Provider Information Total Amount of Fines in Dollars 16448.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.84039 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 38.4 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 107.750 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 19711 ZIP Code