New Castle Health and Rehabilitation Center
32 Buena Vista Drive, New Castle, DE 19720 · (302) 328-2580
For profit - Corporation · 120 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
New Castle Health and Rehabilitation Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 13 citations, 2 for actual harm or immediate jeopardy (the Delaware average is 10.9). It was fined 2 times in the last three years, $47,730 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on December 13, 2025 found 13 citations. What an inspection citation means
- 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.December 13, 2025 · F0693 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 13, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 13, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.December 13, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that residents are fully informed and understand their health status, care and treatments.December 13, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 13, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.December 13, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.December 13, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.December 13, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.December 13, 2025 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.December 13, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.December 13, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.December 13, 2025 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Respond appropriately to all alleged violations.May 6, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.May 6, 2025 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.May 6, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 6, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 6, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.November 26, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 26, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 26, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.November 26, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.February 1, 2024 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Plan the resident's discharge to meet the resident's goals and needs.February 1, 2024 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 1, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.February 1, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.February 1, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 1, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 1, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $29,206December 13, 2025
- Fine of $18,524May 6, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Delaware average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.82 | 4.35 | 3.86 |
| Registered nurses (RN) | 0.98 | 0.97 | 0.69 |
| Licensed practical nurses (LPN) | 0.70 | 0.98 | 0.86 |
| Nurse aides | 2.14 | 2.40 | 2.32 |
| Total nursing staff turnover | 45.6% | 41.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 120 |
| Average residents per day | 113.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Willowbrooke Court at Cokesbury Village Hockessin · ★★★★★ 5 out of 5 stars
- Complete Care at Brackenville LLC Hockessin · ★★★★★ 4 out of 5 stars
- Cadia Rehabilitation Broadmeadow Middletown · ★★★★★ 1 out of 5 stars
- Exceptional Care for Children Newark · ★★★★★ 5 out of 5 stars
- Jeanne Jugan Residence Newark · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from New Castle Health and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.