New Castle County, Delaware · Nursing home
Regal Heights Healthcare & Rehab Center
2 of 5 overall from CMS
6525 Lancaster Pike, Hockessin, DE 19707
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.86 hours Below the state average of 4.35
- Nursing staff who left in a year 41.7% Above the state average of 41.3%
- Health citations, last 3 inspection cycles 65 4 at the harm level or above
- Fines in 3 years $119,899 4 fines
- Certified beds in use 96.1% of 172 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Regal Heights Healthcare & Rehab Center is a 172-bed nursing home in Hockessin, Delaware (New Castle County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.86 nurse staffing hours per resident per day, below the Delaware average of 4.35. CMS lists 4 fines totaling $119,899 in the past three years.
- Certified beds
- 172
- Residents per day (average)
- 165.3
- Certified since
- 1967 (59 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Nationwide Healthcare Services (7 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Regal Heights Healthcare & Rehab Center
Chosen from this home's public data.
- CMS lists 4 fines totaling $119,899 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 19 health deficiencies in the latest inspection cycle (the standard inspection on May 23, 2025 plus complaint and infection-control inspections); the Delaware average is 10.9. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 41.7%, above the Delaware average of 41.3%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Delaware average 3.2
- Health inspections 2 of 5 Delaware average 2.7
- Staffing 4 of 5 Delaware average 4.0
- Quality measures 2 of 5 Delaware average 4.0
The vertical line marks the Delaware average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.86 h Delaware average 4.35
- Nurse aides 2.14 h Delaware average 2.40
- Licensed practical nurses 1.26 h Delaware average 0.98
- Registered nurses 0.46 h Delaware average 0.97
- All staff, weekends 3.66 h Delaware average 3.89
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Delaware average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover41.7%
- Delaware average41.3%
- Registered nurse turnover45.0%
- Delaware average41.2%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Delaware and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Delaware | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 16.5% | 12.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.1% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.6% | 2.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.4% | 10.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.1% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.4% | 13.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.3% | 21.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.8% | 97.4% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.9% | 3.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.1% | 20.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 14.7% | 10.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.45 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.90 | 1.40 | 1.78 |
Short-stay residents
| Measure | This home | Delaware | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.5% | 83.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% | 1.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.0% | 83.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.8% | 23.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% | 11.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 65 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 26 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 23, 2025: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 23, 2025 | 19 | 0 |
| May 1, 2024 | 19 | 0 |
| Jun 8, 2023 | 27 | 0 |
Delaware homes averaged 10.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (65)
-
EPotential for more than minimal harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 7, 2026)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 7, 2026)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 7, 2026)
-
GActual harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (May 23, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 8, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
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.
Infection Control · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 8, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Oct 13, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 5, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 5, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 5, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 5, 2025)
-
DPotential for more than minimal harm, isolated
Keep all essential equipment working safely.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Mar 5, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jan 1, 2024)
Showing the 30 most recent of 65.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 23, 2026 | Fine | $72,900 |
| May 23, 2025 | Fine | $17,760 |
| Feb 10, 2025 | Fine | $12,438 |
| May 1, 2024 | Fine | $16,801 |
Delaware homes averaged 1.5 fines and $67,512 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Delaware
- Size6 of 44 by certified beds
- Delaware average residents per day90.1
- ChainNationwide Healthcare Services
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Hockessin3
- Homes in New Castle County25
Common questions
What is the CMS star rating for Regal Heights Healthcare & Rehab Center?
Regal Heights Healthcare & Rehab Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 4 and quality measures is 2.
How many beds does Regal Heights Healthcare & Rehab Center have?
Regal Heights Healthcare & Rehab Center has 172 certified beds. It averages 165.3 residents per day, about 96.1% of its certified beds.
How much nursing care do residents get at Regal Heights Healthcare & Rehab Center?
The home reports 3.86 hours of nurse staffing per resident per day, including 0.46 hours from registered nurses. The Delaware average is 4.35 hours and 0.97 hours from registered nurses.
Has Regal Heights Healthcare & Rehab Center been fined?
Yes. CMS lists 4 fines totaling $119,899 in the past three years.
Does Regal Heights Healthcare & Rehab Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Willowbrooke Court at Cokesbury Village 10beds 22.0%in use 3.96nurse hours a day
- 2 of 5 Coral Springs Rehab & Healthcare 169beds 89.9%in use 3.57nurse hours a day
- 4 of 5 Cadia Rehabilitation Pike Creek 177beds 86.4%in use 4.52nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in New Castle County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 085006. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.