Regal Heights Healthcare & Rehab Center

6525 Lancaster Pike · Hockessin, DE · 19707 · 3029980181

172 certified beds For profit - Corporation Chain: Nationwide Healthcare Services

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $30,198 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 66
Staffing 20% 68
Federal penalties 15% 43
Trend 10% 87
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.833.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day3.61≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)3 · $46,999

Inspection citations (67 in the current record)

  • Actual harm · G May 23, 2025 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected May 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 23, 2025

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected July 8, 2025 · Resident Rights

  • Potential for harm · D May 23, 2025

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected July 8, 2025 · Resident Rights

  • Potential for harm · D May 23, 2025

    Ensure each resident receives an accurate assessment.

    Corrected July 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected July 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected July 8, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    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.

    Corrected July 8, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected July 8, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 8, 2025 · Pharmacy Service

  • Potential for harm · D May 23, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 8, 2025 · Infection Control

  • Potential for harm · D May 23, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected July 8, 2025 · Infection Control

  • Potential for harm · D May 23, 2025

    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.

    Corrected July 8, 2025 · Infection Control

  • Potential for harm · D May 23, 2025

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected July 8, 2025 · Administration

  • Potential for harm · D May 23, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 8, 2025 · Resident Rights

  • Potential for harm · D May 23, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 8, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 8, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 23, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 8, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 23, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 8, 2025 · Quality of Life and Care

  • Actual harm · G February 10, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 13, 2024 · Quality of Life and Care

  • Potential for harm · D February 10, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 10, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D February 10, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D February 10, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 5, 2025 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 23, 2025Fine$17,760
February 10, 2025Fine$12,438
May 1, 2024Fine$16,801

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085006 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.