Wilmington Nursing & Rehabilitation Center
700 Foulk Road · Wilmington, DE · 19803 · 3027640181
138 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $212,076 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$212,076 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.20 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 3 · $408,742 |
Inspection citations (91 in the current record)
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Potential for harm · D December 4, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected January 9, 2026 · Administration
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Potential for harm · E December 4, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 9, 2026 · Resident Rights
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Potential for harm · D December 4, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected January 9, 2026 · Resident Rights
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Potential for harm · D December 4, 2025
Ensure each resident receives an accurate assessment.
Corrected January 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide activities to meet all resident's needs.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · D December 4, 2025
Provide or obtain dental services for each resident.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected January 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · E December 4, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 9, 2026 · Infection Control
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No harm found · C December 4, 2025
The resident has the right to receive notices in a format and a language he or she understands.
Corrected January 9, 2026 · Resident Rights
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Actual harm · G October 2, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 18, 2024 · Pharmacy Service
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Actual harm · G October 2, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 15, 2025 · Quality of Life and Care
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Potential for harm · D October 2, 2024 · found via complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected November 18, 2024 · Nutrition and Dietary
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Potential for harm · D October 2, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 18, 2024 · Environmental
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Potential for harm · D October 2, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected November 18, 2024 · Resident Rights
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Potential for harm · D October 2, 2024
Ensure each resident receives an accurate assessment.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 2, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 2, 2024
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.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · E October 2, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 18, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 2, 2024 | Fine | $212,076 |
| October 2, 2024 | Payment Denial | 38 days |
| April 10, 2024 | Fine | $20,071 |
| April 10, 2024 | Payment Denial | 43 days |
| August 10, 2023 | Fine | $176,595 |
| August 10, 2023 | Payment Denial | 117 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085028 · certified since July 23, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.