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Nursing Homes in Delaware
Finding Care in Delaware
If you're searching for nursing home care in Delaware—whether in Wilmington, Dover, Newark, or smaller towns—you're facing one of life's most difficult decisions. You might be feeling guilty about not providing care at home, worried about costs, or overwhelmed by options in a small state. Please know: seeking professional nursing care when your loved one needs 24/7 medical support is responsible and compassionate.
Delaware has approximately 50 skilled nursing facilities, regulated by the Office of Health Facilities Licensing and Certification. Many facilities specialize in memory care, post-acute rehabilitation, or complex medical needs. Delaware nursing homes often serve close-knit communities with personalized care and strong local reputations.
Costs in Delaware are near the national average, with northern Delaware (near Wilmington and the Pennsylvania border) being more expensive than southern Delaware. Delaware Medicaid covers nursing home care for eligible individuals, and most facilities accept Medicaid—though many require a period of private pay first. Delaware's ombudsman program provides advocacy for residents and families.
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Medicaid Coverage in Delaware
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in Delaware.
Eligibility Requirements
Monthly Income Limit:
$2,982 (2026); Delaware uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
$2,982 (2026); Delaware uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
Asset Limit:
$2,000 for individuals, with home and one vehicle typically exempt. Spousal protections available.
$2,000 for individuals, with home and one vehicle typically exempt. Spousal protections available.
Processing Time:
45-60 days for initial determination
45-60 days for initial determination
How to Apply
Apply through the Delaware Division of Social Services at dhss.delaware.gov/dhss/dss or at your local DSS office. You'll need financial documents, medical records, and citizenship proof.
Important Tips for Delaware Families
- •Delaware's income limit is $2,982/month (2026). If exceeded, you'll need a Qualified Income Trust (QIT)—an elder law attorney can help.
- •Many Delaware facilities require 60-90 days of private pay before accepting Medicaid. Confirm policies during tours.
- •Delaware has Medicaid estate recovery, but exemptions exist for surviving spouses and disabled children.
- •Work with a Delaware elder law attorney to understand spousal asset protections.
- •Veterans in Delaware should apply for VA Aid & Attendance benefits, providing up to $2,424/month.
Nursing Home Costs in Delaware
$300-$420/day average
Monthly Range: $9,000-$12,600
Delaware nursing home costs are near the national average. Northern Delaware (Wilmington area) is more expensive than Dover and southern Delaware. Medicare covers skilled nursing for up to 100 days post-hospitalization. Delaware Medicaid covers long-term care for eligible residents.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
Delaware Resources & Advocacy
Oversight & Complaints
Delaware Long-Term Care Ombudsman Program
1-302-674-7364Visit website →
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
Delaware Office of Health Facilities Licensing and Certification
View inspection reports →Support & Guidance
Delaware Division of Services for Aging and Adults with Physical Disabilities
1-800-223-9074Visit website →
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Medicare Nursing Home Compare
medicare.gov/care-compare →Planning Your Next Steps
Ready to Find the Right Facility?
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in Delaware.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, Delaware Office of Health Facilities Licensing and Certification, SunsetWell Analysis