Federal inspection record · CMS data as of October 1, 2026
Regal Heights Healthcare & Rehab Center
6525 Lancaster Pike, Hockessin, DE · (302) 998-0181
- Cited for abuse (CMS abuse icon)
- Certified beds
- 172
- Residents per day
- 165
- Ownership
- For-Profit
- Chain
- Nationwide Healthcare Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Delaware.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Delaware homes
Regal Heights Healthcare & Rehab Center carries 128 inspection points. That is fewer than 23% of Delaware's 43 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Delaware: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–57 pts
- 3★ 57–80 pts
- 2★ 80–139.25 pts
- 1★ over 139.25 pts
Bars show every rated home in Delaware by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
57 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care13D
- D
Provide activities to meet all resident's needs.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
Resident Assessment and Care Planning11E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights8D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- B
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Freedom from Abuse, Neglect, and Exploitation7E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
Nursing and Physician Services3E
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental2F
- F
Keep all essential equipment working safely.
- D
Keep all essential equipment working safely.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
Administration1D
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspection history
2026-05-23
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-05-23
26 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-05-01
17 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 52 min
Delaware average
4 h 29 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 53% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$94,384 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-23 | Fine | $47,385 |
| 2025-05-23 | Fine | $17,760 |
| 2025-02-10 | Fine | $12,438 |
| 2024-05-01 | Fine | $16,801 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.3 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.2 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts worse | 88.3% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts worse | 97.7% | 98.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse | 4.6% | 2.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10 pts better | 0.6% | 10.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 5.1% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.3 pts better | 10.6% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse | 14.9% | 10.6% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts worse | 14.6% | 12.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts worse | 16.7% | 12.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.3% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts worse | 3.4% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts worse | 27.7% | 19.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 2.7% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.1 pts worse | 59.4% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts worse | 13.8% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.8 pts worse | 3.7% | 0.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.1 pts worse | 83.3% | 88.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.8 pts worse | 29.5% | 22.7% | 23.4% |
·
Who owns and runs it
3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gelley, Leah | 5% Or Greater Direct Ownership Interest · Individual | 0% | 7 facilities |
| Gelley, Meir | 5% Or Greater Direct Ownership Interest · Individual | 0% | 7 facilities |
| Gelley, Meir | W-2 Managing Employee · Individual | 0% | 7 facilities |
·
Other homes nearby
-
Willowbrooke Court At Cokesbury Village
Hockessin, DE · Acts Retirement-Life Communities
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 35 min
- Fines
- $0
-
Coral Springs Rehab & Healthcare
Wilmington, DE · Prestige Healthcare Administrative Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 42 min
- Fines
- $99,184
-
Cadia Rehabilitation Pike Creek
Wilmington, DE · Cadia Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 24 min
- Fines
- $105,729