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Nursing home report

REGAL HEIGHTS HEALTHCARE & REHAB CENTER

HOCKESSIN, DE · Medicare-certified · 172 beds

Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall

Regal Heights Healthcare & Rehab Center in Hockessin, DE has a 2-star overall rating, with 2-star health inspection and quality scores but 4-star staffing. It has $30,198 in fines in the last 24 months, a recent abuse citation, and reported nurse staffing of 3.86 hours per resident per day, below the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.8648 hrs/resident/day

Quality measures

Last inspection: May 23, 2026Penalties, last 24 months: $30,198recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8648.

Staffing detail

Registered nurses
0.46
Licensed practical nurses
1.26
Nurse aides
2.14
Weekend nursing
3.66

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 45%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.5%12.6%Improving

Residents with a fall causing major injury

6.2%5.5%Improving

Residents with pressure ulcers (bedsores)

6.6%3.1%Improving

Residents with a urinary tract infection

3.3%5.2%Worsening

Residents who lost too much weight

5.3%4.4%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14.4%23.5%Worsening

Residents whose ability to walk got worse

11.4%22.6%Worsening

Long-stay residents on antianxiety or sleep medication

10.7%9.9%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

1%0%Improving

Residents with new or worsening incontinence

23.3%33.9%Worsening

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

94.8%

Long-stay residents given the pneumonia vaccine

92.6%88.4%Worsening

Short-stay residents given the seasonal flu vaccine

40%

Short-stay residents given the pneumonia vaccine

20.4%56.7%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited May 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 604 — 42 CFR §483.12 — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to properly dispose of garbage and other waste. Cited June 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 814 — 42 CFR §483.60 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. PENALTY

    A federal fine of $17,760 was recorded.

  5. INSPECTION

    Health inspection found 20 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $12,438 was recorded.

  7. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  8. PENALTY

    A federal fine of $16,801 was recorded.

  9. INSPECTION

    Health inspection found 17 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $46,999 in total fines.

  • Federal fine

    May 23, 2025

    $17,760
  • Federal fine

    Feb 10, 2025

    $12,438
  • Federal fine

    May 1, 2024

    $16,801

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of NATIONWIDE HEALTHCARE SERVICES · 7 homes · 2.6 stars avg
Occupancy
165.3 residents on an average day (96% of 172 beds)
Resident voice
Resident council
Medicare history
Certified for 59 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.