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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $17,760 was recorded.
INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $12,438 was recorded.
INSPECTION
Health inspection found 6 health deficiencies.
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PENALTY
A federal fine of $16,801 was recorded.
INSPECTION
Health inspection found 17 health deficiencies.
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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.