Regal Heights Healthcare & Rehab Center in Hockessin, DE has a 2-star overall rating, with 2-star health inspections and quality measures and 3-star staffing. It reports 3.83 nursing hours per resident per day, below the 4.1 federal benchmark, and has $46,999 in fines in the last 24 months plus a recent abuse citation.
Last inspection: May 23, 2025Penalties, last 24 months: $46,999recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8341.
Staffing detail
Registered nurses
0.40
Licensed practical nurses
1.32
Nurse aides
2.11
Weekend nursing
3.61
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 55%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.6%Worsening
Residents with a fall causing major injury
5%Steady
Residents with pressure ulcers (bedsores)
4.6%Improving
Residents with a urinary tract infection
2.6%Worsening
Residents who lost too much weight
5.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.4%Improving
Residents whose ability to walk got worse
15.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
10.9%Improving
Short-stay residents newly given an antipsychotic
2.1%Steady
Residents with a long-term catheter
0.9%Improving
Residents with new or worsening incontinence
24%Steady
Residents with depressive symptoms
0.6%Steady
Long-stay residents given the seasonal flu vaccine
94.8%Steady
Long-stay residents given the pneumonia vaccine
91.9%Worsening
Short-stay residents given the seasonal flu vaccine
40%Steady
Short-stay residents given the pneumonia vaccine
39.1%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.
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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.
PENALTY
A federal fine of $17,760 was recorded.
INSPECTION
Health inspection found 20 health deficiencies.
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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: 4 fines · $140,261 in total fines.
Federal fine
May 23, 2025
$17,760
Federal fine
Feb 10, 2025
$12,438
Federal fine
May 1, 2024
$16,801
Federal fine
Jun 8, 2023
$93,262
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of NATIONWIDE HEALTHCARE SERVICES · 7 homes · 2.4 stars avg
Occupancy
164.5 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.