Smyrna · 2.1 mi
Evergreen Post Acute
2 of 5 · Medicare
View facility →Delaware Hospital F/t Chronically Ill (dhci)
⌖ Smyrna, DE · Kent County · Medicare data as of September 2026
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds175
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (state)
About Delaware Hospital F/t Chronically Ill (dhci)
Delaware Hospital F/t Chronically Ill (dhci) is a 175-bed government-run nursing home in Smyrna, DE. Medicare rates it 2 out of 5 stars overall (below average); the average in Delaware is 3.2.
Special Focus candidate. Medicare lists this home as a candidate for its Special Focus program because of a history of serious problems.
- Inspections: 10 problems at its last full inspection (Jan 2026), close to the Delaware average of 10.9. 2 recent citations were for residents being harmed or put in immediate danger.
- Staffing: nurses and aides spend about 10 hr 15 min a day with each resident, more than the Delaware average of 4 hr 21 min. About 18% of nursing staff left in the past year.
- Fines: $59,947 in federal fines in the last three years.
- Stands out: Registered nurses spend about 2 hr 51 min a day with each resident, compared with 41 min nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameDelaware Hospital F/t Chronically Ill (dhci)
LocationKent County, Delaware
Phone(302) 223-1500
Address100 Sunnyside Road, Smyrna, DE 19977 · Kent County
Medicare provider number85035
Ownership typeGovernment (state)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 1, 1989 (37 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Nurse staffing per resident10 hr 15 min a dayDelaware average: 4 hr 21 minStrength
- Registered nurse time per resident2 hr 51 min a dayDelaware average: 58 minStrength
- Nursing staff turnover18% a yearDelaware average: 41%Strength
About average
- Health citations at last inspection10 (Jan 2026)Delaware average: 10.9.About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Special Focus Facility candidateYesMedicare lists this home as a candidate for its Special Focus program, which follows homes with a history of quality problems more closely.Ask about this
- Serious health citations2 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jan 2026 (within the past year). All 2 were later corrected.Ask about this
- Fines and penalties2 fines totaling $59,947Federal penalties from the last three years, most recently in Oct 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Delaware average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.7%State average: 3.2%Better than average
- Pressure sores (bedsores)4.8%State average: 3.5%Worse than average
- Given antipsychotic drugs13.2%State average: 10.7%Worse than average
- Hospital stays per 1,000 resident days2.6State average: 1.8Worse than average
Source: Medicare (CMS) quality measures, compared with the Delaware average. Lower is better for every rate shown.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate and what it includes. As a guide, Delaware’s Medicaid program uses about $13,378 a month as the average cost of nursing home care (January 2026); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Delaware →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 4 stars in January 2019. It has ranged from 2 to 5 stars and changed 11 times.
Overall rating2★
Health inspections1★
Staffing5★
Quality of care4★
Nurse hours per resident per day9.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 2 | 5 | 5 | 8.3 |
| Jan 2020 | 5 | 3 | 5 | 5 | 9.0 |
| Jan 2021 | 4 | 3 | – | 5 | – |
| Jan 2022 | 5 | 3 | 5 | 5 | 9.9 |
| Jan 2023 | 5 | 4 | 5 | 5 | 9.9 |
| Jan 2024 | 5 | 4 | 5 | 5 | 9.9 |
| Feb 2025 | 5 | 5 | 5 | 5 | 9.9 |
| Feb 2026 | 4 | 2 | 5 | 5 | 9.9 |
| Sep 2026 | 2 | 1 | 5 | 4 | 9.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.