Encore at Wilmington
2723 Shipley Road, Wilmington, DE 19810 · New Castle County · (302) 479-0111
82 certified beds, about 65 residents a day · For profit - Corporation · Medicare and Medicaid since 1986
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 085031 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 6, 2025, inspectors cited 4 health deficiencies (the Delaware average is 10.9, the national average 9.2).
Of 65 health citations since January 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $32,394 in the last three years; the largest was $16,801, and the latest is dated July 2, 2024.
Nurses and nurse aides worked 3.95 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 1.14 of those hours.
51.3% of nursing staff left within the year CMS measured (Delaware average 41.3%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
2001/23
1001/24
2407/24
506/25
606/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 65 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
50D
5E
5F
Potential for minimal harm
0A
0B
2C
June 15, 2026Complaint inspection · 6 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interview, it was determined that for one (R74) out of two residents reviewed for accidents, the facility failed to ensure R74 received adequate assistance and supervision to prevent accidents. R74, who required moderate assistance, sustained a facial injury after falling on the floor while receiving care from a staff member. Based review of the facility's evidence to correct the deficient practice and substantial compliance at the time of the current survey, the deficiency was determined to be past non-compliance as of 1/6/26.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, it was determined that for one (R73) out of three residents reviewed for falls, the facility failed to meet professional standards of the Delaware Board of Nursing Scope of Practice by failing to have a registered nurse (RN) complete and document a RN post-fall assessment.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review, it was determined that for one (R71) out of four residents reviewed for ADLs, the facility failed to ensure that R71, a dependent resident, was showered/bathed at least two times a week.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, it was determined that for one (R68) out of two residents reviewed for hospitalization, the facility failed to ensure R68's physician order for trending weights was followed.
- 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.
Inspectors wroteBased on interview and record review, it was determined that for one (R38) out of two residents reviewed for accidents, the facility failed to timely notify the provider when R38's ankle pain was reported to staff.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation, review of facility documentation and staff interviews, it was determined that the facility failed to post the required federal staffing information.
June 6, 2025Standard inspection, Complaint inspection · 5 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide a satisfactory water management plan to prevent the growth of Legionella and other water borne pathogens.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interview, it was determined that for one (R13) out of two residents reviewed for hospitalizations, the facility failed to notify the Ombudsman of R13's transfers to the hospital on [DATE], 12/26/24, and 5/11/25.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R44) out of 15 residents reviewed, the facility failed to ensure that R44's toileting care plan was revised when toileting plan changed.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review, it was determined that for two (R35 and R44) out of three residents reviewed for bowel and bladder incontinence, the facility failed to ensure that R35 and R44 received appropriate services and treatment to promote continence of bladder and bowel to the extent possible.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and interview, it was determined that for one (R33) out of seven residents reviewed for vaccines, the facility failed to ensure that R33 was free from a significant medication error, R33 was given two (2) sets of the PNA, influenza and COVID vaccines twelve hours apart.
July 2, 2024Standard inspection, Complaint inspection · 24 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record reviews and interviews, it was determined that for seven (R13, R22, R33, R34, R47, R54, R270) out of seventeen residents reviewed for Infection Control, it was determined that the facility failed to establish and maintain an infection prevention and control program that included Enhanced Barrier Precautions (EBP). Additionally, it was determined that for 3 (three) R34, R47, R270 residents reviewed for urinary catheter care the facility failed to ensure a safe and sanitary process regarding urinary collection bags.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, it was determined that for nine (R4, R13, R18, R19, R33, R45, R51, R60 and R223) out of seventeen residents reviewed for vaccines, the facility failed to document in each resident's medical record the administration of the pneumococcal and/or influenza vaccines. Additionally, it was determined that for one (R22) out of seventeen residents reviewed for immunizations, the facility failed to offer R22 an updated pneumococcal vaccine.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review and interviews, it was determined that for three (R18, R34 and R270) out of the survey sample of seventeen residents reviewed for resident rights, the facility failed to ensure that the residents had the right to a dignified existence.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wrote2. Review of R4's clinical record revealed: 1/21/24 - R4 was admitted to the facility. 1/23/24 - R4 participated in his Care Plan conference and signed his Care Plan Conference Summary dated 1/23/24. 4/26/24 - R4's quarterly Minimum Data Set (MDS) assessment was completed. The facility was not able to produce any documentation of R4 participating in any other Care Plan conferences. 6/28/24 12:20 PM - During an interview, E4 (Corporate CNS) stated, The facility did not do a care plan meeting in April with [R4]. We are scheduling one ASAP. We did not update the care plan in April because we didn't have a care conference. 3. R13's clinical record revealed: 5/24/24 - R13 was admitted to the facility after being hospitalized . 5/30/24 - R13's admission MDS assessment stated that she had a moderate cognitive impairment. [...]
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation and interview, it was determined that for three (R19, R33 and R45) residents reviewed, the facility failed to ensure that the call bells were within their reach on three observed occasions.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, it was determined that for one (R5) out of one resident reviewed for hospitalization, the facility failed to notify the resident and the resident's representative in writing of R5's transfer to the hospital, including the reason for the transfer.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and interviews, it was determined that for one (R44) out of seventeen reviewed for Resident Assessments, the facility failed to assess R44 no less than once every three months.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, it was determined that for two (R21, R22) out of seventeen residents reviewed for Resident Assessments, the facility failed to ensure accuracy of the assessments.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, it was determined that for one (R62) out of two reviewed for PASARR, the facility failed to secure R62's PASARR upon admission on [DATE].
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interviews, it was determined that for two (R54 and R172) out of four reviewed for care plans, the facility failed to develop and implement a person-centered care plan.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, it was determined that for one (R5) out of one resident reviewed for care planning, the facility interdisciplinary team failed to review and revise R5's care plan after a comprehensive assessment was completed.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review and interview, it was determined that for three (R5, R223 and R270) out of twenty-one residents reviewed for care planning, the facility failed to meet professional standards of the Delaware Board of Nursing Scope of Practice by having LPNs complete the admission assessment and admission progress note.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, it was determined that for 1 (R45) resident out of 2 (two) reviewed for ADLs, the facility failed to ensure that R45 received appropriate care to maintain good grooming.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on record review and interviews, it was determined that for one (R4) out of one reviewed for Communication-Sensory, the facility failed to ensure R4 received proper treatment to assist/ maintain hearing abilities as evidenced by not submitting a referral for a hearing consult despite R4 being severely hard of hearing.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on a review of facility documents and interview, it was determined that the facility failed to complete a performance review every twelve months for one (E16) out of five nurse aides.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interviews, it was determined that for one (R54) out of six reviewed for Pharmacy Services, the facility failed to ensure that the pharmacy services provided safe and effective medication use.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interviews, it was determined that for one (R22) out of four residents reviewed for Advanced Directives, the facility failed maintain accurately documented medical records regarding R22's code status.
- D Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to have a designated infection preventionist with specialized training in infection prevention and control.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on review of facility documentation and interview, it was determined that the facility failed to provide required in-service training (12 hours per year) for five out of five CNAs reviewed. Additionally, the facility failed to provide evidence of resident abuse prevention training for the five CNAs reviewed.
- C Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteF838 Facility Assessment- Based on record review and interview, it was determined that the facility failed accurately update the Facility Assessment Tool, which was created May 2024, with the correct name of the Infection Preventionist.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, and interviews, it was determined that for one (R172) out of two residents reviewed for accidents, the facility failed to ensure adequate supervision was provided to prevent accidents. This failure caused R172 to roll out of the bed while one staff member was providing care. R172 sustained harm, an injury to the back of the head and fractures to her left leg.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteF609 Report Allegation of Abuse- Based on record review and Interviews, it was determined that for one (R28) out of two residents reviewed for Abuse, the facility failed to report R28's allegation of abuse within the two hour time frame.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, it was determined that for one (R18) out of twenty-five residents reviewed for Quality of Care, the facility failed to ensure the resident received treatment and care in accordance with professional standards as evidenced by ordering a regular diet when discharge instructions recommend a low potassium diet.
- D Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Inspectors wroteBased on a review of documents and interviews, the facility failed to ensure that nursing staff demonstrated competence through satisfactory participation in a State approved nurse aide training and competency evaluation program.
January 8, 2024Complaint inspection · 10 citations
- J Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on record review and interviews, it was determined that for one (R6) out of three residents reviewed for discharge, the facility failed to develop and implement an effective discharge planning process. The facility failed to determine and document the feasibility of R6 returning to live in the community independently. The facility failed to ensure R6's health and safety needs were able to be met at her discharge destination. The facility failed to ensure R6 had the ability to fill her medication prescriptions. The facility failed to ensure that R6's discharge prescriptions for PT/OT, home health aide and nursing were referred to an accepting agency and the first visit by the agency was scheduled for R6. These failures placed R6 in Immediate Jeopardy (IJ). An IJ was called on 1/5/24 at 2:49 PM. The IJ was abated on 1/8/23 at 12:46 PM.
- E Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review and interviews, it was determined that that for three (R1, R4 & R15) out of three residents reviewed for hospitalization, the facility failed to issue bed- hold notice upon their hospitalizations.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on record review and interviews, it was determined that for one (R6) out of three residents reviewed for discharge, the facility failed to allow R6, who still required the nursing services provided by the facility, to remain in the facility and to assist R6 with the Medicaid coverage application.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, it was determined that for one (R15) out of three residents reviewed for hospitalization, the facility failed to notify the LTC Ombudsman of R15's transfer and admission to the hospital on [DATE].
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and interview, it was determined that for one (R10) out of four residents reviewed for Hospice care, the facility failed to complete an MDS assessment documenting R10's significant change regarding his hospice admission.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interviews, it was determined that for one (R6) out of three residents reviewed for Preadmission Screening and Resident Review (PASARR) coordination, the facility failed to be compliant with R6's PASARR mandated specialized services of a one-time psychiatric medication management evaluation by a psychiatrist/psychiatric nurse practitioner within 30 days of admission.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observations and interviews, it was determined that for four (R3, R9, R19 and R21) out of six residents reviewed for respiratory care, the facility failed to provide respiratory care consistent with professional standards. R3 was sent to an outpatient appointment without enough supplemental oxygen to last for the duration of the excursion. R9, R19 and R21 all had oxygen compressors with dusty/dirty filters. R21's oxygen tubing was not changed as ordered.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review and interviews, it was determined that for one (R5) out of four residents reviewed for Hospice care, the facility failed to provide pain management consistent with professional standards. R5, who was admitted to the facility on [DATE] on hospice services, did not receive any narcotic pain medication until four days after admission.
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on record review and interviews, it was determined that for one (R6) out of three residents reviewed for discharges, the facility failed to identify and provide R6 medically-related social services to maintain her highest practicable physical, mental and psychosocial well-being.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation and interview it was determined that for one (R7) out of three residents reviewed for call lights, the facility failed to ensure a functioning call bell system.
January 26, 2023Standard inspection · 20 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interview, it was determined that the facility failed to ensure that the kitchen was maintained to ensure proper food safety.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and review of the clinical record and facility documentation as indicated, the facility failed to have an effective Infection Prevention and Control Program surveillance system that identified, tracked, monitored and/or reported infections from January 1, 2022 through April 30, 2022. In addition, the facility's surveillance system for the subsequent months were incomplete with missing data and lacked evidence of an ongoing analysis of the data and documentation of follow-up activity.
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and review of facility documentation, the facility failed to have an ongoing facility-wide antibiotic stewardship program from January 2022 through December 2022.
- F Perform COVID19 testing on residents and staff.
Inspectors wroteBased on interview and review of facility and State of Delaware's Department of Public Health (DPH) documentation, it was determined that the facility failed to conduct COVID-19 testing of staff and residents in response to a positive resident on 1/1/23 and a positive staff member on 1/16/23 according to the State of Delaware COVID-19 infection guidance.
- E Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interview and review of facility documentation as indicated, it was determined that the facility failed to have an Infection Preventionist (IP) responsible for the facility's IPCP (Infection Prevention and Control Program) that had completed specialized training in infection prevention and control from 9/1/22 to 1/3/23, approximately 4 months.
- E Report COVID19 data to residents and families.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to inform residents, their representatives, and families after infections of COVID-19 of one resident on 1/1/23 and one staff member on 1/16/23 by 5:00 PM the next calendar day.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, it was determined for one (R15) out of 47 residents reviewed for dignity, the facility failed to protect and value R15's private space when staff entered the residents room without requesting permission.
- 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.
Inspectors wroteBased on interview and record reviews, it was determined that for two (R8 and R17) out of three residents sampled for advanced directives, the facility failed to offer the opportunity to these residents to formulate an advanced directive and document the discussions in each residents' clinical record.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review and review of facility documentation, it was determined that for one (R298) out of 14 sampled residents, the facility failed to immediately consult the Physician when R298 experienced a change in condition after an unwitnessed fall.
- D Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Inspectors wroteBased on interview and record review, it was determined that for one (R14) out of one sampled resident reviewed for PASARR (Preadmission Screening & Resident Review), the facility failed to refer R14 to the appropriate State-designated authority for a Level II PASARR evaluation and determination after R14 was given a new diagnosis and prescribed medication that would require a new PASARR.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview, it was determined that for one (R44) out of one death record reviewed the facility failed to ensure that the baseline care plan was developed within 48 hours of admission and failed to have evidence that the resident/responsible party was provided the baseline care plan summary.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, record review and interview, it was determined that the facility failed to revise the advanced directive care plan for one (R15) out of 14 sampled residents to reflect the current code status order.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on resident interview and observation, the facility failed to ensure that one (R15) out of three sampled residents reviewed for Activities of Daily Living (ADLs) received the necessary services to maintain appropriate care for toileting. R15 waited from 9:30 AM to 10:23 AM for incontinence care.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wrote3. Review of R298's clinical record revealed: R298 was admitted to the facility on [DATE] with a past medical history including Congestive Heart Failure, Dementia, and a history of falling. 11/7/22 at 12:00 PM- R298 was found lying on the floor face up on her back. The fall was unwitnessed. 11/7/22- Review of the facility's Neurological Evaluation Flow Sheet from 12:00 PM - 11:38 PM, after R298's unwitnessed fall, revealed that the facility failed to complete Neurocheck assessments in their entirety post fall. The Glasgow Coma Scale (GCS) total was blank for the entire first day post fall. The GCS total is used to assess for signs of brain injury. Additionally, the Neurological Evaluation Flow Sheet, also showed that the Respiratory Pattern was inconsistently completed. The Neurological Evaluation Flow Sheet was completed for 11/8/2022. [...]
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record reviews and review of facility documentation, it was determined that for two (R15 and R25) out of five residents reviewed for unnecessary medications, the facility failed to ensure that the Attending Physician reviewed the Medication Regimen Review (MRR) timely.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record reviews, interviews, and review of facility documentation, it was determined that for one (R15) out of five residents sampled for medication review, the facility failed to monitor uric acid levels for a resident on gout medication.
- 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.
Inspectors wroteBased on clinical record review, observation and interview, it was determined that for one (R17) of 28 medication (med) administration opportunities during the med pass, the facility failed to have a current label in accordance with the Physician's order for a med with blood pressure (BP) parameters of when to hold the medication.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on record review and interview, it was determined that the facility failed to have an Infection Preventionist participate on the QAPI (Quality Assurance and Performance Improvement) committee. Additionally, the facility failed to have quarterly QAPI meetings in 2022.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure that required training for abuse, neglect, and exploitation training was completed for one (E26) out of 10 randomly sampled staff members.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, review of facility documentation and staff interviews, it was determined that for five out of six days, the facility failed to ensure that the credentials of staff were written on the posted schedules in the only nurses station.
Fire safety inspections
6 fire safety citations on file: 5 on July 2, 2024, 1 on January 26, 2023.
Every fire safety citation6 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Establish staff and initial training requirements.
- E Use approved construction type or materials.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 2, 2024 | Fine | $16,801 |
| January 8, 2024 | Fine | $15,593 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Delaware | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.95 | 4.35 | 3.86 |
| Registered nurses | 1.14 | 0.97 | 0.69 |
| All nursing staff on weekends | 3.45 | 3.89 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 51.3% | 41.3% | 45.8% |
| Registered nurse turnover | 52.9% | 41.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.16 on weekdays and 3.45 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 3.95 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.95 | 1.14 | 4.16 | 3.45 | 11.8% | 0 of 90 | 65 |
| Oct to Dec 2025 | 3.85 | 0.87 | 3.90 | 3.73 | 7.3% | 0 of 92 | 62 |
| Jul to Sep 2025 | 3.95 | 0.90 | 4.06 | 3.68 | 9.4% | 0 of 92 | 65 |
| Apr to Jun 2025 | 3.99 | 0.95 | 4.13 | 3.63 | 10.3% | 0 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Delaware, Jan to Mar 2026 | 4.05 | 0.79 | 4.21 | 3.67 | 5.7% | 0% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Delaware | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.0 | 12.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.6 | 13.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.2 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.8 | 23.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.5 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.8 |
Owners and operators
Legal business name: SNH DEL TENANT LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Snh Proj Lincoln Trs LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2020 |
| Diversified Healthcare Trust | 5% or greater indirect ownership interest | Organization | 01/01/2020 | |
| Snh Trs Licensee Holdco LLC | 5% or greater indirect ownership interest | Organization | 01/01/2020 | |
| Snh Trs, Inc. | 5% or greater indirect ownership interest | Organization | 01/01/2020 | |
| Ballas, Timothy | Contracted managing employee | Individual | 11/18/2021 | |
| Boide, William | Contracted managing employee | Individual | 07/21/2023 | |
| Harmon, Crystal | Contracted managing employee | Individual | 11/18/2021 | |
| McGhee, Karen | Contracted managing employee | Individual | 02/15/2024 | |
| Anderson, Jacquelyn | Corporate officer | Individual | 01/01/2024 | |
| Bilotto, Christopher | Corporate officer | Individual | 01/01/2024 | |
| Brown, Matthew | Corporate officer | Individual | 01/01/2024 | |
| Clark, Jennifer | Corporate officer | Individual | 01/01/2020 | |
| Life Care Services LLC | Operational/managerial control | Organization | 11/18/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 15 problems in this area, most recently on June 15, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on June 15, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on June 6, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 9 problems in this area, most recently on June 6, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.45 hours per resident per day, below the Delaware average of 3.89.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Cadia Rehabilitation Silverside Wilmington, 0.6 mi · 5 of 5 stars · 29 citations
- Encore at Foulk Wilmington, 1.5 mi · 5 of 5 stars · 12 citations
- Wilmington Nursing & Rehabilitation Center Wilmington, 2 mi · not rated · 105 citations
- Kentmere Rehabilitation and Healthcare Center Wilmington, 4 mi · 3 of 5 stars · 33 citations
- Willowbrooke Court at Country House Wilmington, 4.1 mi · 5 of 5 stars · 5 citations
- Stonegates Greenville, 4.2 mi · 4 of 5 stars · 20 citations
- Kutz Rehabilitation and Nursing Wilmington, 4.2 mi · 2 of 5 stars · 46 citations
- Continuing Care at Maris Grove Glen Mills, 4.4 mi · 5 of 5 stars · 16 citations
Delaware contacts for a concern about a nursing home
These are the official offices in Delaware. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Delaware Division of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Delaware Long-Term Care Ombudsman Program, 1-855-773-1002. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Delaware Licensed Nursing Homes, survey reports, where Delaware publishes its own records on licensed homes.
Common questions
- What is Encore at Wilmington's Medicare star rating?
- CMS rates Encore at Wilmington 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Encore at Wilmington get at its last inspection?
- 4 health deficiencies at the standard inspection on June 6, 2025. The Delaware average is 10.9.
- Has Encore at Wilmington been fined?
- Yes. CMS lists 2 fines totaling $32,394 in the last three years.
- Does Encore at Wilmington accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Encore at Wilmington?
- CMS lists 13 owners and managers. Legal business name: SNH DEL TENANT LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.