Newark Manor Nursing Home
254 West Main Street, Newark, DE 19711 · New Castle County · (302) 731-5576
67 certified beds, about 56 residents a day · For profit - Individual · Medicaid since 2009
CMS abuse icon: cited for abuse in a recent inspection Last standard inspection more than 2 years ago Certified for Medicaid
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 08A020 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 11, 2024, inspectors cited 3 health deficiencies (the Delaware average is 10.9, the national average 9.2).
Of 26 health citations since July 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.27 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 0.92 of those hours.
32.8% 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.
1007/19
412/21
301/24
202/25
710/25
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 26 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
19D
4E
0F
Potential for minimal harm
0A
0B
1C
October 24, 2025Complaint inspection · 7 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and review of clinical record and facility documentation, it was determined that for two (R1 and R2) out of three residents reviewed for accidents, the facility failed to ensure each resident received adequate supervision to remain free of accident hazards. For R1, the facility failed to identify that R1's left bed rail was a potential hazard. R1, a dependent resident with dementia, was identified with a change of condition on 7/18/25 and diagnosed with a left upper extremity fracture. The facility's investigation documented that R1 sustained the injury as an accidental contact with the bed enabler during care. As a result, R1 was harmed. R2, a severely cognitively impaired resident and dependent resident sustained a scalp laceration, and a subtle sacral fracture from a fall when she was left in the bathroom unsupervised.
- 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 interview and review of clinical record, it was determined that for one (R1) out of three residents reviewed for accidents, the facility failed to notify the on-call provider of R1's delayed STAT x-ray results ordered 7/18/25.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on observation, interview, record review and other facility documentation, it was determined that for one (R2) out of three residents sampled for falls, the facility failed to thoroughly investigate an allegation of neglect when R2 was left unattended in the bathroom and had a fall.
- 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 interview and review of clinical record, it was determined that for one (R1) out of three residents reviewed for accidents, the facility failed to ensure a person-centered care plan was initiated and implemented that included measurable objectives and timeframes to meet R1's medical need with respect to the resident's pacemaker.
- 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 review of clinical record, it was determined that for three (R1, R4 and R5) out of seven residents reviewed for bed rails, the facility failed to review and revise each resident's bed rail care plan to ensure they were person-centered to meet their medical needs and included, but were not limited to, ongoing assessment and monitoring of the bed rail usage.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview and review of clinical records and facility documentation, it was determined that for three (R1, R4 and R5) out of seven residents reviewed for bed rails, the facility failed to ensure that each residents' bed rail was used appropriately with ongoing monitoring. Additionally, the facility lacked evidence that preventive maintenance/safety checks were being done for bed rails being used in the facility.
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on interview and review of clinical records and facility documentation, it was determined that for one (R1) out of three residents reviewed for accidents, the facility failed to meet the acute medical needs of R1 with regard to obtaining the timeliness of STAT x-ray results on 7/18/25.
February 19, 2025Complaint inspection · 2 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview, record review and review of other documentation as indicated, it was determined that for one (R462) out of three residents reviewed for abuse, the facility failed to ensure that R462 was free from physical abuse by R461 resulting in harm when R462 obtained a broken nose and laceration to the bridge of nose. Due to the facility's corrective measures completed on 5/28/24, the facility was notified that R462's incident was a harm past non-compliance.
- 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 (R461) out of one sampled resident, the facility failed to ensure the physician's order to administer tamsulosin HCL, aripiprazole and escitalopram oxalate.
January 11, 2024Standard inspection, Complaint inspection · 3 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interviews, record review, review of facility reported incidents (FRI), and review of the facility's policy, the facility failed to ensure residents were free from abuse for one of two residents reviewed for abuse (Resident (R) 2) out of a total sample of 26 residents.
- 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, interview and facility policy review, the facility failed to provide the resident and/or their responsible party a written transfer notice at the time the resident was transferred to the hospital; and failed to send a copy of the notice to the Long Term Care (LTC) Ombudsman for two residents (Resident (R) 54, and R312) of two reviewed for hospitalizations in a total sample of 26 residents.
- D 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, interview, and facility policy review, the facility failed to provide written information regarding the facility's bed hold policy to the resident and the resident's responsible party at the time of transfer or within 24 hours of the transfer for two of three residents (Resident (R) 54 and 312) reviewed for hospitalizations of a total sample of 26 residents.
December 21, 2021Standard inspection · 4 citations
- E 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 three (R19, R40 and R55) out of 31 residents reviewed for care plans, the facility failed to ensure that care plan meetings included the required IDT (interdisciplinary team) attended.
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interview and record review it was determined that for one (R19) out of five residents for medication review, the facility failed to monitor and have an adequate indication for use of an antipsychotic drug Zyprexa.
- D Ensure each resident receives an accurate assessment.
Inspectors wrote2. Review of R19's clinical record revealed: 12/2/19 - R19 was admitted to the facility. 12/4/19 - Review of R19's inventory list documented that R19 had a partial denture on admission. 12/2/19 - An admission MDS assessment documented no missing teeth and no full or partial dentures. 9/17/21 - A quarterly MDS assessment documented R19 did not have a full or partial denture or difficulty chewing. 12/17/21 12:25 PM - Interview with E5 (MDS Coordinator) revealed that she had no knowledge that R19 had a partial denture. E5 comfirmed that the facility failed to accurately assess R19 as having a partial denture.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on review of facility documentation and interview, it was determined that the facility's quality assurance performance improvement (QAPI) committee failed to meet at least quarterly.
July 1, 2019Standard inspection · 10 citations
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on group resident and staff interviews, observations and review of facility documentation, it was determined that the facility failed to have an established grievance policy or process of having information on how to file grievances anonymously. In addition, the facility's grievance postings failed to list the name and contact information of the Grievance Officer. Facility policy entitled: Resident - Family Concern / Grievance Procedure (signed & approved 12/14/16) did not include the following required information: - notification of postings in prominent locations throughout the facility of the right to file grievances orally or in writing; - the right to file grievances anonymously; - the contact information of the grievance official with whom a grievance can be filed; - the right to obtain a written decision regarding his or her grievance; [...]
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to ensure performance evaluations were completed at least every 12 months for four (E14, E19, E20 and E22) out of five sampled CNAs and that the facility failed to provide the required in-service training based on the outcome of the CNA's performance review for one (E21) out five CNAs sampled.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview it was determined that the facility failed to provide a home-like environment with comfortable sound levels in one (the third floor) out of three dining rooms.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview it was determined that the facility failed to ensure an annual MDS assessment was accurate for one (R37) out of 37 residents sampled for investigations.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview it was determined that for one (R12) out of one resident reviewed for Preadmission Screening and Resident Review (PASRR) the facility failed to make a referral to the state authority when a newly evident mental disorder was identified.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on record review and interview, it was determined that for one (R312) out of one sampled resident reviewed for hearing/vision, it was determined that the facility failed to ensure that R312 received proper treatment and assistive device to maintain hearing abilities.
- 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 review and interview it was determined that the facility failed to develop a policy that included time frames for all steps of the monthly drug regimen review process and failed to respond to pharmacist recommendations for one (R60) out of five residents reviewed for medication review.
- 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 observation and interview it was determined that for one out of two medication carts, the facility failed to date medications appropriately.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on a random dining observation it was determined that the facility failed to prepare and serve food in accordance with professional standards for food service safety in one (2nd floor dining area) out of three dining areas.
- C Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of facility documents and interview it was determined that the facility failed to conduct an annual review of their Infection Control and Prevention Policies, and to update the program as necessary.
Fire safety inspections
9 fire safety citations on file: 5 on January 11, 2024, 4 on July 1, 2019.
Every fire safety citation9 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- E Have an enclosure around a vertical opening shaft.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure proper usage of power strips and extension cords.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have properly located and lighted "Exit" signs.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.27 | 4.35 | 3.86 |
| Registered nurses | 0.92 | 0.97 | 0.69 |
| All nursing staff on weekends | 3.73 | 3.89 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 32.8% | 41.3% | 45.8% |
| Registered nurse turnover | 28.6% | 41.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.15 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 4.49 on weekdays and 3.73 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.90 in April to June 2025 to 4.27 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 | 4.27 | 0.92 | 4.49 | 3.73 | 1.2% | 0 of 90 | 56 |
| Oct to Dec 2025 | 4.08 | 0.42 | 4.10 | 4.03 | 0.9% | 0 of 92 | 58 |
| Jul to Sep 2025 | 3.94 | 0.45 | 4.01 | 3.75 | 1.6% | 0 of 92 | 61 |
| Apr to Jun 2025 | 3.90 | 0.49 | 3.98 | 3.69 | 2.4% | 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 | 19.3 | 12.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.7 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.2 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.8 | 13.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.4 | 10.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.4 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 6 problems in this area, most recently on October 24, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on October 24, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on October 24, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on October 24, 2025: "Respond appropriately to all alleged violations."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.73 hours per resident per day, below the Delaware average of 3.89.
Other nursing homes nearby
- Encore at West Meadow L.L.C. Newark, 2.2 mi · 2 of 5 stars · 54 citations
- Exceptional Care for Children Newark, 2.3 mi · 5 of 5 stars · 5 citations
- Jeanne Jugan Residence Newark, 3.8 mi · 5 of 5 stars · 14 citations
- Pike Creek Nursing & Rehabilitation Center Wilmington, 5.4 mi · 2 of 5 stars · 97 citations
- Excelcare at Newark LLC Newark, 5.4 mi · 2 of 5 stars · 41 citations
- Cadia Rehabilitation Pike Creek Wilmington, 5.9 mi · 4 of 5 stars · 35 citations
- Laurelwood Healthcare Center Elkton, 6.3 mi · 3 of 5 stars · 74 citations
- Complete Care at Brackenville LLC Hockessin, 6.5 mi · 4 of 5 stars · 30 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 Newark Manor Nursing Home's Medicare star rating?
- CMS rates Newark Manor Nursing Home 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Newark Manor Nursing Home get at its last inspection?
- 3 health deficiencies at the standard inspection on January 11, 2024. The Delaware average is 10.9.
- Has Newark Manor Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Newark Manor Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Newark Manor Nursing Home?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.