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Polaris Healthcare and Rehabilitation Center

21 W Clarke Avenue, Milford, DE 19963 · Sussex County · (302) 503-7650

100 certified beds, about 94 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2020

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 085058 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 11, 2026, inspectors cited 7 health deficiencies (the Delaware average is 10.9, the national average 9.2).

Of 67 health citations since April 2024, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 3 fines totaling $144,544 in the last three years; the largest was $114,368, and the latest is dated February 11, 2026.

Nurses and nurse aides worked 3.96 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.

67.8% of nursing staff left within the year CMS measured (Delaware average 41.3%).

CMS links it to Nationwide Healthcare Services, an affiliated group of 7 nursing homes.

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.

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 67 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
60D
2E
0F
Potential for minimal harm
0A
1B
0C
February 11, 2026Standard inspection · 7 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteAn unannounced Follow-up Survey was conducted on March 26, 2026, for the Annual and Complaint Survey ending February 11, 2026, by the State of Delaware Division of Health Care Quality, Office of Long-Term Care Residents Protection. The facility census on the first day of the survey was ninety-two (92). The sample size was twenty (20) residents. The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care as of March 17, 2026. An informal dispute resolution (IDR) was conducted for this citation. It was determined that the citation was past non-compliance and corrected by the facility 8/24/25. No additional correction on part of the facility was necessary as a result of the survey. [...]
  2. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to provide evidence that residents or their representatives were informed of the risks, potential side effects, and available treatment options for two of five residents (Resident (R) 12, and R66) reviewed for unnecessary medications who received antipsychotic and/or psychotropic medications This deficient practice resulted in residents receiving medications that may not have been clinically necessary.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interviews, and policy review, the facility failed to provide the required Skilled Nursing Facility (SNF) Advance Beneficiary Notice of Non-coverage (ABN) notifications to three of three residents (Residents (R) 109, R81 and R110) reviewed for beneficiary notification. This failure had the potential to affect all residents who continued residing in the facility after the end of their Medicare Part A services by limiting their ability to make informed decisions regarding their financial responsibility.
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interviews, facility document review, and policy review, the facility failed to follow its abuse policy and did not conduct a thorough investigation into allegations of abuse involving two of five residents (Resident (R) 59 and R72) reviewed for abuse out of 32 sampled residents. This failure had the potential to result in unrecognized or ongoing abuse that puts other residents in the facility at risk.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure a person-centered comprehensive care plan was developed for three residents (Resident (R) 6, R52, and R108) out of a total of 32 sampled residents. This deficient practice placed the residents at risk for unmet care needs, ongoing assessment, and provider notification.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation, interviews, record reviews, and facility policy review, the facility failed to follow professional standards or its own established tracheostomy care procedures for cleaning the stoma site, replacing the inner cannula, and ensuring two staff members were present during care for one of six residents (Resident (R) 93) reviewed for respiratory care out of a total of 32 sampled residents. This deficient practice placed the residents at risk for respiratory distress or infection.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure use of personal protective equipment (PPE) in the implementation of respiratory isolation for one of one resident (Resident (R) 52) reviewed for transmission-based precautions out of a total sample of 32 residents. This failure had the potential to lead to the transmission of droplet pathogens from resident to staff not wearing a mask or eye protection.
August 11, 2025Complaint inspection · 2 citations
  1. 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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interviews, record review and other facility documentation, the facility failed to provide sufficient nursing staff to meet the needs of residents for 7 of 20 residents reviewed for staffing. The facility did not ensure adequate availability of staff to respond to resident care needs in a timely manner. Findings Include:As of December 2024, the facility assessment documented the following: 5 residents were independent with ADL's; 35 to 40 residents required assistance from 1-2 staff members; 50 to 55 residents were dependent on staff for ADL support. Despite this, residents experienced prolonged call bell response times and unmet care needs. At the time, the census on the Riverwalk unit was 58.1. Interview with a resident who wished to remain anonymous:8/6/25 2:51 PM - F1 reported multiple instances of delays when resident A1 called for assistance with toileting. [...]
  2. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interview and record review, it was determined that for one (R6) out of three sampled residents for dental services, the facility failed to ensure the resident received dental services.
January 28, 2025Standard inspection, Complaint inspection · 39 citations
  1. K
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview, it was determined that for two (R299 and R46) out of five residents reviewed for unnecessary medication, the facility failed to ensure residents were free from a significant medication error when staff failed to administer insulin. Additionally, staff failed to conduct finger stick blood sugar monitoring, which included sliding scale insulin coverage based on the results. The facility's failure placed the residents at risk for a serious adverse outcome including diabetic ketoacidosis, diabetic coma or even death from untreated elevated blood sugar. Due to this failure an Immediate Jeopardy (IJ) was called on 1/23/25 at 11:52 AM. The IJ was abated on 1/23/25 at 11:00 PM.
  2. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R85) out of three residents reviewed for pain, the facility failed to provide pain management according to professional standards of practice. R85 was not provided pain medication, causing unrelieved pain for approximately sixty four hours resulting in harm.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for eight (R3, R4, R27, R46, R57, R63, R89 and R91) out of thirty-seven residents investigated the facility failed to develop person centered care plans.
  4. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on interview and record review it was determined that for one (R85) out of thirty-seven residents reviewed in the investigative sample, the facility failed to ensure care preferences were being honored.
  5. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for two (R43 and R79) out of three residents reviewed for personal funds the facility failed to ensure residents had access to the their funds.
  6. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on interview and record review, it was determined that for one (R81) out of five residents reviewed for Advance Directives, the facility failed to offer an opportunity to formulate an advance directive.
  7. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on interview and record review, it was determined that for one (R64) out of two residents reviewed for change in condition, the facility failed to consult the provider and notify the responsible party when R64 experienced a significant change in condition and plan of care.
  8. D
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on interview, record review and review of other facility documentation, it was determined that for one (R64) out of one reviewed for grievances, the facility failed to ensure that resident concerns received by the facility included prompt efforts to resolve the resident's problems.
  9. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R18) out of two (2) residents reviewed for misappropriation of resident property, the facility failed to recognize and consequently report an allegation of misappropriation of resident property/funds no later than 24 hours.
  10. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R18) out of two (2) residents reviewed for allegations of misappropriation of resident property, the facility failed to provide evidence that the allegation was thoroughly investigated.
  11. 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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on interview, record review and review of other facility documents it was determined that for one (R148) out of three residents reviewed for discharge the facility failed to ensure that discharge requirements were met when the facility initiated discharge regarding R148 occurred on 10/9/24 without notice to the resident.
  12. 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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview, it was determined that for three (R35, R46 and R61) out of three sampled residents for hospitalization, the facility failed to provide written bed hold notice to the resident and/or the resident's representative when transferred to the hospital.
  13. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for one (R148) out of three residents reviewed discharge the facility failed to ensure R148 was readmitted to the facility or that the facility complied with discharge requirements. R148 was sent to the hospital on [DATE] and was not permitted to return to the facility.
  14. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it has been determined that the facility failed to review and revise for one (R85) out of thirty-seven sampled residents' care plans.
  15. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview, it was determined that for two (R6 and R27) out of thirty seven residents sampled, the facility failed to provide services that meet professional standards of quality by having Licensed Practical Nurses (LPN) complete admission assessments and admission progress notes.
  16. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on observation and interview, it was determined that for one (R6) out of nine residents reviewed for ADLs, the facility failed to ensure ADLs were provided to dependent residents.
  17. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on interview and record review, it was determined that for one (R64) out of two residents reviewed for change in condition, it was determined that the facility failed to follow physician orders.
  18. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for one (R37) out of two residents reviewed for ROM the facility failed to ensure that R37 received appropriate treatment and services to prevent further decrease in range of motion when the annual contractures measurement comparison evaluation was not completed on time.
  19. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for one (R47) out of two residents reviewed for accidents the facility failed to provide supervision for R47 to prevent an accident. The resident was left unsupervised during care and fell off the bed resulting in a head injury and needed to be sent to the hospital for evaluation and treatment.
  20. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on interview and record review it was determined that for four (R4, R27, R61, R64 and R3) out of seven residents reviewed for bowel and bladder, the facility failed to respond to or provide services to maintain or restore bowel and bladder continence.
  21. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview, it was determined that for two (R11 and R91) out of two residents reviewed for tube feeding the facility failed to implement current professional standards of practice, to maintain acceptable parameters of nutritional status.
  22. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on observation, interview and record review it was determined that for four (R10, R29, R67 and R80) out of seven residents sampled for respiratory care the facility failed to provide respiratory care based on professional standards for R10, R29, R67 and R80's nebulizer mask was not dated and not in a plastic bag when not in use. R10's nebulizer mask was dated 12/26/24. Further review of R10, R29, R67 and R80's records lacked evidence of orders to change and store nebulizer masks.
  23. D
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    F710 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on interview and record review and other documentation as indicated, it was determined that for one (R300) out of five reviewed residents for pressure ulcers, the facility failed to ensure that R300's medical care was supervised by a physician for the care of pressure ulcers.
  24. D
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for one (E39) out of five CNA's reviewed for annual performance reviews, the facility failed to ensure that the annual performance review was completed at least once every twelve months.
  25. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for one (R32) out of one resident reviewed for medication administration, the facility failed to provide pharmacy services to refill medications to avoid missed doses.
  26. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for one (R27) out of five residents reviewed for unnecessary medications, the facility failed to limit an as needed (PRN) psychotropic medication to 14 days.
  27. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased observation, interview and review of other facility documentation, it was determined that for three out of five medication storage refrigerators, the facility failed to facilitate the safe administration of medication to residents and staff. In addition, the facility failed to ensure that testing materials for COVID-19 would accurately reflect residents and employees COVID status.
  28. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview, it was determined, for one (R64) out of four residents sampled for laboratory services, the facility failed to promptly notify the ordering medical practitioner of laboratory results.
  29. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on observation, interview and record review, it was determined that for one (R27) out of seven sampled residents for dental services, the facility failed to assist the residents in obtaining routine dental services.
  30. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on observation and interview it was determined that for one (R64) out of one residents reviewed for nutrition the facility failed to provide fluid in a form designed to meet the individuals needs.
  31. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure food was stored, prepared, and served in a manner that prevents food borne illness to the residents.
  32. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R500) out of thirty-four (34) residents reviewed, the facility failed to ensure the residents medical record was complete, accurately documented and readily accessible.
  33. D
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    F941 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for two (E28 and E49) out of six employees reviewed, the facility failed to ensure that mandatory communication training was completed.
  34. D
    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
    F942 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interviews it was determined that for two (E29 and E30) of out of six employees reviewed, the facility failed to ensure resident rights training was ongoing.
  35. D
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for two (E28 and E47) out of six employees reviewed, the facility failed to ensure that staff completed QAPI training.
  36. D
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
    F945 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for two (E29 and E30) out of six employees reviewed for required training the facility failed to ensure that infection control training was completed and consistent with policy standards.
  37. D
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for three (E28, E29, and E30) out of six employees reviewed, the facility failed to ensure that annual training of the compliance and ethics program was completed for an organization operating five or more facilities.
  38. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for four (E30, E32, E39, and E40) out of five CNA'S reviewed, the facility failed to ensure that the required minimum twelve hours of in-service training was completed.
  39. D
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    F949 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2025
    Inspectors wroteBased on record review and interview it was determined that for two (E28 and E29) out of six staff reviewed, the facility failed to ensure that required behavioral health training was completed in accordance with the Facility Assessment.
July 9, 2024Complaint inspection · 2 citations
  1. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on record review and interview it was determined that for one (R2) out five residents reviewed for discharge the facility failed to implement an effective discharge plan that addressed R2's needs related to a community primary care physician, open wounds, insulin dependence, and visual impairment.
  2. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on record review and interview it was determined that for one (R2) out of five residents reviewed for discharge the facility failed to ensure continuity of medically related social services upon the residents discharge. R2 discharged from the facility on 5/17/24 and was not connected with the community caseworker for an estimated four days.
April 11, 2024Standard inspection, Complaint inspection · 17 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews, record review and review of facility documentation, it was determined that for one (R57) out of five residents reviewed for accidents, the facility failed to ensure residents were provided adequate supervision to prevent accidents resulting in harm. Based on review of the facility's evidence to correct the non-compliance and the facility's substantial compliance at the time of the current survey, the deficiency was determined to be past non-compliance as of 10/24/22.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on observation it was determined that the facility failed to ensure that all nourishment refrigerators were maintained in a sanitary condition and food is stored safely to prevent food-borne illness.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on observations, interviews and record review, it was determined that for three (R7, R23 and R57) out of three sampled residents reviewed for dignity, the facility failed to promote care in a manner and environment that maintained or enhanced their dignity and respect.
  4. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteReview of the facility policy titled, Change in a Resident's Condition or Status last dated 2/2021 documented . 1. Our facility promptly notifies the resident, his or her attending physician, and the resident representative of changes in the resident's medical/mental condition and/or status, changes in level of care, billing/payments, resident rights, etc. Review of R8's clinical record revealed: 7/1/21 - R8 was admitted to the facility with a diagnosis including but not limited to hypertension, stroke, left side weakness and depression. 1/5/24 - Review of the facilities diet requisition form revealed R8 was on a regular textured diet and thin liquids. 2/15/24 12:47 PM - A physician's order written by E4 (MD) for R8 documented . 1. Regular diet dysphagia mechanical soft texture thin liquids consistency. Patient may have regular pleasure foods. [...]
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wrote2. Review of R57's clinical record revealed: 10/11/22 - R57 was readmitted to the facility with diagnoses including but not limited to quadriplegia, spinal muscular atrophy, morbid obesity and tracheostomy. 1/18/24 - MDS quarterly documented R57 as totally dependent. 4/7/24 1:00 PM - An observation and interview with R57 revealed the sip and puff (type of call bell) was next to the bed in a position that R57 was unable to use. 4/7/24 1:44 PM - An observation of E37 (CNA) leaving the room with R57's lunch tray and the sip and puff was next to the bed in a position that R57 was unable to use. 4/7/24 1:53 PM - During an observation and interview with E36 (Respiratory Therapist) it was confirmed that the resident did not have her sip and puff, but she would be able to call out for help.
  6. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on record review and interview, it was determined that for one (R287) out of three residents reviewed for discharge the facility failed to provide R286 the Notice to Medicare Provider Non-Coverage (NOMIC) form before services were terminated.
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on record review and interview it was determined that for one (R53) out of three residents reviewed for abuse the facility failed to recognize and immediately report an allegation of abuse.
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on on record review and interview it was determined that for one (R42) out of five residents reviewed for medication review the facility failed to ensure accuracy of the MDS assessment.
  9. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on interview, and record review it has been determined that for one (R68) out of one resident reviewed for PASARR, the facility failed to ensure a referral for a new PASARR Level I and II screening occurred by or before the 60th day. R68 was remained in the facility beyond the authorization timeframe.
  10. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on record review and interview it was determined that for one (R42) out of five residents reviewed for medication review the facility failed to develop a care plan to address the residents use of an anticoagulant.
  11. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on record review and interview, it was determined that for four (R33, R45, R55, and R75) out of of twenty-three (23) sampled residents, the facility failed to have input from all required interdisciplinary team (IDT) members at the residents' care plan meetings.
  12. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on observations, interviews and record review, it was determined that for two (R24 and R57) out of four residents reviewed for position and mobility, the facility failed to turn and reposition the resident in accordance with professional standards of practice to prevent skin breakdown.
  13. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on observation, interview and record review it was determined that for one (R75) out of one resident reviewed for incontinence, the facility failed to respond to or provide services to restore bladder continence.
  14. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wrote2. Review of R3's clinical record revealed: 8/25/22 - R3 was admitted to the facility with diagnoses including but not limited to acute respiratory failure, difficulty swallowing and hypertension. 11/28/23 5:20 PM - A physician's order documented . 1. Tracheostomy care change oxygen tubing, canister and humidifier bottle one time a day every Monday and as needed. 4/7/24 10:08 AM - R3 was observed sitting in the wheelchair in her room, further observations revealed that R8's tracheal suction machine equipment had not been changed, the suction canister had thick secretions and had a date of 1/26/24 and tubing for the suction equipment was not dated. 4/8/24 12:34 PM - Day 2 observations revealed R3's tracheal suction machine equipment had not been changed and the canister contained the same thick secretions as observed and dated 1/26/24. [...]
  15. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on record review and interview it was determined that for one (R42) out of five residents reviewed for medication review the facility failed to ensure pharmacist recommendations were reviewed by the attending physician.
  16. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on record review and interview it was determined that for one (R42) out of five residents reviewed for medication review the facility failed to complete AIMS testing every six months for a resident on antipsychotic medications.
  17. B
    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.
    F584 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on observation and interview it was determined that for one (room [ROOM NUMBER]) out of 59 rooms observed the facility failed to ensure cleanliness.

Fire safety inspections

2 fire safety citations on file: 2 on January 28, 2025.

Every fire safety citation2 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · January 28, 2025 · Corrected (the home has a date of correction)
  2. E
    Establish staff and initial training requirements.
    E 37 · January 28, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 11, 2026Fine $17,345
January 28, 2025Fine $114,368
April 11, 2024Fine $12,831

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.

MeasureThis homeDelawareUnited States
All nursing staff (RN, LPN and aides)3.964.353.86
Registered nurses0.760.970.69
All nursing staff on weekends3.673.893.42
Nurse aides1.94
Licensed practical nurses1.26
Nursing staff turnover (share who left in a year)67.8%41.3%45.8%
Registered nurse turnover79.4%41.2%42.9%
Administrators who left1

CMS expects 4.20 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 4.08 on weekdays and 3.67 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 3.96 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.960.764.083.67 21.4%0 of 9094
Oct to Dec 20254.320.974.493.89 30.4%0 of 9290
Jul to Sep 20254.190.834.333.83 33.3%0 of 9291
Apr to Jun 20254.140.894.233.92 38.6%0 of 9191
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Delaware, Jan to Mar 20264.050.794.213.675.7%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Delaware

JobMedianMiddle halfEmployed
Delaware, all employers
CNAs (nursing assistants)$20.21$18.51 to $21.745,530
LPNs and LVNs$33.03$30.97 to $36.072,240
Registered nurses$47.85$41.30 to $53.7114,290
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeDelawareUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.712.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.02.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.63.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.213.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.33.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.810.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.723.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.211.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Polaris Healthcare and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.8% this home

No different from the national rate

US median of homes 51.5% · Delaware: 17 better, 1 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 157 eligible stays.

Potentially preventable readmissions

9.1% this home

No different from the national rate

US median of homes 10.7% · Delaware: 1 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 155 eligible stays.

Infections that led to a hospital stay

8.3% this home

No different from the national rate

US median of homes 7.1% · Delaware: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 95 eligible stays.

Self-care and mobility at discharge

47.5% this home

Median of homes: Delaware59.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 61 residents counted.

Falls with major injury

1.0% this home

Median of homes: Delaware0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 100 residents counted.

New or worsened pressure ulcers

2.1% this home

Median of homes: Delaware2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 100 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Delaware98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 30 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: POLARIS HEALTHCARE AND REHABILITATION CENTER LLC. CMS links this home to Nationwide Healthcare Services, a group of 7 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Gelley, Leah5% or greater direct ownership interestIndividual5%05/20/2019
Gelley, Meir5% or greater direct ownership interestIndividual95%05/20/2019
Gelley, MeirW-2 managing employeeIndividual05/20/2019
Nationwide Healthcare ServicesOperational/managerial controlOrganization05/20/2019

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 17 problems in this area, most recently on February 11, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 16 problems in this area, most recently on February 11, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on February 11, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on January 28, 2025: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.67 hours per resident per day, below the Delaware average of 3.89.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Delaware contacts for a concern about a nursing home

These are the official offices in Delaware. NursingHomeClear cannot take or act on complaints.

Common questions

What is Polaris Healthcare and Rehabilitation Center's Medicare star rating?
CMS rates Polaris Healthcare and Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Polaris Healthcare and Rehabilitation Center get at its last inspection?
7 health deficiencies at the standard inspection on February 11, 2026. The Delaware average is 10.9.
Has Polaris Healthcare and Rehabilitation Center been fined?
Yes. CMS lists 3 fines totaling $144,544 in the last three years.
Does Polaris Healthcare and Rehabilitation Center 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 Polaris Healthcare and Rehabilitation Center?
CMS lists 4 owners and managers, and links the home to Nationwide Healthcare Services. Legal business name: POLARIS HEALTHCARE AND REHABILITATION CENTER LLC.

Sources

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