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Skilled nursing facility · CMS certified · CCN 085035

Delaware Hospital F/t Chronically Ill (dhci)

100 Sunnyside Road, Smyrna, DE 19977 · Kent County · one of 44 skilled nursing facilities in Delaware
175
certified beds
2 / 5
overall CMS rating
Government
ownership type
41.7%
occupancy, Oct 2026: 73 residents a day · Delaware 81.1%
1.26
case mix, 0.90x the national average
10.25
nurse hours per resident day · Delaware 4.35
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Delaware Hospital F/t Chronically Ill (dhci) compares

Better than most of Kent County on 4 of 8 lines.

Occupancy, Oct 202641.7%Behind mostLower than all 6 other buildings in Kent County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 87.6%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day10.25Better than mostHigher than all 6 other buildings in Kent County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.03. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostLevel with 1 of the 6 other buildings in Kent County; the other 5 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 1 of the 6 other buildings in Kent County; the other 5 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 4 of the 6 other buildings in Kent County, level with 2

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Mid-packHigher than 1 of the 6 other buildings in Kent County, level with 2

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day2.82Better than mostHigher than all 6 other buildings in Kent County

Registered nurse hours for each resident, each day. The middle of the set: 0.84. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited19Better than mostFewer than 4 of the 6 other buildings in Kent County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 20. Source: CMS Provider Information, Oct 2026 file.

Better than most of Delaware on 3 of 8 lines.

Occupancy, Oct 202641.7%Behind mostHigher than 2 of the 43 other buildings in Delaware

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 86.6%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day10.25Better than mostHigher than all 42 other buildings in Delaware

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.92. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostHigher than 2 of the 42 other buildings in Delaware, level with 12

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 7 of the 42 other buildings in Delaware; the other 35 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 30 of the 41 other buildings in Delaware, level with 11

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Mid-packHigher than 9 of the 42 other buildings in Delaware, level with 15

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day2.82Better than mostHigher than all 42 other buildings in Delaware

Registered nurse hours for each resident, each day. The middle of the set: 0.80. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited19Behind mostFewer than 19 of the 43 other buildings in Delaware, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 17. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Delaware
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Delaware Hospital F/t Chronically Ill (dhci)
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Street View
100 Sunnyside Road, Smyrna, DE
Map around Delaware Hospital F/t Chronically Ill (dhci)
Map · Kent County
Kent County, Delaware
7 skilled nursing facilities; average overall rating 3.3, Delaware 3.2.
See how Kent County compares ›
Cost report, against Delaware
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Delaware. The rank counts from the top: 1st is the highest figure among Delaware's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Delaware that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
86.4%
38
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
13.6%
39
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
67.8%
39
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$432
37
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$414
37
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$29
37
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
6.8%
39
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating2 / 5 · state 3.2
Health inspection1 / 5 · state 2.7
Staffing5 / 5 · state 4
RN hours per resident per day2.82 · state 1
Overall rating, last 8 quarters
055Q3’245Q4’245Q1’255Q2’255Q3’254Q4’255Q1’262Q2’26latest
down 3 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingDelawarenationrecent quarters
Needed more help with daily activities10.1%better than state12.3%13.5%2025Q2: 4.5%2025Q3: 6.7%2025Q4: 8.9%2026Q1: 14.0%2026Q2: 10.4%
4.5% → 10.4%
Q2’25 to Q2’26
Catheter inserted and left in0.0%better than state0.4%0.7%2025Q2: 1.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
1.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection3.8%worse than state1.9%1.5%2025Q2: 1.4%2025Q3: 5.7%2025Q4: 6.9%2026Q1: 0.0%2026Q2: 2.8%
1.4% → 2.8%
Q2’25 to Q2’26
Fall with major injury1.4%better than state2.9%3.2%2025Q2: 1.4%2025Q3: 1.4%2025Q4: 2.8%2026Q1: 1.3%2026Q2: 0.0%
1.4% → 0.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report0.9%1.5%too few quarters to chart
Ability to walk independently worsened8.5%better than state12.1%12.7%2025Q2: 0.0%2025Q3: 8.9%2025Q4: 12.4%2026Q1: 6.9%2026Q2: 6.3%
0.0% → 6.3%
Q2’25 to Q2’26
Pressure ulcers4.1%worse than state3.4%4.5%2025Q2: 6.7%2025Q3: 6.1%2025Q4: 2.4%2026Q1: 4.0%2026Q2: 4.2%
6.7% → 4.2%
Q2’25 to Q2’26
Given an antipsychotic13.4%worse than state10.6%15.4%2025Q2: 12.0%2025Q3: 10.9%2025Q4: 13.6%2026Q1: 16.3%2026Q2: 12.8%
12.0% → 12.8%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jan 2026
last standard survey
19
deficiencies cited · Delaware avg 18.2
$59,947
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Also in Smyrna, DE
1 other certified skilled nursing facility in Smyrna
buildingbedsoverallEvergreen Post Acute1512 / 5
Delaware at a glance
44
buildings
4,739
licensed beds
83%
occupancy
73%
for-profit
What changed in Delaware
Delaware nursing and assisted living facilities must carry $1M/$3M liability insurance
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyEvergreen Post AcuteSmyrna · 2.1 mi1512 / 5over 85%Westminster Village HealthDover · 8.4 mi754 / 570-85%Complete Care at Silver Lake LLCDover · 8.4 mi1204 / 5over 85%Cadia Rehabilitation CapitolDover · 8.9 mi1203 / 5over 85%Center at Eden Hill, LLCDover · 10.1 mi805 / 5over 85%Bay Terrace Rehabilitation and Health CenterDover · 10.6 mi853 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Delaware Hospital F/t Chronically Ill (dhci)?
Delaware Hospital F/t Chronically Ill (dhci) in Smyrna, DE carries an overall CMS rating of 2 out of 5 stars in the Oct 2026 CMS file.
How many beds does Delaware Hospital F/t Chronically Ill (dhci) have?
Delaware Hospital F/t Chronically Ill (dhci) is certified for 175 beds in the Oct 2026 CMS file.
How full is Delaware Hospital F/t Chronically Ill (dhci)?
CMS's reported average residents put Delaware Hospital F/t Chronically Ill (dhci)'s occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.