DELAWARE NURSING HOME UTILIZATION STATISTICS …January – December 2017 Delaware Health Care Commission 410 Federal Street Dover, DE 19901 November 2018 . EXECUTIVE SUMMARY In 2017,

DELAWARE NURSING HOME UTILIZATION STATISTICS

January – December 2017

Delaware Health Care Commission 410 Federal Street Dover, DE 19901

November 2018

EXECUTIVE SUMMARY

In 2017, 46 Delaware nursing homes operated a total of 4,866 licensed beds. The majority of Delaware nursing homes – 44 out of 46 – were privately owned and operated in 2016. Privately-owned licensed beds accounted for 94.2 percent of all licensed nursing home beds in Delaware. Delaware’s two publicly-operated nursing home facilities (Governor Bacon Health Center and the Delaware Hospital for the Chronically Ill) accounted for the remaining 5.8 percent of statewide nursing home beds. As in previous years, overall occupancy rates for private nursing home facilities in all three counties hovered near 90 percent in all three counties. In 2017, a total of 12,059 patients were admitted to Delaware nursing homes. Of this total, white patients accounted for 79.6 percent of all admissions. Black patients and patients of other races accounted for 18.0 percent and 2.4 percent of 2017 nursing home admissions, respectively. Compared to their white counterparts, black patients and patients of other races admitted to Delaware nursing homes are younger on average. Similar demographic trends are observed for discharges from Delaware nursing homes. The annual number of admissions to private Delaware nursing homes increased from 2016 to 2017 in all three counties. The percentage increase in New Castle County (7.2 percent) was greater than that in Kent and Sussex Counties (2.1 percent and 1.7 percent, respectively). From 2016 to 2017, admissions to Delaware’s public nursing homes increased 9.1 percent. The DHCC will continue to monitor annual nursing home admissions data to determine any newly-emerging trends pertaining to admissions, discharges, bed counts, and occupancy rates. The growing size and the changing demographics of Delaware’s population are central to the understanding of the distribution of nursing homes, the number of licensed nursing home beds, and their utilization. Between 2015 and 2050, Delaware’s total population is expected to increase 15.4 percent. Projected population growth is much more dramatic among older Delawareans. From 2015 to 2050, the statewide population of Delawareans age 65 and older is expected to increase 75.8 percent (from 153,659 to 270,146).

TABLE OF CONTENTS

I. INTRODUCTION ............................................................................................................................................ 1

STATEWIDE POPULATION PROJECTIONS .................................................................................................... 2

Chart 1: Delaware Population Projections (2015-2050), Overall Population, by County ....................... 3

Chart 2: Delaware Population Projections (2015-2050), Age 65+, by Age Cohort ................................. 4

II. FACILITY CHARACTERISTICS ........................................................................................................................ 5

NUMBER OF NURSING HOME BEDS ........................................................................................................... 5

Table 1: Delaware Nursing Home Beds, by County and Facility Type, 2007-2017 ................................. 5

UTILIZATION ................................................................................................................................................ 5

Table 2: Number of Billable Patient Days Utilized by Year, Facility Type, and County, 2007-2017 ........ 6

OCCUPANCY ................................................................................................................................................ 6

Table 3: Weighted Occupancy Rates, 2007-2017, by Facility Type and County ..................................... 7

ADMISSIONS ................................................................................................................................................ 7

Table 4: Total Number of Nursing Home Admissions, 2007-2017, by Facility Type and County ........... 8

Table 5: Percentage of Total Delaware Nursing Home Admissions, by Race and Age, 2017 ................. 9

Figure 2: Racial Breakdown of Delaware Nursing Home Admissions, 2017, by Age .............................. 9

DISCHARGES .............................................................................................................................................. 10

Table 6: Total Number of Nursing Home Discharges, 2007-2017, by Facility Type and County .......... 10

Table 7: Percentage of 2017 Nursing Home Discharges, by Discharge Destination ............................. 11

Table 8: Percentage of Total Delaware Nursing Home Discharges, by Race and Age, 2017 ................ 11

Figure 3: Racial Breakdown of Delaware Nursing Home Discharges, 2017, by Age ............................. 12

SOURCE OF PAYMENT ............................................................................................................................... 12

Table 9: Percentage of Delaware Nursing Home Patients by Payment Source, 2007-2017 ................ 13

III. TABLES ...................................................................................................................................................... 14

APPENDIX A: FACILITY CHANGES .................................................................................................................. 50

Chart 3: 2016 Delaware Nursing Homes Changes by Facility Name ..................................................... 50

ACKNOWLEDGEMENTS

This report was funded by the Delaware Health and Social Services, Health Care Commission; it is the

product of collaborative support from the Delaware Health Care Facilities Association, the Division of

Services for Aging and Adults with Physical Disabilities, and all nursing home facilities across

Delaware. The Health Care Commission wishes to thank these stakeholders and other subject matter

experts who provided background information, analysis, and feedback to inform the development of this

report.

1

I. INTRODUCTION

This, the 31st edition of the Delaware Nursing Home Utilization Statistical Report, summarizes

2017 data submitted by Delaware nursing homes1. On a monthly basis, from January through December

2017, Delaware nursing homes submitted utilization data to the Delaware Health Care Commission

(DHCC). To accomplish this, the DHCC contacted nursing home facilities on the first day of each month

via e-mail to request facility utilization data for the previous month; if a facility’s monthly data submission

was delayed, then follow-up contact was made via fax and telephone. Upon initial data submission, the

DHCC converted the data to an electronic format and reviewed each facility’s report for internal

inconsistencies and unexpected changes in reported statistics. Any discrepancies were immediately

communicated back to the facility with a request for updated data. After receipt of any updated data, a

facility’s report was considered complete for the month. At the end of the reporting year, the DHCC re-

coded and tabulated data to yield annual utilization data by facility and county.

This report presents 2017 Delaware nursing home data in two main sections. The Facility

Characteristics section highlights historical trend data from 2007 through 2017. The majority of data

presented in this section are aggregated to the state- and county-level, and primarily focus on indicators

of utilization and patient demographics. The Tables section presents detailed facility-level measures,

including total patient days, occupancy rates, percentage of patients by source of payment, and annual

admission and discharge totals. Note that percentages in any given data category may not sum to 100

percent due to numerical rounding. Refer to Appendix A for changes in facilities’ names and/or number

of licensed beds that occurred in 2017.

1 Excluded from this report are facilities that serve individuals under the age of 18, as well as Intermediate Care Facilities for Individuals with Intellectual Developmental Disabilities (ICF/IID). ICF/IID facilities provide active and comprehensive and individualized treatment and rehabilitation services to promote functional status and independence.

2

STATEWIDE POPULATION PROJECTIONS

The growing size and the changing demographics of Delaware’s population are central to the

understanding of the distribution of nursing homes, the number of licensed nursing home beds, and their

utilization. The following two charts, derived from Delaware Population Consortium data, provide the

context within which to evaluate the availability of facilities for the elderly. Chart 1 shows the projected

increase of Delaware’s total population from 2015 to 2050. Chart 2 shows the projected population

increase over the same time period specifically among Delawareans age 65 and older.

Between 2015 and 2050, Delaware’s total population is expected to increase 15.4 percent (from

949,337 in 2015 to 1,095,621 in 2050). Overall population growth is distributed unevenly across

Delaware’s counties; from 2015-2050, Kent and Sussex Counties are expected to experience a 21.8

percent and 25.4 percent increase in total population, respectively. Total population growth for New

Castle County is estimated at 9.5 percent over the same time period. Projected population growth is

much more dramatic among older Delawareans. From 2015 to 2050, the statewide population of

Delawareans age 65 and older is expected to increase 75.8 percent (from 153,659 to 270,146). Among

this subpopulation, cohorts of the oldest Delawareans are expected to increase most rapidly in size.

Between 2015 and 2050, statewide percentages of residents age 75-79, 80-84, and 85+ are projected to

increase 82.0 percent, 127.3 percent, and 213.5 percent, respectively.

3

Chart 1: Delaware Population Projections (2015-2050), Overall Population, by County

Source: Annual Population Projections, Delaware Population Consortium, Version 2017.0, October 2017

4

Chart 2: Delaware Population Projections (2015-2050), Age 65+, by Age Cohort

Source: Annual Population Projections, Delaware Population Consortium, Version 2017.0, October 2017

5

II. FACILITY CHARACTERISTICS

NUMBER OF NURSING HOME BEDS

In 2017, 46 Delaware nursing homes operated a total of 4,866 licensed beds. The majority of

Delaware nursing homes – 44 out of 46 – were privately owned and operated in 2017. Privately-owned

licensed beds accounted for 94.2 percent of all licensed nursing home beds in Delaware. Delaware’s two

publicly-operated nursing home facilities (Governor Bacon Health Center and the Delaware Hospital for

the Chronically Ill) accounted for the remaining 5.8 percent of statewide nursing home beds.

Table 1: Delaware Nursing Home Beds, by County and Facility Type, 2007-2017

Year

Private Facilities

Public

Facilities All Facilities New Castle

County

Kent County Sussex

County

Total

Private Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds

2007 27 2,523 6 642 10 1,143 43 4,308 4 626 47 4,934

2008 26 2,498 6 642 12 1,323 44 4,463 4 626 48 5,089

2009 26 2,519 6 642 11 1,234 43 4,395 4 626 47 5,021

2010 26 2,519 6 642 11 1,234 43 4,395 3 591 46 4,986

2011 26 2,519 6 642 11 1,234 43 4,395 3 591 46 4,986

2012 27 2,569 6 672 11 1,264 44 4,505 3 576 47 5,081

2013 27 2,649 6 672 11 1,264 44 4,585 3 522 47 5,107

2014 27 2,649 6 672 11 1,264 44 4,585 3 375 47 4,960

2015 27 2,646 6 672 11 1,264 44 4,582 3 312 47 4,894

2016 27 2,647 6 678 11 1,264 44 4,589 2 287 46 4,876

2017 27 2,641 6 678 11 1,264 44 4,583 2 283 46 4,866

2007-2017

% Change 4.7% 5.6% 10.6% 6.4% -54.8% -1.4%

UTILIZATION

A commonly-used measure of nursing home utilization is the number of billable patient days

generated by a facility over a given time period. A billable patient day represents a unit of time (i.e., one

day) during which the facility’s services are used by one patient. For example, if a nursing home has 100

patients on a particular day, the facility has generated 100 billable patient days for that particular 24-

hour period. If a facility’s number of billable patient days increases from one time period to the next, it is

an indication that the facility is caring for more patients, caring for patients for longer periods of time, or

a combination of these two factors. Mathematically, billable patient days per facility per year are

calculated by summing each facility’s monthly billable patient days over a 12-month period.

6

Long-term trends reveal shifts in the number of patient days by county and facility type. Across

private facilities in all three counties, the number of 2017 billable patient days reflect an increase over

those in 2007. However, over the past several years, annual number of billable patient days has generally

declined among private nursing homes across the state. These declines may reflect national trends by

which the expansion of home and community-based services and supports has begun to shift the locus of

long-term care away from nursing homes.

Table 2: Number of Billable Patient Days Utilized by Year, Facility Type, and County, 2007-2017

Year

Private Facilities

Public

Facilities All Facilities New Castle

County

Kent County Sussex

County

Total

Private 2007 830,921 179,315 371,520 1,381,756 142,893 1,524,649

2008 833,344 208,235 387,715 1,429,294 143,640 1,572,934

2009 824,262 219,019 404,234 1,447,515 137,584 1,585,099

2010 838,037 218,593 402,188 1,458,818 137,824 1,596,642

2011 829,974 219,302 398,550 1,447,826 131,675 1,579,501

2012 843,039 219,558 403,842 1,466,439 114,177 1,580,616

2013 860,924 218,651 404,942 1,484,517 98,108 1,582,625

2014 871,456 224,370 419,167 1,514,993 87,792 1,602,785

2015 867,015 226,841 412,646 1,506,502 76,993 1,583,495

2016 862,050 224,549 409,052 1,495,651 71,111 1,566,762

2017 864,047 214,618 409,816 1,488,481 69,703 1,558,184

2007-2017

% Change 4.0% 19.7% 10.3% 7.7% -51.2% 2.2%

OCCUPANCY

Occupancy rates are helpful for putting facilities’ utilization data within the context of available

resources. A facility’s occupancy rate reflects the percentage of available beds occupied by patients

throughout the reporting year. Occupancy rates were weighted based on the number of days a facility

was open during the reporting year. Mathematically, for facilities that were open 365 days of the reporting

year,

Weighted Occupancy Rate = [(Number of Billable Patient Days) / (Number of Licensed Bed Days)] * 100%

where (Number of Licensed Bed Days) equaled the number of licensed beds in a facility (calculated as the

average number of beds over the entire 12-month period) multiplied by 365. If a facility was open fewer

than 365 days of the reporting year, the same weighted occupancy formula was used with the exception

that (Number of Licensed Bed Days) equaled the number of licensed beds multiplied by the actual number

of days the facility was open.

7

Since 2007, overall occupancy rates for private facilities in all three counties have hovered near 90

percent. Over the same time period, occupancy rates for Delaware’s public nursing homes ranged from

51.5% (2013) to 67.8% (2016). Although occupancy rates in Delaware’s public facilities increased 8.0

percent from 2007-2017, admissions to public nursing homes have steadily decreased. Rather, the

increase in public facility occupancy rates reflects a reduction in licensed public nursing home beds, as well

as the closure of one public facility (Emily P. Bissell Hospital in 2015).

In Kent County, the 2017 occupancy rate among private facilities was 86.7 percent. This figure is

heavily impacted by the comparatively lower-occupancy Delaware Veterans Home facility, which operated

at 66.4 percent occupancy in 2017. If the Delaware Veterans Home facility is removed from occupancy

analyses, the 2017 occupancy rate for the remaining five private nursing home facilities in Kent County

was 92.5 percent.

Table 3: Weighted Occupancy Rates, 2007-2017, by Facility Type and County

Year Private Facilities

Public Facilities

All

Facilities New Castle

County Kent

County Sussex County

Total Private

2007 90.2% 76.5% 89.1% 87.9% 62.5% 84.7%

2008 91.4% 88.9% 80.3% 87.7% 62.9% 84.7%

2009 89.6% 93.5% 89.7% 90.2% 60.2% 86.5%

2010 91.1% 93.3% 89.3% 90.9% 63.9% 87.7%

2011 90.3% 93.6% 88.5% 90.3% 61.0% 86.8%

2012 91.1% 89.5% 87.5% 89.8% 54.3% 85.8%

2013 89.0% 89.1% 87.8% 88.7% 51.5% 84.9%

2014 90.1% 91.5% 90.9% 90.5% 64.1% 88.5%

2015 89.8% 92.5% 89.4% 90.1% 67.7% 88.7%

2016 89.2% 90.7% 88.7% 89.3% 67.8% 88.0%

2017 89.6% 86.7% 88.8% 89.0% 67.5% 87.7%

2007-2017 % Change

-0.7% 13.3% -0.3% 1.3% 8.0% 3.5%

ADMISSIONS

The annual number of admissions to private Delaware nursing homes has substantially increased

since 2007; however, increases in the number of admitted patients have been most dramatic in Kent and

Sussex Counties. From 2007-2017, the annual number of admissions to private nursing homes in Kent and

Sussex Counties increased 78.3 percent and 59.6 percent, respectively. Over the same time period, the

annual number of admissions to private nursing homes in New Castle County increased 17.1 percent.

8

From 2014 to 2016, admissions to private Delaware nursing homes fell slightly statewide. However, 2017

admissions showed an increase over the previous year’s admissions in all three counties.

Annual admissions to public nursing homes in Delaware have been more erratic. Since 2007, the

peak number of public nursing home admissions occurred in 2008 when 126 patients were admitted to

Delaware’s public nursing homes. Compared to 2007, 68.1 percent fewer patients were admitted to

Delaware public nursing homes in 2016.

Table 4: Total Number of Nursing Home Admissions, 2007-2017, by Facility Type and County

Year

Private Facilities

Public Facilities

All Facilities

New Castle County

Kent County

Sussex County

Total Private

2007 5,709 954 2,279 8,942 113 9,055

2008 5,835 1,066 3,242 10,143 126 10,269

2009 5,928 1,164 3,088 10,180 90 10,270

2010 6,406 1,353 3,247 11,006 119 11,125

2011 6,654 1,493 3,563 11,710 65 11,775

2012 6,566 1,696 3,477 11,739 31 11,770

2013 6,962 1,697 3,513 12,172 39 12,211

2014 6,816 1,726 3,983 12,525 50 12,575

2015 6,544 1,612 3,672 11,828 64 11,892

2016 6,238 1,666 3,576 11,480 33 11,513

2017 6,685 1,701 3,637 12,023 36 12,059

2007-2017 % Change

17.1% 78.3% 59.6% 34.5% -68.1% 33.2%

As shown in Table 5, white patients accounted for 79.6 percent of all Delaware nursing home

admissions in 2017. Black patients and patients of other races accounted for 18.0 percent and 2.4 percent

of 2017 nursing home admissions, respectively. This racial breakdown of nursing home admissions is in

line with Delaware’s demographic distribution. Individuals 75-84 years and 85 years and over accounted

for 29.5 percent and 32.6 percent, respectively, of all 2017 Delaware nursing home admissions. Just over

one-fifth (22.8 percent) of 2017 nursing home admissions were individuals ages 65-74. The youngest

category of nursing home patients – those under age 65 – accounted for the remaining 15.1 percent of

2017 admissions.

9

Table 5: Percentage of Total Delaware Nursing Home Admissions, by Race and Age, 2017

Age Groups

Under

65 65-74 75-84 85+

Total Admissions (by Race)

White Admissions (N=9,597)

12.8% 20.4% 31.1% 35.7% 79.6%

Black Admissions (N=2,168) 25.1% 31.8% 22.9% 20.2% 18.0%

Other Admissions (N=294) 14.6% 36.4% 25.2% 23.8% 2.4%

Total Admissions (by Age) (N=12,059)

15.1% 22.8% 29.5% 32.6% 100.0%

Although black patients and patients of other races comprised just one-fifth (20.4 percent) of all

2017 nursing home admissions combined, they represent an overall younger population compared to their

white counterparts. As shown in Figure 2, in 2017, just 12.8 percent of all white nursing home admissions

were individuals under the age of 65. Relative to this, individuals under the age of 65 accounted for 25.1

percent of black admissions. Among black patients admitted to Delaware nursing homes in 2017, 56.9

percent were individuals age 74 and under; in comparison, 33.2 percent of all white admissions

represented individuals under the age of 74. In summary, while white patients accounted for substantially

more nursing home admissions overall, black patients and patients of other races tended to be younger

when they admitted to Delaware nursing homes.

Figure 2: Racial Breakdown of Delaware Nursing Home Admissions, 2017, by Age

10

DISCHARGES

In 2017, Delaware nursing homes discharged a total of 11,479 patients. Since 2007, the annual

number of discharges from private Delaware nursing homes has increased across all three counties. From

2007-2017, Kent and Sussex Counties experienced the greatest increase in the number of annual private

nursing home discharges (134.6 percent and 55.1 percent, respectively). Private nursing home discharges

increased 8.3 percent in New Castle County over the same time period.

Since 2007, Delaware’s public nursing homes experienced a 65.2 percent decline in the number of

annual discharges; however, this decline in the number of discharges mirrors a similar decline in the

number of annual admissions among Delaware’s public nursing homes.

From 2014 to 2016, discharges from Delaware nursing homes fell in New Castle and Sussex

Counties. However, 2017 admissions showed an increase over the previous year’s discharges in New Castle

and Kent Counties. The DHCC will continue to monitor annual nursing home discharge data to determine

any newly-emerging trends.

Table 6: Total Number of Nursing Home Discharges, 2007-2017, by Facility Type and County

Year

Private Facilities

Public Facilities

All Facilities

New Castle County

Kent County

Sussex County

Total Private

2007 5,690 764 2,241 8,695 138 8,833

2008 5,706 934 3,152 9,792 127 9,919

2009 5,659 1,114 3,129 9,902 104 10,006

2010 6,214 1,404 3,313 10,931 117 11,048

2011 6,356 1,447 3,551 11,354 103 11,457

2012 6,339 1,558 3,454 11,330 87 11,417

2013 6,674 1,587 3,479 11,740 74 11,814

2014 6,615 1,579 3,861 12,055 75 12,130

2015 6,239 1,576 3,614 11,429 97 11,526

2016 5,790 1,644 3,506 10,940 37 10,977

2017 6,163 1,792 3,476 11,431 48 11,479

2007-2017 % Change

8.3% 134.6% 55.1% 31.5% -65.2% 30.0%

As in previous years, in 2017, discharge destination varied greatly by facility type (Table 7).

Patients discharged from private facilities were far more likely to return home compared to patients

discharged from public facilities (60.1 percent vs. 10.4 percent, respectively). Over half of all patients

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discharged from public nursing home facilities represented discharges due to death; among discharges

from private nursing homes, 10.7 percent represented discharges due to death.

Table 7: Percentage of 2017 Nursing Home Discharges, by Discharge Destination

Discharge Destination

Facility Type Home Hospital Assisted

Living Private

LTCF

State Owned

LTCF Death Other

Private (N=11,431) 60.1% 21.3% 4.0% 2.2% 0.3% 10.7% 1.3%

Public (N=48) 10.4% 25.0% 0.0% 10.4% 0.0% 54.2% 0.0%

All facilities (N=11,479) 59.9% 21.4% 3.9% 2.3% 0.3% 10.9% 1.3%

As shown in Table 8, 2017 discharge statistics mirror admission statistics in terms of patient race

and age. White patients accounted for 79.2 percent of all Delaware nursing home discharges in 2017.

Black patients and patients of other races accounted for 18.5 percent and 2.2 percent of 2017 nursing

home discharges, respectively. Individuals 75-84 years and 85 years and over accounted for 29.3 percent

and 32.0 percent, respectively, of all Delaware nursing home discharges. Just under one-quarter (23.8

percent) of 2017 nursing home discharges were individuals ages 65-74. The youngest category of nursing

home patients – those under age 65 – accounted for the remaining 14.9 percent of 2017 discharges.

Table 8: Percentage of Total Delaware Nursing Home Discharges, by Race and Age, 2017

Age Groups

Under 65

65-74

75-84

85+

Total Discharges (by Race)

White Discharges (N=9,097) 12.7% 21.8% 30.1% 35.4% 79.2%

Black Discharges (N=2,124) 24.2% 31.9% 26.0% 17.8% 18.5%

Other Discharges (N=258) 17.4% 28.3% 26.7% 27.5% 2.2%

Total Discharges (by Age) (N=11,479)

14.9% 23.8% 29.3% 32.0% 100.0%

The age breakdown among white, black, and other race patients discharged from Delaware

nursing homes in 2017 is similar to that among nursing home admissions. Black patients and patients of

other races discharged from Delaware nursing homes represent and overall younger population. In

summary, while white patients accounted for substantially more nursing home discharges overall, black

12

patients and patients of other races discharged from Delaware nursing homes represent a younger

population in general.

Figure 3: Racial Breakdown of Delaware Nursing Home Discharges, 2017, by Age

SOURCE OF PAYMENT

Patient payment for nursing home care varies by type of facility. In 2017, the overwhelming

majority (84.5 percent) of patients in public Delaware nursing homes used Medicaid as a source of

payment; among patients at private Delaware nursing homes, just over 60 percent utilized Medicaid funds.

Approximately one-fifth of Delaware nursing home patients use Medicare as a source of payment; this

percentage has remained fairly stable since 2007. Twelve percent of public nursing home patients and 16.9

percent of private nursing home patients self-paid for their care. A different payment source was utilized

by 2.7 of public nursing home patients and 5.7 percent of private nursing home patients.

13

Table 9: Percentage of Delaware Nursing Home Patients by Payment Source, 2007-2017

Source of Payment

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Medicaid

Public 77.5% 76.3% 74.2% 80.7% 84.0% 81.2% 81.9% 83.4% 88.0% 87.2% 84.5%

Private 52.5% 51.0% 53.0% 53.3% 53.0% 55.3% 56.4% 57.0% 59.2% 59.7% 60.1%

DE Total 54.8% 53.7% 54.9% 55.7% 56.0% 57.1% 58.0% 58.4% 60.6% 61.0% 61.2%

Medicare

Public 0.5% 0.4% 3.8% 0.5% 0.0% 0.3% 0.5% 0.5% 0.4% 1.1% 0.4%

Private 15.7% 17.0% 17.0% 18.1% 19.0% 18.8% 19.0% 19.0% 18.2% 17.6% 17.3%

DE Total 14.2% 15.4% 16.0% 16.6% 17.0% 17.4% 17.8% 18.0% 17.3% 16.9% 16.5%

Self-Pay

Public 17.7% 19.6% 17.3% 16.3% 13.0% 13.1% 11.7% 10.9% 8.5% 3.6% 12.4%

Private 27.1% 26.2% 23.7% 22.5% 22.0% 21.0% 20.0% 19.0% 18.6% 17.8% 16.9%

DE Total 26.2% 25.6% 23.1% 21.9% 21.0% 20.4% 19.5% 18.6% 18.1% 17.4% 16.7%

Other

Public 4.2% 3.7% 4.7% 2.4% 3.0% 5.4% 5.9% 5.2% 3.1% 3.6% 2.7%

Private 4.8% 5.4% 6.1% 6.1% 6.0% 5.0% 4.6% 5.0% 4.1% 4.9% 5.7%

DE Total 4.7% 5.3% 6.0% 5.8% 6.0% 5.0% 4.6% 5.0% 4.0% 4.8% 5.5%

14

III. TABLES

Table 10 Total Billable Patient Days by Facility, 2016 vs. 2017

Nursing Home 2016

Patient Days

2017 Patient

Days

% Change 2016-2017

NCC (Private)

Brackenville Ctr 35,864 36,528 1.9%

Brandywine Nursing & Rehab 60,635 60,342 -0.5%

Broadmeadow Healthcare 43,035 39,319 -8.6%

Cadia Rehab Pike Creek 43,580 42,177 -3.2%

Cadia Rehab Silverside 41,091 41,193 0.2%

Churchman Village 31,289 33,279 6.4%

Cokesbury Village 14,813 15,895 7.3%

Forwood Manor 17,822 17,329 -2.8%

Foulk Manor North 15,311 14,986 -2.1%

Foulk Manor South 14,510 14,220 -2.0%

Gilpin Hall 33,188 33,714 1.6%

Hillside Center 35,086 35,414 0.9%

Jeanne Jugan Residence 14,427 14,263 -1.1%

Kentmere Nursing 34,766 35,984 3.5%

ManorCare Pike Creek 57,356 58,656 2.3%

ManorCare Wilmington 42,857 44,632 4.1%

Millcroft 33,447 31,246 -6.6%

Newark Manor 22,863 23,208 1.5%

New Castle H & R 40,418 40,709 0.7%

Parkview Nursing & Rehab 51,262 51,290 0.1%

Regal Heights Healthcare 60,244 61,251 1.7%

Regency Healthcare & Rehab 32,447 33,894 4.5%

Shipley Manor 17,125 16,968 -0.9%

Stonegates 13,988 13,913 -0.5%

The Kutz Home 32,080 31,581 -1.6%

Weston Senior Living 6,839 5,859 -14.3%

WillowBrooke Court 15,707 16,197 3.1%

NCC (Private) Total 862,050 864,047

0.2%

15

Table 10

(Continued) Total Billable Patient Days by Facility, 2016 vs. 2017

Nursing Home

2016 Patient

Days

2017 Patient

Days

% Change 2016-2017

Kent County (Private)

Cadia Rehab Capitol 42,170 41,423 -1.8%

Courtland Manor 21,806 22,217 1.9%

Delaware Veterans Home** 46,131 36,402 -21.1%

Pinnacle Rehab 52,076 51,876 -0.4%

Silver Lake Center 41,206 40,915 -0.7%

Westminster Village 21,160 21,785 3.0%

Kent County (Private) Total 224,549 214,618

-4.4%

Sussex County (Private)

Atlantic Shores 59,792 61,861 3.5%

Cadbury at Lewes 13,299 13,381 0.6%

Country Rest Home 18,508 19,731 6.6%

Delmar Nursing & Rehab 29,510 30,900 4.7%

Harbor Healthcare 56,658 54,528 -3.8%

Harrison Senior Living 44,832 47,509 6.0%

Lifecare at Lofland Park 37,711 38,301 1.6%

Methodist Manor House 19,465 20,004 2.8%

Milford Center 46,579 44,699 -4.0%

Renaissance Healthcare 42,785 40,563 -5.2%

Seaford Center 39,913 38,339 -3.9%

Sussex County (Private) Total 409,052 409,816

0.2%

Total Private Facilities 1,495,651 1,488,481

-0.5%

Public Facilities

DE Hosp for Chronically Ill 48,327 47,283 -2.2%

Governor Bacon Health Center 22,784 22,420 -1.6%

Public Total 71,111 69,703

-2.0%

Total All Facilities 1,566,762 1,558,184

-0.5% **The Delaware Veterans Home (DVH) is a private long-term care facility in Kent County. Please note that for the

purposes of nursing home bed need projections only, the DVH is entered into calculations as a public facility.

16

Table 11 Weighted Occupancy Rates by Facility, Type, and County, 2016 v. 2017

Nursing Home

Billable Patient

Days 2017

Number of

Licensed Beds 2017

Total Days

Facility Open 2017

Licensed Bed Days

2017

Weighted Occupancy

Rate 2017

Weighted Occupancy

Rate 2016

% Change 2016-2017 Weighted Occupancy

Rate NCC (Private)

Brackenville Ctr 36,528 104 365 37,960 96.2% 94.5% 1.8%

Brandywine Nursing & Rehab

60,342 169 365 61,685 97.8% 98.3% -0.5%

Broadmeadow Healthcare

39,319 120 365 43,800 89.8% 98.3% -8.6%

Cadia Rehab Pike Creek 42,177 130 365 47,450 88.9% 91.8% -3.2%

Cadia Rehab Silverside 41,193 128 365 46,720 88.2% 88.0% 0.2%

Churchman Village 33,279 101 365 36,865 90.3% 84.9% 6.4%

Cokesbury Village 15,895 45 365 16,425 96.8% 90.2% 7.3%

Forwood Manor 17,329 72 365 26,280 65.9% 68.1% -3.2%

Foulk Manor North 14,986 46 365 16,790 89.3% 91.2% -2.1%

Foulk Manor South 14,220 46 365 16,790 84.7% 86.4% -2.0%

Gilpin Hall 33,714 96 365 35,040 96.2% 94.7% 1.6%

Hillside Center 35,414 106 365 38,690 91.5% 90.7% 0.9%

Jeanne Jugan Residence 14,263 40 365 14,600 97.7% 98.8% -1.1%

Kentmere Nursing 35,984 104 365 37,960 94.8% 91.6% 3.5%

ManorCare Pike Creek 58,656 177 365 64,605 90.8% 88.8% 2.3%

ManorCare Wilmington 44,632 138 365 50,370 88.6% 85.1% 4.1%

Millcroft 31,246 110 365 40,150 77.8% 83.3% -6.6%

Newark Manor 23,208 67 365 24,455 94.9% 93.5% 1.5%

New Castle H & R 40,709 120 365 43,800 92.9% 92.3% 0.7%

Parkview Nursing & Rehab

51,290 150 365 54,750 93.7% 93.6% 0.1%

Regal Heights Healthcare 61,251 172 365 62,780 97.6% 96.0% 1.7%

Regency Healthcare & Rehab

33,894 100 365 36,500 92.9% 88.9% 4.5%

Shipley Manor 16,968 82 365 29,930 56.7% 57.2% -0.9%

Stonegates 13,913 49 365 17,885 77.8% 78.2% -0.5%

The Kutz Home 31,581 90 365 32,850 96.1% 97.7% -1.6%

Weston Senior Living 5,859 19 365 7,300 80.3% 74.9% 7.2%

WillowBrooke Court 16,197 60 365 21,900 74.0% 71.7% 3.2%

NCC (Private) Total 864,047 2,641 365 964,330 89.6% 89.2% 0.4%

0.1%

-0.4%

17

Table 11 (Continued)

Weighted Occupancy Rates by Facility, Type, and County, 2016 v. 2017

Nursing Home

Billable Patient

Days 2017

Number of

Licensed Beds 2017

Total Days

Facility Open 2017

Licensed Bed Days

2017

Weighted Occupancy

Rate 2017

Weighted Occupancy

Rate 2016

% Change 2016-2017 Weighted Occupancy

Rate


Cadia Rehab Capitol 41,423 120 365 43,800 94.6% 96.3% -1.8%

Courtland Manor 22,217 70 365 25,550 87.0% 85.3% 2.0%

Delaware Veterans Home** 36,402 150 365 54,750 66.5% 84.3% -21.1%

Pinnacle Rehab 51,876 151 365 55,115 94.1% 94.5% -0.4%

Silver Lake Center 40,915 120 365 43,800 93.4% 94.1% -0.7%

Westminster Village 21,785 67 365 24,455 89.1% 86.5% 3.0%

Kent County (Private) Total 214,618 678 365 247,470 86.7% 90.7% -4.4%


Atlantic Shores 61,861 181 365 66,065 93.6% 90.5% 3.4%

Cadbury at Lewes 13,381 40 365 14,600 91.7% 91.1% 0.7%

Country Rest Home 19,731 56 365 20,440 96.5% 90.5% 6.6%

Delmar Nursing & Rehab 30,900 109 365 39,785 77.7% 74.2% 4.7%

Harbor Healthcare 54,528 179 365 65,335 83.5% 86.7% -3.7%

Harrison Senior Living 47,509 139 365 50,735 93.6% 88.4% 5.9%

Lifecare at Lofland Park 38,301 110 365 40,150 95.4% 93.9% 1.6%

Methodist Manor House 20,004 60 365 21,900 91.3% 88.9% 2.7%

Milford Center 44,699 136 365 49,640 90.0% 93.8% -4.1%

Renaissance Healthcare 40,563 130 365 47,450 85.5% 90.2% -5.2%

Seaford Center 38,339 124 365 45,260 84.7% 88.2% -4.0%

Sussex County (Private) Total 409,816 1,264 365 461,360 88.8% 88.7%

Total Private Facilities 1,488,481 4,583 365 1,673,160 89.0% 89.3% -0.3%

Public Facilities

DE Hosp for Chronically Ill 47,283 205 365 74,825 63.2% 64.6% -2.2%

Governor Bacon Health Center

22,420 78 365 28,470 78.7% 75.8% 3.8%

Public Total 69,703 283 365 103,295 67.5% 67.8% -0.4%

Total All Facilities 1,558,184 4,866 365 1,776,455 87.7% 88.0% -0.3%

Notes: NCC=New Castle County. Weighted occupancy rates for individual facilities are calculated as the ratio of Billable Patient Days and Licensed Bed Days. Licensed Bed Days are calculated as (Number of Licensed beds (as of December of the reporting year))*(Total days the facility was open during the reporting year). Weighted occupancy rates at county, facility type, and state levels are calculated as the ratio of Billable Patient Days (sum of each facility in the category) and Licensed Bed Days (sum of each facility in the category).

18

Table 12 Patient Source of Payment by Facility, Type, and County, 2017

Nursing Home

Medicaid

Medicare

Self-Pay

*Other

NCC (Private Facilities)

Brackenville Ctr 67.6% 9.9% 18.8% 3.7%

Brandywine Nursing & Rehab 83.7% 8.8% 7.4% 0.1%

Broadmeadow Healthcare 52.9% 34.2% 7.9% 5.0%

Cadia Rehab Pike Creek 50.3% 35.3% 7.4% 7.0%

Cadia Rehab Silverside 55.8% 27.1% 11.2% 5.9%

Churchman Village 62.1% 22.4% 8.9% 6.7%

Cokesbury Village 0.0% 8.2% 72.5% 19.3%

Forwood Manor 33.0% 34.2% 30.3% 2.5%

Foulk Manor North 31.9% 0.0% 68.1% 0.0%

Foulk Manor South 0.0% 0.0% 100.0% 0.0%

Gilpin Hall 89.9% 3.1% 1.6% 5.4%

Hillside Center 81.0% 9.6% 1.4% 7.9%

Jeanne Jugan Residence 91.3% 0.0% 8.7% 0.0%

Kentmere Nursing 61.9% 18.7% 13.4% 6.0%

ManorCare Pike Creek 28.7% 45.6% 13.5% 12.3%

ManorCare Wilmington 61.2% 21.9% 6.8% 10.2%

Millcroft 37.2% 34.5% 24.6% 3.6%

Newark Manor 81.4% 0.0% 18.6% 0.0%

New Castle H & R 72.1% 21.3% 4.6% 2.1%

Parkview Nursing & Rehab 86.4% 5.2% 6.1% 2.2%

Regal Heights Healthcare 64.7% 4.2% 20.4% 10.7%

Regency Healthcare & Rehab 88.2% 7.0% 2.5% 2.2%

Shipley Manor 56.0% 26.0% 18.0% 0.0%

Stonegates 0.0% 3.7% 96.3% 0.0%

The Kutz Home 66.8% 6.3% 26.9% 0.0%

Weston Senior Living 56.1% 22.0% 11.2% 10.8%

WillowBrooke Court 0.0% 6.9% 87.3% 5.8%

NCC (Private) Total 59.8% 17.2% 17.8% 5.2%

19


Patient Source of Payment, by Facility, Type, and County, 2017

Nursing Home Medicaid Medicare Self-Pay *Other


Cadia Rehab Capitol 62.6% 24.1% 12.0% 1.3%

Courtland Manor 80.8% 0.0% 18.1% 1.1%

Delaware Veterans Home** 45.2% 2.6% 33.3% 19.0%

Pinnacle Rehab 71.2% 18.7% 6.5% 3.6%

Silver Lake Center 62.1% 23.5% 5.8% 8.6%

Westminster Village 47.1% 22.4% 18.6% 12.0%

Kent County (Private) Total 61.1% 16.7% 14.6% 7.6%


Atlantic Shores 61.4% 29.3% 6.2% 3.0%

Cadbury at Lewes 10.5% 34.5% 53.6% 1.4%

Country Rest Home 0.0% 0.0% 100.0% 0.0%

Delmar Nursing & Rehab 77.6% 10.9% 2.9% 8.5%

Harbor Healthcare 69.4% 11.5% 8.4% 10.7%

Harrison Senior Living 67.6% 15.5% 14.9% 2.0%

Lifecare at Lofland Park 61.2% 13.8% 8.5% 16.5%

Methodist Manor House 17.3% 10.0% 70.8% 1.9%

Milford Center 68.1% 19.7% 7.1% 5.1%

Renaissance Healthcare 63.0% 27.7% 5.9% 3.4%

Seaford Center 81.0% 14.5% 1.9% 2.6%

Sussex County (Private) Total 60.4% 17.7% 16.3% 5.6%

Total Private Facilities 60.1% 17.3% 16.9% 5.7%

Public Facilities

DE Hosp for Chronically Ill 85.4% 0.6% 12.3% 1.7%

Governor Bacon Health Center 82.6% 0.0% 12.6% 4.8%

Public Total 84.5% 0.4% 12.4% 2.7%

Total All Facilities 61.2% 16.5% 16.7% 5.5%

Notes: The “other” payment category includes charitable pay, partial pay, private insurance, Veterans benefits, out-of-state Medicaid, and, in some cases, patients for whom medical status was pending at admissions. Percentages reported in this table are based on end of month reports on the number of patients by source of payment. **The Delaware Veterans Home (DVH) is a private long-term care facility in Kent County. Please note, however, that for the purposes of nursing home bed projections only, the DVH is entered into calculations as a public facility.

20

Table 13 Number of Admissions by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F

NCC (Private)

Brackenville Ctr 17 23 12 22 21 36 21 34 71 115 186

Brandywine Nursing & Rehab 11 12 25 30 33 55 32 79 101 176 277

Broadmeadow Healthcare 58 27 63 91 72 67 74 56 267 241 508

Cadia Rehab Pike Creek 27 25 54 65 73 123 68 98 222 311 533

Cadia Rehab Silverside 25 30 51 62 49 78 40 95 165 265 430

Churchman Village 19 41 33 40 51 78 28 46 131 205 336

Cokesbury Village 0 0 0 0 11 10 14 28 25 38 63

Forwood Manor 6 0 14 2 7 10 22 117 49 129 178

Foulk Manor North 0 0 1 1 1 4 5 8 7 13 20

Foulk Manor South 1 0 1 1 5 10 12 16 19 27 46

Gilpin Hall 3 1 1 7 3 0 3 16 10 24 34

Hillside Center 86 58 48 37 17 23 11 17 162 135 297

Jeanne Jugan Residence 0 0 2 0 0 4 0 5 2 9 11

Kentmere Nursing 4 15 32 47 44 83 52 102 132 247 379

ManorCare Pike Creek 36 108 60 132 132 276 108 324 336 840 1176

ManorCare Wilmington 82 94 89 68 57 97 47 89 275 348 623

Millcroft 1 8 18 28 21 64 107 159 147 259 406

Newark Manor 0 1 1 0 4 4 3 13 8 18 26

New Castle H & R 41 27 66 65 36 45 21 9 164 146 310

Parkview Nursing & Rehab 22 19 14 14 15 18 3 18 54 69 123

Regal Heights Healthcare 15 12 50 53 35 34 14 24 114 123 237

Regency Healthcare & Rehab 15 13 18 18 18 16 6 16 57 63 120

Shipley Manor 0 0 12 0 24 12 48 24 84 36 120

Stonegates 0 0 0 0 2 15 14 35 16 50 66

The Kutz Home 0 1 5 4 6 9 8 23 19 37 56

Weston Senior Living 2 3 1 1 2 8 2 14 7 26 33

WillowBrooke Court 0 0 1 3 4 18 20 45 25 66 91

NCC (Private) Total 471 518 672 791 743 1,197 783 1,510 2,669 4,016 6,685

21


Number of Admissions by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F


Cadia Rehab Capitol 18 25 33 33 46 75 34 66 131 199 330

Courtland Manor 0 0 1 2 4 6 0 14 5 22 27

Delaware Veterans Home** 1 0 4 0 2 0 15 3 22 3 25

Pinnacle Rehab 60 60 132 36 0 108 60 0 252 204 456

Silver Lake Center 36 76 36 84 54 85 38 73 164 318 482

Westminster Village 18 8 38 43 44 86 31 113 131 250 381

Kent County (Private) Total 133 169 244 198 150 360 178 269 705 996 1,701


Atlantic Shores 64 60 21 121 67 101 58 94 210 376 586

Cadbury at Lewes 0 0 18 23 31 40 58 88 107 151 258

Country Rest Home 2 6 9 10 11 8 22 35 44 59 103

Delmar Nursing & Rehab 6 11 19 23 22 25 18 28 65 87 152

Harbor Healthcare 18 20 42 40 66 46 46 73 172 179 351

Harrison Senior Living 14 9 36 35 51 74 38 89 139 207 346

Lifecare at Lofland Park 28 21 37 57 42 38 32 45 139 161 300

Methodist Manor House 1 4 5 3 16 18 19 63 41 88 129

Milford Center 46 60 44 75 66 66 40 74 196 275 471

Renaissance Healthcare 17 21 74 69 106 110 80 112 277 312 589

Seaford Center 60 51 45 38 40 47 25 46 170 182 352

Sussex County (Private) Total 256 263 350 494 518 573 436 747 1,560 2,077 3,637

Total Private Facilities 860 950 1,266 1,483 1,411 2,130 1,397 2,526 4,934 7,089 12,023

Public Facilities

DE Hosp for Chronically Ill 2 2 2 1 6 4 0 3 10 10 20

Governor Bacon Health Center 2 3 0 2 2 3 1 3 5 11 16

Public Total 4 5 2 3 8 7 1 6 15 21 36

Total All Facilities 864 955 1,268 1,486 1,419 2,137 1,398 2,532 4,949 7,110 12,059

Notes: NCC=New Castle County. **The Delaware Veterans Home (DVH) is a private long-term care facility in Kent County. Please note, however, that for the purposes of nursing home bed projections only, the DVH is entered into calculations as a public facility.

22

Table 13.1 Percentage of Admissions by Age, County and Facility, 2017

Nursing Home Under 65 65-74 75-84 85+

NCC (Private)








Forwood Manor 3.4% 9.0% 9.6% 78.1%



Gilpin Hall 11.8% 23.5% 8.8% 55.9%

Hillside Center 48.5% 28.6% 13.5% 9.4%





Millcroft 2.2% 11.3% 20.9% 65.5%

Newark Manor 3.8% 3.8% 30.8% 61.5%

New Castle H & R 21.9% 42.3% 26.1% 9.7%




Shipley Manor 0.0% 10.0% 30.0% 60.0%

Stonegates 0.0% 0.0% 25.8% 74.2%

The Kutz Home 1.8% 16.1% 26.8% 55.4%




23

Table 13.1 (Continued)

Percentage of Admissions by Age, County and Facility, 2017




Courtland Manor 0.0% 11.1% 37.0% 51.9%


Pinnacle Rehab 26.3% 36.8% 23.7% 13.2%





Atlantic Shores 21.2% 24.2% 28.7% 25.9%

Cadbury at Lewes 0.0% 15.9% 27.5% 56.6%







Milford Center 22.5% 25.3% 28.0% 24.2%


Seaford Center 31.5% 23.6% 24.7% 20.2%



Public Facilities



Public Total 25.0% 13.9% 41.7% 19.4%


Note: NCC=New Castle County. **The Delaware Veterans Home (DVH) is a private long-term care facility in Kent County. Please note, however, that for the purposes of nursing home bed projections only, the DVH is entered into calculations as a public facility.

24

Table 13.2 Percentage of Admissions by Gender, County and Facility, 2017

Nursing Home Male Female Nursing Home Male Female

NCC (Private) Kent County (Private)

Brackenville Ctr 38.2% 61.8% Cadia Rehab Capitol 39.7% 60.3%

Brandywine Nursing & Rehab 36.5% 63.5% Courtland Manor 18.5% 81.5%

Broadmeadow Healthcare 52.6% 47.4% Delaware Veterans Home** 88.0% 12.0%

Cadia Rehab Pike Creek 41.7% 58.3% Pinnacle Rehab 55.3% 44.7%

Cadia Rehab Silverside 38.4% 61.6% Silver Lake Center 34.0% 66.0%

Churchman Village 39.0% 61.0% Westminster Village 34.4% 65.6%

Cokesbury Village 39.7% 60.3% Kent County (Private) Total 41.4% 58.6%

Forwood Manor 27.5% 72.5%

Foulk Manor North 35.0% 65.0% Sussex County (Private)

Foulk Manor South 41.3% 58.7% Atlantic Shores 35.8% 64.2%

Gilpin Hall 29.4% 70.6% Cadbury at Lewes 41.5% 58.5%

Hillside Center 54.5% 45.5% Country Rest Home 42.7% 57.3%

Jeanne Jugan Residence 18.2% 81.8% Delmar Nursing & Rehab 42.8% 57.2%

Kentmere Nursing 34.8% 65.2% Harbor Healthcare 49.0% 51.0%

ManorCare Pike Creek 28.6% 71.4% Harrison Senior Living 40.2% 59.8%

ManorCare Wilmington 44.1% 55.9% Lifecare at Lofland Park 46.3% 53.7%

Millcroft 36.2% 63.8% Methodist Manor House 31.8% 68.2%

Newark Manor 30.8% 69.2% Milford Center 41.6% 58.4%

New Castle H & R 52.9% 47.1% Renaissance Healthcare 47.0% 53.0%

Parkview Nursing & Rehab 43.9% 56.1% Seaford Center 48.3% 51.7%

Regal Heights Healthcare 48.1% 51.9% Sussex County (Private) Total 42.9% 57.1%

Regency Healthcare & Rehab 47.5% 52.5%

Shipley Manor 70.0% 30.0% Total Private Facilities 41.0% 59.0%

Stonegates 24.2% 75.8%

The Kutz Home 33.9% 66.1% Public Facilities

Weston Senior Living 21.2% 78.8% DE Hosp for Chronically Ill 50.0% 50.0%

WillowBrooke Court 27.5% 72.5% Governor Bacon Health Center 31.3% 68.8%

NCC (Private) Total 39.9% 60.1% Public Total 41.7% 58.3%

Total All Facilities 41.0% 59.0%

**The Delaware Veterans Home (DVH) is a private long-term care facility in Kent County. Please note, however, that for the purposes of nursing home bed projections only, the DVH is entered into calculations as a public facility.

25

Table 13.3 Number of White Admissions by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F

NCC (Private)



8 6 23 23 26 40 31 59 88 128 216






Forwood Manor 6 0 12 2 4 10 22 100 44 112 156



Gilpin Hall 3 0 1 6 3 0 2 10 9 16 25

Hillside Center 44 10 23 14 14 9 0 7 81 40 121





Millcroft 1 5 16 20 18 61 88 141 123 227 350

Newark Manor 0 1 1 0 4 4 3 13 8 18 26

New Castle H & R 31 16 36 29 19 35 14 5 100 85 185




12 6 7 6 2 5 3 9 24 26 50

Shipley Manor 0 0 12 0 24 12 48 12 84 24 108

Stonegates 0 0 0 0 2 15 14 35 16 50 66

The Kutz Home 0 1 5 3 5 7 8 22 18 33 51



NCC (Private) Total 311 321 450 517 615 963 659 1,304 2,035 3,105 5,140

26


Number of White Admissions by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F



Courtland Manor 0 0 0 2 2 3 0 10 2 15 17


Pinnacle Rehab 36 48 48 24 0 84 48 0 132 156 288





Atlantic Shores 54 48 21 109 65 89 58 72 198 318 516

Cadbury at Lewes 0 0 18 23 31 40 57 83 106 146 252







Milford Center 35 46 31 56 58 53 37 66 161 221 382


Seaford Center 34 36 34 32 35 32 22 35 125 135 260


Total Private Facilities 594 635 868 1,085 1,209 1,767 1,210 2,208 3,881 5,695 9,576

Public Facilities



Public Total 3 0 2 3 5 4 1 3 11 10 21

Total All Facilities 597 635 870 1,088 1,214 1,771 1,211 2,211 3,892 5,705 9,597


27

Table 13.4

Number of Black Admissions by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F

NCC (Private)



3 6 1 6 6 12 1 16 11 40 51






Forwood Manor 0 0 2 0 3 0 0 17 5 17 22



Gilpin Hall 0 1 0 0 0 0 1 6 1 7 8

Hillside Center 37 48 24 23 3 12 11 9 75 92 167





Millcroft 0 3 1 8 1 2 19 18 21 31 52

Newark Manor 0 0 0 0 0 0 0 0 0 0 0

New Castle H & R 9 11 22 33 17 2 7 4 55 50 105




3 7 11 12 15 10 3 7 32 36 68

Shipley Manor 0 0 0 0 0 0 0 12 0 12 12

Stonegates 0 0 0 0 0 0 0 0 0 0 0

The Kutz Home 0 0 0 1 1 2 0 1 1 4 5



NCC (Private) Total 132 191 173 235 116 192 104 185 525 803 1,328

28

Table 13.4

(Continued)

Number of Black Admissions by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F



Courtland Manor 0 0 0 0 2 3 0 2 2 5 7


Pinnacle Rehab 24 12 72 12 0 24 0 0 96 48 144



Kent County (Private) Total 41 58 115 59 27 69 21 40 204 226 430


Atlantic Shores 10 12 0 12 2 12 0 22 12 58 70

Cadbury at Lewes 0 0 0 0 0 0 0 2 0 2 2







Milford Center 10 13 12 19 8 11 3 7 33 50 83


Seaford Center 26 15 11 4 5 15 3 11 45 45 90

Sussex County (Private) Total 61 55 46 61 38 52 25 60 170 228 398

Total Private Facilities 234 304 334 355 181 313 150 285 899 1,257 2,156

Public Facilities



Public Total 1 5 0 0 2 1 0 3 3 9 12

Total All Facilities 235 309 334 355 183 314 150 288 902 1,266 2,168


29

Table 14 Number of Admissions by Source of Referral, 2017

Nursing Home Home Hospital Assisted

Living Private

LTCF

State Owned

LTCF Other Total

NCC (Private)

Brackenville Ctr 2 159 7 18 0 0 186

Brandywine Nursing & Rehab 41 186 50 0 0 0 277

Broadmeadow Healthcare 4 470 0 33 1 0 508

Cadia Rehab Pike Creek 10 518 2 3 0 0 533

Cadia Rehab Silverside 10 417 0 1 2 0 430

Churchman Village 167 154 2 3 5 5 336

Cokesbury Village 12 42 6 3 0 0 63

Forwood Manor 16 157 5 0 0 0 178

Foulk Manor North 1 2 10 4 0 3 20

Foulk Manor South 12 16 6 12 0 0 46

Gilpin Hall 12 12 3 7 0 0 34

Hillside Center 25 265 0 1 0 6 297

Jeanne Jugan Residence 9 0 0 2 0 0 11

Kentmere Nursing 1 376 0 0 0 2 379

ManorCare Pike Creek 36 1140 0 0 0 0 1176

ManorCare Wilmington 536 3 75 7 0 2 623

Millcroft 9 390 3 4 0 0 406

Newark Manor 14 3 2 4 0 3 26

New Castle H & R 19 291 0 0 0 0 310

Parkview Nursing & Rehab 18 87 0 14 0 4 123

Regal Heights Healthcare 37 177 1 22 0 0 237

Regency Healthcare & Rehab 37 76 0 4 0 3 120

Shipley Manor 12 108 0 0 0 0 120

Stonegates 47 19 0 0 0 0 66

The Kutz Home 7 26 5 17 0 1 56

Weston Senior Living 2 28 0 0 0 3 33

WillowBrooke Court 2 64 0 3 0 22 91

NCC (Private) Total 1,098 5,186 177 162 8 54 6,685

30


Number of Admissions by Source of Referral, 2017



Living Private

LTCF

State Owned

LTCF

Other Total


Cadia Rehab Capitol 16 302 2 10 0 0 330

Courtland Manor 16 3 0 7 1 0 27

Delaware Veterans Home** 11 0 1 13 0 0 25

Pinnacle Rehab 48 408 0 0 0 0 456

Silver Lake Center 3 476 0 3 0 0 482

Westminster Village 10 360 0 9 2 0 381

Kent County (Private) Total 104 1,549 3 42 3 0 1,701


Atlantic Shores 105 470 0 11 0 0 586

Cadbury at Lewes 16 234 8 0 0 0 258

Country Rest Home 54 17 3 5 18 6 103

Delmar Nursing & Rehab 61 89 0 1 0 1 152

Harbor Healthcare 37 287 0 19 0 8 351

Harrison Senior Living 38 271 4 11 0 22 346

Lifecare at Lofland Park 8 285 1 6 0 0 300

Methodist Manor House 10 92 11 6 9 1 129

Milford Center 26 430 5 10 0 0 471

Renaissance Healthcare 18 511 49 10 0 1 589

Seaford Center 25 323 0 0 4 0 352

Sussex County (Private) Total 398 3,009 81 79 31 39 3,637

Total Private Facilities 1,600 9,744 261 283 42 93 12,023

Public Facilities

DE Hosp for Chronically Ill 6 11 0 3 0 0 20

Governor Bacon Health Center 7 6 1 0 0 2 16

Public Total 13 17 1 3 0 2 36

Total All Facilities 1,613 9,761 262 286 42 95 12,059

31

Table 14.1 Percentage of Admissions by Source of Referral, County and Facility, 2017


Living Private

LTCF

State Owned

LTCF Other

NCC (Private)

Brackenville Ctr 1.1% 85.5% 3.8% 9.7% 0.0% 0.0%

Brandywine Nursing & Rehab 14.8% 67.1% 18.1% 0.0% 0.0% 0.0%

Broadmeadow Healthcare 0.8% 92.5% 0.0% 6.5% 0.2% 0.0%

Cadia Rehab Pike Creek 1.9% 97.2% 0.4% 0.6% 0.0% 0.0%

Cadia Rehab Silverside 2.3% 97.0% 0.0% 0.2% 0.5% 0.0%

Churchman Village 49.7% 45.8% 0.6% 0.9% 1.5% 1.5%

Cokesbury Village 19.0% 66.7% 9.5% 4.8% 0.0% 0.0%

Forwood Manor 9.0% 88.2% 2.8% 0.0% 0.0% 0.0%

Foulk Manor North 5.0% 10.0% 50.0% 20.0% 0.0% 15.0%

Foulk Manor South 26.1% 34.8% 13.0% 26.1% 0.0% 0.0%

Gilpin Hall 35.3% 35.3% 8.8% 20.6% 0.0% 0.0%

Hillside Center 8.4% 89.2% 0.0% 0.3% 0.0% 2.0%

Jeanne Jugan Residence 81.8% 0.0% 0.0% 18.2% 0.0% 0.0%

Kentmere Nursing 0.3% 99.2% 0.0% 0.0% 0.0% 0.5%

ManorCare Pike Creek 3.1% 96.9% 0.0% 0.0% 0.0% 0.0%

ManorCare Wilmington 86.0% 0.5% 12.0% 1.1% 0.0% 0.3%

Millcroft 2.2% 96.1% 0.7% 1.0% 0.0% 0.0%

Newark Manor 53.8% 11.5% 7.7% 15.4% 0.0% 11.5%

New Castle H & R 6.1% 93.9% 0.0% 0.0% 0.0% 0.0%

Parkview Nursing & Rehab 14.6% 70.7% 0.0% 11.4% 0.0% 3.3%

Regal Heights Healthcare 15.6% 74.7% 0.4% 9.3% 0.0% 0.0%

Regency Healthcare & Rehab 30.8% 63.3% 0.0% 3.3% 0.0% 2.5%

Shipley Manor 10.0% 90.0% 0.0% 0.0% 0.0% 0.0%

Stonegates 71.2% 28.8% 0.0% 0.0% 0.0% 0.0%

The Kutz Home 12.5% 46.4% 8.9% 30.4% 0.0% 1.8%

Weston Senior Living 6.1% 84.8% 0.0% 0.0% 0.0% 9.1%

WillowBrooke Court 2.2% 70.3% 0.0% 3.3% 0.0% 24.2%

NCC (Private) Total 16.4% 77.6% 2.6% 2.4% 0.1% 0.8%

32


Percentage of Admissions by Source of Referral, County and Facility, 2017



Living Private

LTCF

State Owned

LTCF

Other


Cadia Rehab Capitol 4.8% 91.5% 0.6% 3.0% 0.0% 0.0%

Courtland Manor 59.3% 11.1% 0.0% 25.9% 3.7% 0.0%

Delaware Veterans Home** 44.0% 0.0% 4.0% 52.0% 0.0% 0.0%

Pinnacle Rehab 10.5% 89.5% 0.0% 0.0% 0.0% 0.0%

Silver Lake Center 0.6% 98.8% 0.0% 0.6% 0.0% 0.0%

Westminster Village 2.6% 94.5% 0.0% 2.4% 0.5% 0.0%

Kent County (Private) Total 6.1% 91.1% 0.2% 2.5% 0.2% 0.0%


Atlantic Shores 17.9% 80.2% 0.0% 1.9% 0.0% 0.0%

Cadbury at Lewes 6.2% 90.7% 3.1% 0.0% 0.0% 0.0%

Country Rest Home 52.4% 16.5% 2.9% 4.9% 17.5% 5.8%

Delmar Nursing & Rehab 40.1% 58.6% 0.0% 0.7% 0.0% 0.7%

Harbor Healthcare 10.5% 81.8% 0.0% 5.4% 0.0% 2.3%

Harrison Senior Living 11.0% 78.3% 1.2% 3.2% 0.0% 6.4%

Lifecare at Lofland Park 2.7% 95.0% 0.3% 2.0% 0.0% 0.0%

Methodist Manor House 7.8% 71.3% 8.5% 4.7% 7.0% 0.8%

Milford Center 5.5% 91.3% 1.1% 2.1% 0.0% 0.0%

Renaissance Healthcare 3.1% 86.8% 8.3% 1.7% 0.0% 0.2%

Seaford Center 7.1% 91.8% 0.0% 0.0% 1.1% 0.0%

Sussex County (Private) Total 10.9% 82.7% 2.2% 2.2% 0.9% 1.1%

Total Private Facilities 13.3% 81.0% 2.2% 2.4% 0.3% 0.8%

Public Facilities

DE Hosp for Chronically Ill 30.0% 55.0% 0.0% 15.0% 0.0% 0.0%

Governor Bacon Health Center 43.8% 37.5% 6.3% 0.0% 0.0% 12.5%

Public Total 36.1% 47.2% 2.8% 8.3% 0.0% 5.6%

Total All Facilities 13.4% 80.9% 2.2% 2.4% 0.3% 0.8%

33

Table 15 Number of Admissions by County and State of Residence, 2017

Nursing Home NCC Kent Sussex MD NJ PA Other Total

NCC (Private)

Brackenville Ctr 158 3 0 2 1 21 1 186

Brandywine Nursing & Rehab 263 5 2 1 1 5 0 277

Broadmeadow Healthcare 358 51 30 65 0 3 1 508

Cadia Rehab Pike Creek 520 4 1 4 1 3 0 533

Cadia Rehab Silverside 394 0 3 1 2 29 1 430

Churchman Village 332 0 0 2 0 1 1 336

Cokesbury Village 63 0 0 0 0 0 0 63

Forwood Manor 177 0 0 0 0 1 0 178

Foulk Manor North 20 0 0 0 0 0 0 20

Foulk Manor South 46 0 0 0 0 0 0 46

Gilpin Hall 33 0 0 0 1 0 0 34

Hillside Center 271 1 1 2 1 21 0 297

Jeanne Jugan Residence 8 1 0 0 1 1 0 11

Kentmere Nursing 376 0 0 0 0 3 0 379

ManorCare Pike Creek 1044 0 36 0 12 60 24 1176

ManorCare Wilmington 601 7 0 1 1 12 1 623

Millcroft 392 0 4 8 0 2 0 406

Newark Manor 24 1 0 0 0 1 0 26

New Castle H & R 285 21 1 1 1 0 1 310

Parkview Nursing & Rehab 109 2 0 0 1 9 2 123

Regal Heights Healthcare 223 0 2 0 0 4 8 237

Regency Healthcare & Rehab 116 2 1 0 0 1 0 120

Shipley Manor 120 0 0 0 0 0 0 120

Stonegates 65 0 0 0 0 1 0 66

The Kutz Home 50 0 0 0 1 5 0 56

Weston Senior Living 32 1 0 0 0 0 0 33

WillowBrooke Court 87 0 0 0 0 1 3 91

NCC (Private) Total 6,167 99 81 87 24 184 43 6,685

34


Number of Admissions by County and State of Residence, 2017

Nursing Home NCC Kent Sussex MD NJ PA Other Total


Cadia Rehab Capitol 0 330 0 0 0 0 0 330

Courtland Manor 1 24 2 0 0 0 0 27

Delaware Veterans Home** 1 4 18 1 0 1 0 25

Pinnacle Rehab 60 372 24 0 0 0 0 456

Silver Lake Center 4 465 9 4 0 0 0 482

Westminster Village 0 365 8 8 0 0 0 381

Kent County (Private) Total 66 1,560 61 13 0 1 0 1,701


Atlantic Shores 30 70 416 69 0 1 0 586

Cadbury at Lewes 1 0 250 2 0 0 5 258

Country Rest Home 1 36 61 3 0 1 1 103

Delmar Nursing & Rehab 1 5 100 46 0 0 0 152

Harbor Healthcare 23 24 282 9 0 12 1 351

Harrison Senior Living 0 15 319 7 3 0 2 346

Lifecare at Lofland Park 0 0 283 15 0 0 2 300

Methodist Manor House 8 0 119 1 0 0 1 129

Milford Center 7 61 402 0 0 0 1 471

Renaissance Healthcare 1 1 586 1 0 0 0 589

Seaford Center 3 30 294 24 0 1 0 352

Sussex County (Private) Total 75 242 3,112 177 3 15 13 3,637

Total Private Facilities 6,308 1,901 3,254 277 27 200 56 12,023

Public Facilities

DE Hosp for Chronically Ill 4 4 12 0 0 0 0 20

Governor Bacon Health Center 10 4 2 0 0 0 0 16

Public Total 14 8 14 0 0 0 0 36

Total All Facilities 6,322 1,909 3,268 277 27 200 56 12,059


35

Table 15.1 Percentage of Admissions by County and State of Residence, 2017

Nursing Home NCC Kent Sussex MD NJ PA Other

NCC (Private)

Brackenville Ctr 84.9% 1.6% 0.0% 1.1% 0.5% 11.3% 0.5%

Brandywine Nursing & Rehab 94.9% 1.8% 0.7% 0.4% 0.4% 1.8% 0.0%

Broadmeadow Healthcare 70.5% 10.0% 5.9% 12.8% 0.0% 0.6% 0.2%

Cadia Rehab Pike Creek 97.6% 0.8% 0.2% 0.8% 0.2% 0.6% 0.0%

Cadia Rehab Silverside 91.6% 0.0% 0.7% 0.2% 0.5% 6.7% 0.2%

Churchman Village 98.8% 0.0% 0.0% 0.6% 0.0% 0.3% 0.3%

Cokesbury Village 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Forwood Manor 99.4% 0.0% 0.0% 0.0% 0.0% 0.6% 0.0%

Foulk Manor North 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Foulk Manor South 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Gilpin Hall 97.1% 0.0% 0.0% 0.0% 2.9% 0.0% 0.0%

Hillside Center 91.2% 0.3% 0.3% 0.7% 0.3% 7.1% 0.0%

Jeanne Jugan Residence 72.7% 9.1% 0.0% 0.0% 9.1% 9.1% 0.0%

Kentmere Nursing 99.2% 0.0% 0.0% 0.0% 0.0% 0.8% 0.0%

ManorCare Pike Creek 88.8% 0.0% 3.1% 0.0% 1.0% 5.1% 2.0%

ManorCare Wilmington 96.5% 1.1% 0.0% 0.2% 0.2% 1.9% 0.2%

Millcroft 96.6% 0.0% 1.0% 2.0% 0.0% 0.5% 0.0%

Newark Manor 92.3% 3.8% 0.0% 0.0% 0.0% 3.8% 0.0%

New Castle H & R 91.9% 6.8% 0.3% 0.3% 0.3% 0.0% 0.3%

Parkview Nursing & Rehab 88.6% 1.6% 0.0% 0.0% 0.8% 7.3% 1.6%

Regal Heights Healthcare 94.1% 0.0% 0.8% 0.0% 0.0% 1.7% 3.4%

Regency Healthcare & Rehab 96.7% 1.7% 0.8% 0.0% 0.0% 0.8% 0.0%

Shipley Manor 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Stonegates 98.5% 0.0% 0.0% 0.0% 0.0% 1.5% 0.0%

The Kutz Home 89.3% 0.0% 0.0% 0.0% 1.8% 8.9% 0.0%

Weston Senior Living 97.0% 3.0% 0.0% 0.0% 0.0% 0.0% 0.0%

WillowBrooke Court 95.6% 0.0% 0.0% 0.0% 0.0% 1.1% 3.3%

NCC (Private) Total 92.3% 1.5% 1.2% 1.3% 0.4% 2.8% 0.6%

36


Percentage of Admissions by County and State of Residence, 2017

Nursing Home NCC Kent Sussex MD NJ PA Other


Cadia Rehab Capitol 0.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Courtland Manor 3.7% 88.9% 7.4% 0.0% 0.0% 0.0% 0.0%

Delaware Veterans Home** 4.0% 16.0% 72.0% 4.0% 0.0% 4.0% 0.0%

Pinnacle Rehab 13.2% 81.6% 5.3% 0.0% 0.0% 0.0% 0.0%

Silver Lake Center 0.8% 96.5% 1.9% 0.8% 0.0% 0.0% 0.0%

Westminster Village 0.0% 95.8% 2.1% 2.1% 0.0% 0.0% 0.0%

Kent County (Private) Total 3.9% 91.7% 3.6% 0.8% 0.0% 0.1% 0.0%


Atlantic Shores 5.1% 11.9% 71.0% 11.8% 0.0% 0.2% 0.0%

Cadbury at Lewes 0.4% 0.0% 96.9% 0.8% 0.0% 0.0% 1.9%

Country Rest Home 1.0% 35.0% 59.2% 2.9% 0.0% 1.0% 1.0%

Delmar Nursing & Rehab 0.7% 3.3% 65.8% 30.3% 0.0% 0.0% 0.0%

Harbor Healthcare 6.6% 6.8% 80.3% 2.6% 0.0% 3.4% 0.3%

Harrison Senior Living 0.0% 4.3% 92.2% 2.0% 0.9% 0.0% 0.6%

Lifecare at Lofland Park 0.0% 0.0% 94.3% 5.0% 0.0% 0.0% 0.7%

Methodist Manor House 6.2% 0.0% 92.2% 0.8% 0.0% 0.0% 0.8%

Milford Center 1.5% 13.0% 85.4% 0.0% 0.0% 0.0% 0.2%

Renaissance Healthcare 0.2% 0.2% 99.5% 0.2% 0.0% 0.0% 0.0%

Seaford Center 0.9% 8.5% 83.5% 6.8% 0.0% 0.3% 0.0%

Sussex County (Private) Total 2.1% 6.7% 85.6% 4.9% 0.1% 0.4% 0.4%

Total Private Facilities 52.5% 15.8% 27.1% 2.3% 0.2% 1.7% 0.5%

Public Facilities

DE Hosp for Chronically Ill 20.0% 20.0% 60.0% 0.0% 0.0% 0.0% 0.0%

Governor Bacon Health Center 62.5% 25.0% 12.5% 0.0% 0.0% 0.0% 0.0%

Public Total 38.9% 22.2% 38.9% 0.0% 0.0% 0.0% 0.0%

Total All Facilities 52.4% 15.8% 27.1% 2.3% 0.2% 1.7% 0.5%


37

Table 16 Number of Discharges by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F

NCC (Private)








Forwood Manor 5 0 7 9 7 25 30 64 49 98 147



Gilpin Hall 0 4 0 0 0 17 4 5 4 26 30

Hillside Center 83 42 21 34 23 14 8 27 135 117 252





Millcroft 9 12 17 35 36 73 80 116 142 236 378

Newark Manor 0 0 0 0 2 3 5 15 7 18 25

New Castle H & R 46 63 86 132 35 55 2 17 169 267 436




Shipley Manor 0 0 12 12 12 36 0 0 24 48 72

Stonegates 0 0 0 0 2 10 17 32 19 42 61

The Kutz Home 0 2 1 2 5 9 13 25 19 38 57



NCC (Private) Total 450 540 589 861 637 1,071 641 1,374 2,317 3,846 6,163

38


Number of Discharges by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F



Courtland Manor 0 0 0 0 1 6 3 13 4 19 23


Pinnacle Rehab 60 48 132 36 36 108 60 12 288 204 492





Atlantic Shores 26 47 51 103 63 77 18 78 158 305 463

Cadbury at Lewes 0 0 15 21 34 43 59 64 108 128 236







Milford Center 57 54 39 62 63 80 36 79 195 275 470


Seaford Center 48 46 64 47 38 39 24 51 174 183 357


Total Private Facilities 768 930 1,217 1,505 1,363 1,984 1,258 2,406 4,606 6,825 11,431

Public Facilities



1 2 1 2 2 1 1 6 5 11 16

Public Total 9 6 4 8 7 4 2 8 22 26 48

Total All Facilities 777 936 1,221 1,513 1,370 1,988 1,260 2,414 4,628 6,851 11,479


39

Table 16.1 Percentage of Discharges by Age, Facility Type, County and Facility, 2017


NCC (Private)








Forwood Manor 3.4% 10.9% 21.8% 63.9%



Gilpin Hall 13.3% 0.0% 56.7% 30.0%

Hillside Center 49.6% 21.8% 14.7% 13.9%





Millcroft 5.6% 13.8% 28.8% 51.9%

Newark Manor 0.0% 0.0% 20.0% 80.0%

New Castle H & R 25.0% 50.0% 20.6% 4.4%




Shipley Manor 0.0% 33.3% 66.7% 0.0%

Stonegates 0.0% 0.0% 19.7% 80.3%

The Kutz Home 3.5% 5.3% 24.6% 66.7%




40


Percentage of Discharges by Age, Facility Type, County and Facility, 2017




Courtland Manor 0.0% 0.0% 30.4% 69.6%


Pinnacle Rehab 22.0% 34.1% 29.3% 14.6%





Atlantic Shores 15.8% 33.3% 30.2% 20.7%

Cadbury at Lewes 0.0% 15.3% 32.6% 52.1%







Milford Center 23.6% 21.5% 30.4% 24.5%


Seaford Center 26.3% 31.1% 21.6% 21.0%



Public Facilities



Public Total 31.3% 25.0% 22.9% 20.8%


Note: NCC=New Castle County. **The Delaware Veterans Home (DVH) is a private long-term care facility in Kent County. Please note, however, that for

the purposes of nursing home bed projections only, the DVH is entered into calculations as a public facility.

41

Table 16.2 Percentage of Discharges by Gender, Facility Type, County and Facility Name, 2017

Nursing Home Male Female Nursing Home Male Female

NCC (Private) Kent County (Private)

Brackenville Ctr 39.9% 60.1% Cadia Rehab Capitol 58.7% 58.7%

Brandywine Nursing & Rehab 37.3% 62.7% Courtland Manor 17.4% 82.6%

Broadmeadow Healthcare 41.4% 58.6% Delaware Veterans Home** 98.0% 2.0%

Cadia Rehab Pike Creek 40.7% 59.3% Pinnacle Rehab 58.5% 41.5%

Cadia Rehab Silverside 37.8% 62.2% Silver Lake Center 35.4% 64.6%

Churchman Village 37.1% 62.9% Westminster Village 35.8% 64.2%

Cokesbury Village 38.2% 61.8% Kent County (Private) Total 44.5% 55.5%

Forwood Manor 33.3% 66.7%

Foulk Manor North 27.3% 72.7% Sussex County (Private)

Foulk Manor South 36.1% 63.9% Atlantic Shores 34.1% 65.9%

Gilpin Hall 13.3% 86.7% Cadbury at Lewes 45.8% 54.2%

Hillside Center 53.6% 46.4% Country Rest Home 43.4% 56.6%

Jeanne Jugan Residence 11.1% 88.9% Delmar Nursing & Rehab 48.0% 52.0%

Kentmere Nursing 29.4% 70.6% Harbor Healthcare 48.0% 52.0%

ManorCare Pike Creek 25.3% 74.7% Harrison Senior Living 39.2% 60.8%

ManorCare Wilmington 43.8% 56.2% Lifecare at Lofland Park 43.8% 56.2%

Millcroft 37.6% 62.4% Methodist Manor House 33.3% 66.7%

Newark Manor 28.0% 72.0% Milford Center 41.5% 58.5%

New Castle H & R 38.8% 61.2% Renaissance Healthcare 45.8% 54.2%

Parkview Nursing & Rehab 44.6% 55.4% Seaford Center 48.7% 51.3%

Regal Heights Healthcare 54.3% 45.7% Sussex County (Private) Total 42.9% 57.1%

Regency Healthcare & Rehab 50.0% 50.0%

Shipley Manor 33.3% 66.7% Total Private Facilities 40.3% 59.7%

Stonegates 31.1% 68.9%

The Kutz Home 33.3% 66.7% Public Facilities

Weston Senior Living 36.1% 63.9% DE Hosp for Chronically Ill 53.1% 46.9%

WillowBrooke Court 26.4% 73.6% Governor Bacon Health Center 31.3% 68.8%

NCC (Private) Total 37.6% 62.4% Public Total 45.8% 54.2%

Total All Facilities 40.3% 59.7%


42

Table 16.3 Number of White Discharges by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F

NCC (Private)








Forwood Manor 5 0 7 9 6 20 30 62 48 91 139



Gilpin Hall 0 1 0 0 0 13 4 4 4 18 22

Hillside Center 32 11 7 12 19 3 0 14 58 40 98





Millcroft 9 3 15 26 32 72 77 113 133 214 347

Newark Manor 0 0 0 0 2 3 4 15 6 18 24

New Castle H & R 30 33 49 64 31 47 1 13 111 157 268




Shipley Manor 0 0 12 0 12 0 0 0 24 0 24

Stonegates 0 0 0 0 2 10 17 32 19 42 61

The Kutz Home 0 2 1 2 4 9 13 23 18 36 54



NCC (Private) Total 296 323 417 564 509 816 557 1,190 1,779 2,893 4,672

43


Number of White Discharges by Age, Gender, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F



Courtland Manor 0 0 0 0 1 4 3 9 4 13 17


Pinnacle Rehab 36 48 60 24 24 72 48 12 168 156 324





Atlantic Shores 24 36 48 87 58 76 18 78 148 277 425

Cadbury at Lewes 0 0 15 21 33 43 58 60 106 124 230







Milford Center 47 36 31 52 52 66 33 75 163 229 392


Seaford Center 35 35 44 36 35 29 17 39 131 139 270


Total Private Facilities 533 615 879 1,094 1,124 1,605 1,089 2,128 3,625 5,442 9,067

Public Facilities



0 0 1 2 1 0 1 4 3 6 9

Public Total 3 2 3 7 5 3 2 5 13 17 30

Total All Facilities 536 617 882 1,101 1,129 1,608 1,091 2,133 3,638 5,459 9,097


44

Table 16.4

Number of Black Discharges by Age, Gender, Facility Type, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F

NCC (Private)



5 7 2 5 14 13 1 14 22 39 61






Forwood Manor 0 0 0 0 1 5 0 2 1 7 8



Gilpin Hall 0 3 0 0 0 3 0 1 0 7 7

Hillside Center 50 31 10 22 4 10 7 12 71 75 146





Millcroft 0 9 1 9 1 1 2 3 4 22 26

Newark Manor 0 0 0 0 0 0 1 0 1 0 1

New Castle H & R 6 29 30 65 4 8 1 4 41 106 147




4 7 14 10 15 9 4 9 37 35 72

Shipley Manor 0 0 0 12 0 36 0 0 0 48 48

Stonegates 0 0 0 0 0 0 0 0 0 0 0

The Kutz Home 0 0 0 0 1 0 0 2 1 2 3



NCC (Private) Total 139 196 146 258 108 222 70 164 463 840 1,303

45


Number of Black Discharges by Age, Gender, Facility Type, County and Facility, 2017

Nursing Home <65

Male < 65

Female 65-74 Male

65-74 Female

75-84 Male

75-84 Female

85+ Male

85+ Female

Total Male

Total Female

Total M+F



Courtland Manor 0 0 0 0 0 2 0 4 0 6 6


Pinnacle Rehab 24 0 72 12 12 36 0 0 108 48 156



Kent County (Private) Total 40 40 109 47 59 82 29 45 237 214 451


Atlantic Shores 2 11 3 16 5 1 0 0 10 28 38

Cadbury at Lewes 0 0 0 0 0 0 0 2 0 2 2







Milford Center 10 17 8 10 11 12 3 3 32 42 74


Seaford Center 13 11 20 10 2 10 7 12 42 43 85

Sussex County (Private) Total 37 54 55 61 44 36 30 39 166 190 356

Total Private Facilities 216 290 310 366 211 340 129 248 866 1,244 2,110

Public Facilities



Public Total 6 3 1 1 1 0 0 2 8 6 14

Total All Facilities 222 293 311 367 212 340 129 250 874 1,250 2,124


46

Table 17 Number of Discharges by Disposition, Facility Type, County and Facility Name, 2017


Living Private

LTCF

State Owned

LTCF Death Other Total

NCC (Private)

Brackenville Ctr 96 45 7 5 1 37 2 193

Brandywine Nursing & Rehab 42 210 10 0 0 73 0 335

Broadmeadow Healthcare 374 12 9 4 2 31 0 432

Cadia Rehab Pike Creek 407 19 31 0 0 0 0 457

Cadia Rehab Silverside 332 14 18 4 4 31 2 405

Churchman Village 254 59 4 2 0 13 5 337

Cokesbury Village 21 4 11 0 0 19 0 55

Forwood Manor 129 7 8 0 0 3 0 147

Foulk Manor North 1 0 0 1 0 18 2 22

Foulk Manor South 10 5 4 0 0 17 0 36

Gilpin Hall 9 12 0 1 0 8 0 30

Hillside Center 173 46 0 2 1 24 6 252

Jeanne Jugan Residence 0 2 0 0 0 6 1 9

Kentmere Nursing 216 82 18 0 0 32 2 350

ManorCare Pike Creek 504 228 24 72 0 72 0 900

ManorCare Wilmington 404 25 66 13 0 32 6 546

Millcroft 150 112 69 19 0 18 10 378

Newark Manor 2 0 2 1 0 19 1 25

New Castle H & R 154 226 0 0 2 54 0 436

Parkview Nursing & Rehab 62 17 0 1 0 32 0 112

Regal Heights Healthcare 181 32 8 2 0 41 1 265

Regency Healthcare & Rehab 69 22 0 7 0 25 1 124

Shipley Manor 12 60 0 0 0 0 0 72

Stonegates 44 2 2 0 0 13 0 61

The Kutz Home 12 10 4 5 0 26 0 57

Weston Senior Living 19 4 6 1 0 6 0 36

WillowBrooke Court 7 24 0 3 3 18 36 91

NCC (Private) Total 3,684 1,279 301 143 13 668 75 6,163

47


Number of Discharges by Disposition, Facility Type, County and Facility Name, 2017


Living Private

LTCF

State Owned

LTCF Death Other Total


Cadia Rehab Capitol 225 55 8 10 0 33 1 332

Courtland Manor 9 5 0 0 0 9 0 23

Delaware Veterans Home** 0 4 0 0 0 47 0 51

Pinnacle Rehab 180 276 0 0 0 24 12 492

Silver Lake Center 307 95 26 12 0 33 2 475

Westminster Village 260 94 15 11 0 18 21 419

Kent County (Private) Total 981 529 49 33 0 164 36 1,792


Atlantic Shores 398 11 0 10 0 30 14 463

Cadbury at Lewes 159 40 23 2 0 12 0 236

Country Rest Home 31 1 5 2 6 60 1 106

Delmar Nursing & Rehab 98 21 1 2 0 23 3 148

Harbor Healthcare 185 61 16 10 1 48 4 325

Harrison Senior Living 181 91 9 9 0 43 6 339

Lifecare at Lofland Park 183 74 0 8 1 39 3 308

Methodist Manor House 67 14 25 3 0 17 0 126

Milford Center 254 133 9 17 1 56 0 470

Renaissance Healthcare 414 115 15 16 0 31 7 598

Seaford Center 236 71 0 2 12 33 3 357

Sussex County (Private) Total 2,206 632 103 81 21 392 41 3,476

Total Private Facilities 6,871 2,440 453 257 34 1,224 152 11,431

Public Facilities

DE Hosp for Chronically Ill 3 10 0 2 0 17 0 32

Governor Bacon Health Center 2 2 0 3 0 9 0 16

Public Total 5 12 0 5 0 26 0 48

Total All Facilities 6,876 2,452 453 262 34 1,250 152 11,479


48

Table 17.1 Percentage of Discharges by Disposition, Facility Type, County and Facility Name, 2017


Living Private

LTCF

State Owned

LTCF Death Other

NCC (Private)

Brackenville Ctr 49.7% 23.3% 3.6% 2.6% 0.5% 19.2% 1.0%

Brandywine Nursing & Rehab 12.5% 62.7% 3.0% 0.0% 0.0% 21.8% 0.0%

Broadmeadow Healthcare 86.6% 2.8% 2.1% 0.9% 0.5% 7.2% 0.0%

Cadia Rehab Pike Creek 89.1% 4.2% 6.8% 0.0% 0.0% 0.0% 0.0%

Cadia Rehab Silverside 82.0% 3.5% 4.4% 1.0% 1.0% 7.7% 0.5%

Churchman Village 75.4% 17.5% 1.2% 0.6% 0.0% 3.9% 1.5%

Cokesbury Village 38.2% 7.3% 20.0% 0.0% 0.0% 34.5% 0.0%

Forwood Manor 87.8% 4.8% 5.4% 0.0% 0.0% 2.0% 0.0%

Foulk Manor North 4.5% 0.0% 0.0% 4.5% 0.0% 81.8% 9.1%

Foulk Manor South 27.8% 13.9% 11.1% 0.0% 0.0% 47.2% 0.0%

Gilpin Hall 30.0% 40.0% 0.0% 3.3% 0.0% 26.7% 0.0%

Hillside Center 68.7% 18.3% 0.0% 0.8% 0.4% 9.5% 2.4%

Jeanne Jugan Residence 0.0% 22.2% 0.0% 0.0% 0.0% 66.7% 11.1%

Kentmere Nursing 61.7% 23.4% 5.1% 0.0% 0.0% 9.1% 0.6%

ManorCare Pike Creek 56.0% 25.3% 2.7% 8.0% 0.0% 8.0% 0.0%

ManorCare Wilmington 74.0% 4.6% 12.1% 2.4% 0.0% 5.9% 1.1%

Millcroft 39.7% 29.6% 18.3% 5.0% 0.0% 4.8% 2.6%

Newark Manor 8.0% 0.0% 8.0% 4.0% 0.0% 76.0% 4.0%

New Castle H & R 35.3% 51.8% 0.0% 0.0% 0.5% 12.4% 0.0%

Parkview Nursing & Rehab 55.4% 15.2% 0.0% 0.9% 0.0% 28.6% 0.0%

Regal Heights Healthcare 68.3% 12.1% 3.0% 0.8% 0.0% 15.5% 0.4%

Regency Healthcare & Rehab 55.6% 17.7% 0.0% 5.6% 0.0% 20.2% 0.8%

Shipley Manor 16.7% 83.3% 0.0% 0.0% 0.0% 0.0% 0.0%

Stonegates 72.1% 3.3% 3.3% 0.0% 0.0% 21.3% 0.0%

The Kutz Home 21.1% 17.5% 7.0% 8.8% 0.0% 45.6% 0.0%

Weston Senior Living 52.8% 11.1% 16.7% 2.8% 0.0% 16.7% 0.0%

WillowBrooke Court 7.7% 26.4% 0.0% 3.3% 3.3% 19.8% 39.6%

NCC (Private) Total 59.8% 20.8% 4.9% 2.3% 0.2% 10.8% 1.2%

49


Percentage of Discharges by Disposition, Facility Type, County and Facility Name, 2017


Living Private

LTCF

State Owned

LTCF Death Other


Cadia Rehab Capitol 67.8% 16.6% 2.4% 3.0% 0.0% 9.9% 0.3%

Courtland Manor 39.1% 21.7% 0.0% 0.0% 0.0% 39.1% 0.0%

Delaware Veterans Home** 0.0% 7.8% 0.0% 0.0% 0.0% 92.2% 0.0%

Pinnacle Rehab 36.6% 56.1% 0.0% 0.0% 0.0% 4.9% 2.4%

Silver Lake Center 64.6% 20.0% 5.5% 2.5% 0.0% 6.9% 0.4%

Westminster Village 62.1% 22.4% 3.6% 2.6% 0.0% 4.3% 5.0%

Kent County (Private) Total 54.7% 29.5% 2.7% 1.8% 0.0% 9.2% 2.0%


Atlantic Shores 86.0% 2.4% 0.0% 2.2% 0.0% 6.5% 3.0%

Cadbury at Lewes 67.4% 16.9% 9.7% 0.8% 0.0% 5.1% 0.0%

Country Rest Home 29.2% 0.9% 4.7% 1.9% 5.7% 56.6% 0.9%

Delmar Nursing & Rehab 66.2% 14.2% 0.7% 1.4% 0.0% 15.5% 2.0%

Harbor Healthcare 56.9% 18.8% 4.9% 3.1% 0.3% 14.8% 1.2%

Harrison Senior Living 53.4% 26.8% 2.7% 2.7% 0.0% 12.7% 1.8%

Lifecare at Lofland Park 59.4% 24.0% 0.0% 2.6% 0.3% 12.7% 1.0%

Methodist Manor House 53.2% 11.1% 19.8% 2.4% 0.0% 13.5% 0.0%

Milford Center 54.0% 28.3% 1.9% 3.6% 0.2% 11.9% 0.0%

Renaissance Healthcare 69.2% 19.2% 2.5% 2.7% 0.0% 5.2% 1.2%

Seaford Center 66.1% 19.9% 0.0% 0.6% 3.4% 9.2% 0.8%

Sussex County (Private) Total 63.5% 18.2% 3.0% 2.3% 0.6% 11.3% 1.2%

Total Private Facilities 60.1% 21.3% 4.0% 2.2% 0.3% 10.7% 1.3%

Public Facilities

DE Hosp for Chronically Ill 9.4% 31.3% 0.0% 6.3% 0.0% 53.1% 0.0%

Governor Bacon Health Center 12.5% 12.5% 0.0% 18.8% 0.0% 56.3% 0.0%

Public Total 10.4% 25.0% 0.0% 10.4% 0.0% 54.2% 0.0%

Total All Facilities 59.9% 21.4% 3.9% 2.3% 0.3% 10.9% 1.3%


50

APPENDIX A: FACILITY CHANGES

The chart below reflects all major changes to Delaware nursing homes that occurred in 2017, including the

opening of any new facilities, as well as increases and/or decreases in facilities’ bed counts.

Chart 3: 2016 Delaware Nursing Homes Changes by Facility Name

Facility Change Date of Change

Governor Bacon Health Center Decreased licensed bed count by four beds (from N=82 beds to N=78 beds)

March 2017

Documents

DELAWARE NURSING HOME UTILIZATION STATISTICS …January – December 2017 Delaware Health Care Commission 410 Federal Street Dover, DE 19901 November 2018 . EXECUTIVE SUMMARY In 2017,