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Nursing HomeMedicaid Investigative

Regal Heights Healthcare & Rehab Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

6525 Lancaster Pike, Hockessin, DE 19707172 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 43 Google reviews

5
4
3
2
1
Regal Heights Healthcare & Rehab Center Nursing Home in Hockessin, DE — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (20 vs median 13.0)

Bottom 25% in DE · Critically understaffed (RN) · $140,261 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility's rehabilitation therapy team is frequently praised for helping patients regain mobility, making it a potential option for short-term recovery. However, families should be extremely vigilant regarding personal belongings and hygiene, as multiple reviewers have reported issues with lost items and inconsistent care standards. We recommend frequent, unannounced visits to monitor your loved one's care environment.

Google Reviews

Google Reviews

43 reviews on Google
Regal Heights Healthcare & Rehab Center receives highly polarized feedback, with some families praising the physical therapy and modern facility, while others report severe concerns regarding neglect and unprofessional conduct. While some residents experience excellent rehabilitation outcomes, multiple accounts describe issues with hygiene, missing personal belongings, and staff indifference toward patient needs.

Quality Themes

Tap a score for details
Food4.0Staff4.0Clean5.0ActivitiesN/AMeds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective physical, occupational, and speech therapy
  • Modern, well-maintained facility
  • Some highly attentive and caring nursing staff

Concerns

  • Neglect and poor hygiene (e.g., lack of showers, unbrushed teeth) (mentioned by 3 reviewers)
  • Theft or loss of personal property and clothing (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(4)'18(6)'20(1)'22(1)'24(11)'26(3)

Distribution · 46 analyzed

5
22
4
7
3
1
2
5
1
11

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about your therapy programs; could you tell us more about how the physical and occupational therapists work with residents on a daily basis?
  • 2How does the nursing team ensure that personal hygiene needs, like regular showers and dental care, are consistently met for every resident?
  • 3What specific protocols are in place to ensure medication is administered accurately and on schedule?
  • 4How does the facility manage the security of residents' personal belongings and clothing to prevent loss or theft?
  • 5Could you describe the dining experience and how the facility is working to improve the variety and quality of the meals provided?
  • 6What is the process for communicating important health updates or changes in condition to family members?

Personalized based on this facility's data


Key Review Excerpts

O.T., P.T. & Speech Therapy are THE BEST! They've helped me reach several functional and quality-of-life improvements. All of my full-time nurses are 10/10.

Rehab patient · 2026★★★★★

The therapy team was fantastic, they worked with her and were patient and practical in their approach. We also had many amazing nurses and aids such as Daniel, Shannon and Pat just to name a few.

Family member · 2024★★★★

The nurses and the AIDS that I have dealt with are very caring. There are issues that pop up from time to time but they are addressed when they happen.

Family member · 2025★★★★
Source: 43 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
3.83hrs
94%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

3

measures

Worse Than Avg

11

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.9%
Better than Avg
Here
10.9%
US
19.5%
DE
21.6%
New castle
22.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
DE
8.7%
New castle
7.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.9%
Worse than Avg
Here
91.9%
US
93.4%
DE
95.8%
New castle
97.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.6%
Worse than Avg
Here
15.6%
US
15.4%
DE
10.9%
New castle
9.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.0%
Worse than Avg
Here
24.0%
US
19.4%
DE
21.2%
New castle
20.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility94.8%
Worse than Avg
Here
94.8%
US
95.5%
DE
97.4%
New castle
98.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility40.0%
Worse than Avg
Here
40.0%
US
79.7%
DE
83.1%
New castle
86.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility39.1%
Worse than Avg
Here
39.1%
US
81.8%
DE
83.1%
New castle
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Worse than Avg
Here
2.1%
US
1.6%
DE
0.9%
New castle
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
4penalties
Above state avg (13.5)
32 complaint-triggered
$140,261 in fines

Nearly half of Regal Heights' 67 deficiencies stem from family complaints, indicating ongoing concerns about resident safety, care quality, and protection from abuse/neglect. The most recurring problems involve accident hazards and supervision, care planning and assessments, and medication management. While the facility has corrected past violations, the pattern of repeated issues across multiple surveys—particularly safety hazards appearing in complaint investigations from 2023 through 2025—suggests persistent operational challenges that families should carefully evaluate.

May 23, 2025Complaint
7
0604Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

May 23, 2025Routine
13
0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give the resident's representative the ability to exercise the resident's rights.

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0940Potential for harm · IsolatedCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Feb 10, 2025Complaint
6
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

May 1, 2024Complaint
10
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0600Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0712Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0623Minimal · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

May 1, 2024Routine
7
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0620Minimal · PatternCorrected

Resident Rights Deficiencies

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

0842Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 8, 2023Complaint
9
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

May 23, 2025

$17,760

Fine

Feb 10, 2025

$12,438

Fine

May 1, 2024

$16,801

Fine

Jun 8, 2023

$93,262

Ownership & Operations

Who Operates This Facility

Owner / Operator

Regal Heights Healthcare & Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Nationwide Healthcare Services

Chain Size

7 facilities nationwide

Chain avg rating: 2.4/5 · Rank 5 of 7

Ownership & Management

Owners

Gelley, Leah

Owner

Gelley, Meir

Owner

Key personnel

Gelley, MeirW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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