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Selling a skilled nursing facility in Delaware

What moves the price of a Delaware nursing home, how a sale runs from first call to change of ownership, and where to see the record for every Delaware building.

By Stan Klos III · Updated October 2026
Each point is one of Delaware's 44 certified skilled nursing facilities. See every one on SNFRadar ↗

Delaware at a glance

Delaware has 44 Medicare- and Medicaid-certified skilled nursing facilities with 4,717 certified beds, and on average 84.1% of those beds are occupied, above the national average of 80.3%.

44certified facilities
4,717certified beds
84.1%of beds occupied

Source: CMS Provider Information file, August 2026. The full Delaware picture, rates and every building are on SNFRadar, the market record we built and publish free.

What a buyer reads first in Delaware

The numbers a buyer pulls before the first call, for the typical Delaware building against the nation. Your own building's are on its SNFRadar page.

Delaware by the numbers
84.1%of beds occupiedU.S. 80.3%
68%Medicaid share of days, medianU.S. 66%
$432revenue per patient day, medianU.S. $373
6.8%net margin, medianU.S. 3.6%
4.35nurse hours per resident dayU.S. 3.86
0.97RN hours per resident dayU.S. 0.69
41.3%nurse turnover in a yearU.S. 45.8%
42%rated 4 or 5 starsU.S. 40%
35%rated 1 or 2 starsU.S. 41%

Sources: CMS Provider Information file, August 2026 (occupancy, staffing, turnover, star ratings: averages across certified buildings); Medicare cost reports (full-year filings), as SNFRadar compares them (medians, the same figures each building's SNFRadar page is compared against).

What moves value in Delaware

Occupancy. 84.1% of Delaware's certified beds are occupied, above the national 80.3%. Full buildings are the norm here, so a buyer will ask why yours is not, or price in the referral strength if it is.

Payer mix and the Medicaid rate. Medicaid pays for 68% of resident days in the median Delaware building, close to the national 66%. Small shifts between Medicaid and Medicare census move value, which is why buyers ask for census by payer, month by month. Delaware's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $432 per patient day in the median Delaware filing, above the national $373, and the median net margin is 6.8% against 3.6%. Buyers here can price on the cash flow a building already earns.

Staffing. Delaware's buildings average 4.35 nurse staffing hours per resident per day, more than the national 3.86, and nurse turnover runs 41.3% a year against 45.8%. A stable staff is easier to show here, and buyers notice a building that is the exception.

Inspection record. 42% of Delaware buildings are rated four or five stars by Medicare and 35% one or two, against 40% and 41% nationally. With strong ratings common here, a weak one stands out, and buyers will ask for the plan of correction before they price.

Size and ownership type. The average Delaware building has 107 certified beds, the same as the national average. 73% are for-profit, 23% non-profit and 5% government, and 73% are part of a chain.

Where the beds are

Delaware's largest counties by certified beds. Each opens that county's buildings on SNFRadar.

CountyFacilitiesCertified beds
New Castle252,504
Sussex121,407
Kent7806
All 3 Delaware counties

How a sale works

  1. A first call. What you want from the sale, and when. No listing, no blast.
  2. A value from the record. Your building's own numbers and the trades around it. How valuation works
  3. Vetted buyers under confidentiality, bidding against each other, not against you.
  4. Letter of intent, then the purchase agreement and the operations transfer agreement. The full process
  5. Change of ownership. Delaware's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid

Our recent closings

One shot deal · Seven states · November 2025

One shot deal: $545 million.

A 5,000-bed skilled nursing portfolio across seven states in the Midwest and Southeast, sold for approximately $545 million.

Read the deal sheet

All five closings, with the press coverage they drew.

Questions owners ask

How many nursing homes are in Delaware?

Delaware has 44 Medicare- and Medicaid-certified skilled nursing facilities with 4,717 certified beds, according to the CMS Provider Information file (August 2026).

What is the average occupancy of Delaware nursing homes?

On average 84.1% of certified beds in Delaware are occupied, above the national average of 80.3% (CMS Provider Information, August 2026).

Do you work with sellers in Delaware?

Yes. We advise skilled nursing sellers nationwide; our published closings so far are in Ohio, Mississippi, North Carolina and a seven-state portfolio across the Midwest and Southeast.

How much of Delaware's nursing home care does Medicaid pay for?

In the median Delaware building, Medicaid pays for 68% of resident days, against 66% nationally (Medicare cost reports (full-year filings), as SNFRadar compares them). That share is why Delaware's Medicaid rate method decides so much of a building's value.

Are Delaware nursing homes profitable?

The median Delaware building that filed a full-year Medicare cost report shows a net margin of 6.8%, against 3.6% nationally. Margins vary widely from building to building; each building's own filing is on its SNFRadar page.

Is the first conversation confidential?

Yes. Nothing about you or your building goes to a buyer without your say.

Do you represent buyers?

No. We represent sellers. Buyers can share their acquisition criteria with us so we know who to call when a building fits; that does not make us their broker.