Nursing Home Alerts

New Castle Health and Rehabilitation Center

32 Buena Vista Drive, New Castle, DE 19720

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New Castle Health and Rehabilitation Center is a nursing home in New Castle, Delaware. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 8, 2026

    • Fine

      CMS changed the fine from December 13, 2025 from $28,776 to $29,206.

  2. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

  3. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  4. Health inspection on December 13, 2025

    13 citations

    CMS lists this as a standard inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    10 of 44 Delaware homes (23%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $29,206 on December 13, 2025.

    Show the 13 citations
    • Citation F0693. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 26, 2025.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on December 26, 2025.

      CMS has cited this home for F0689 3 times since 2024.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on December 26, 2025.

      CMS has cited this home for F0812 2 times since 2024.

    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 26, 2025.

      CMS has cited this home for F0880 2 times since 2024.

    • Citation F0552. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on December 26, 2025.

    • Citation F0609. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on December 26, 2025.

      CMS has cited this home for F0609 2 times since 2024.

    • Citation F0610. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on December 26, 2025.

      CMS has cited this home for F0610 3 times since 2024.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 26, 2025.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on December 26, 2025.

      CMS has cited this home for F0692 2 times since 2024.

    • Citation F0700. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

      CMS lists it as corrected on December 26, 2025.

      CMS has cited this home for F0700 2 times since 2024.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on December 26, 2025.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on December 26, 2025.

    • Citation F0909. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

      CMS lists it as corrected on December 26, 2025.

    See this home on CMS Care Compare

  5. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  6. Health inspection on May 6, 2025

    5 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    10 of 44 Delaware homes (23%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $18,524 on May 6, 2025.

    Show the 5 citations
    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on May 27, 2025.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on May 27, 2025.

    • Citation F0627. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

      CMS lists it as corrected on May 27, 2025.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on May 27, 2025.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on May 27, 2025.

      CMS has cited this home for F0842 2 times since 2024.

    See this home on CMS Care Compare

  7. CMS update of March 26, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  8. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  9. Health inspection on November 26, 2024

    10 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 10 citations
    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on January 7, 2025.

    • Citation F0803. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      CMS lists it as corrected on January 7, 2025.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on January 7, 2025.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on January 7, 2025.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 7, 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on January 7, 2025.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on January 7, 2025.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on January 7, 2025.

    • Citation F0691. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

      CMS lists it as corrected on January 7, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 7, 2025.

    See this home on CMS Care Compare

  10. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  11. Health inspection on February 1, 2024

    19 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 19 citations
    • Citation F0578. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0712. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that the resident and his/her doctor meet face-to-face at all required visits.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0730. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on March 8, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 8, 2024.

    • Citation F0561. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 8, 2024.

    • Citation F0604. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 8, 2024.

    • Citation F0660. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Plan the resident's discharge to meet the resident's goals and needs.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0700. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on March 8, 2024.

    See this home on CMS Care Compare

  12. Fire safety inspection on February 1, 2024

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on May 23, 2024.

    See this home on CMS Care Compare

  13. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 4 of 5.

  14. Fire safety inspection on September 23, 2021

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0351. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on December 1, 2021.

    • Citation K0211. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on December 1, 2021.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(302) 328-2580
Last standard health inspection
December 13, 2025 (10 months ago)
Certified beds
120
Residents per day, on average
113.2
Ownership type
For profit - Corporation
Legal business name
New Castle Health & Rehabilitation Center LLC
Chain
Saber Healthcare Group
Takes part in
Medicare and Medicaid

More health citations than the Delaware average (47 vs 37).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was New Castle Health and Rehabilitation Center last inspected?

CMS lists December 13, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does New Castle Health and Rehabilitation Center have?

CMS lists 47 health citations since February 1, 2024. CMS also calls these deficiencies.

Has New Castle Health and Rehabilitation Center been fined?

CMS lists 2 fines in the past three years, $47,730 in total.

What is the CMS star rating of New Castle Health and Rehabilitation Center?

Its CMS overall star rating is 2 of 5.

Is New Castle Health and Rehabilitation Center a Special Focus Facility?

Yes. CMS lists it as a Special Focus Facility candidate.