New Castle Health and Rehabilitation Center

32 Buena Vista Drive · New Castle, DE · 19720 · 3023282580

120 certified beds For profit - Corporation Chain: Saber Healthcare Group

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 58
Staffing 20% 76
Federal penalties 15% 73
Trend 10% 61
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.803.48 min · 4.1 strong
RN hours / resident-day0.840.55–0.75
Weekend hours / resident-day3.40≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)1 · $18,524

Inspection citations (47 in the current record)

  • Immediate jeopardy · J December 13, 2025

    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.

    Corrected December 26, 2025 · Quality of Life and Care

  • Actual harm · G December 13, 2025

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

    Corrected December 26, 2025 · Quality of Life and Care

  • Potential for harm · E December 13, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 26, 2025 · Resident Rights

  • Potential for harm · E December 13, 2025

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

    Corrected December 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 13, 2025

    Respond appropriately to all alleged violations.

    Corrected December 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 13, 2025

    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.

    Corrected December 26, 2025 · Quality of Life and Care

  • Potential for harm · D December 13, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 26, 2025 · Quality of Life and Care

  • Potential for harm · D December 13, 2025

    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.

    Corrected December 26, 2025 · Quality of Life and Care

  • Potential for harm · D December 13, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 26, 2025 · Pharmacy Service

  • Potential for harm · F December 13, 2025

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

    Corrected December 26, 2025 · Nutrition and Dietary

  • Potential for harm · F December 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 26, 2025 · Infection Control

  • Potential for harm · D December 13, 2025

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

    Corrected December 26, 2025 · Infection Control

  • Potential for harm · D December 13, 2025

    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.

    Corrected December 26, 2025 · Environmental

  • Immediate jeopardy · J May 6, 2025 · found via complaint

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

    Corrected May 27, 2025 · Quality of Life and Care

  • Potential for harm · D May 6, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 6, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · D May 6, 2025 · found via complaint

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

    Corrected May 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 6, 2025 · found via complaint

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

    Corrected May 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 26, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected January 7, 2025 · Resident Rights

  • Potential for harm · D November 26, 2024

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

    Corrected January 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 26, 2024

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected January 7, 2025 · Quality of Life and Care

  • Potential for harm · E November 26, 2024

    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.

    Corrected January 7, 2025 · Nutrition and Dietary

  • Potential for harm · F November 26, 2024

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

    Corrected January 7, 2025 · Nutrition and Dietary

  • Potential for harm · D November 26, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 7, 2025 · Infection Control

  • Potential for harm · D November 26, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected January 7, 2025 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 6, 2025Fine$18,524

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085039 · certified since February 15, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.