About Assisted Living in Delaware

While Delaware’s cost of living may be substantially higher than the national average there are plenty of benefits to living in the state. There is no state sales tax and other taxes are relatively low. Social security benefits are tax-exempt and investment and pension income are partially exempt as well.

What Options are Available for Assisted Living?

In the state of Delaware assisted living facilities are made up of a combination of housing, supervision, services, health care, and personal assistance with daily activities all designed to respond to individual resident needs.

Assisted living facilities must develop and implement a fire safety plan, as well as perform mandatory training, drills, and plans for relocation in a case of an emergency. All plans must be approved by the fire marshal that has jurisdiction. Evacuation routes must be posted on every floor and in each unit, and records must be maintained identifying any residents needing assistance for evacuation.

What are the Alzheimer’s Requirements for Assisted Living Facilities in Delaware?

If an assisted living facility provides care for residents with Alzheimer’s or dementia they must disclose policies and procedures that describe the form of care and treatment provided that is outside of the regular scope of care provided by the facility. Staff must also be adequately trained, certified, and licensed to meet residents’ requirements.

Senior Assisted Living Details and Costs for Cities in Delaware

Listed below are some of the larger cities in Delaware. Each city listing page provides details on assisted living facilities, independent living, senior group homes, and Alzheimer's care. Details may include costs, amenities, medical care, and other useful information.

What Training is Required for Facility Staff?

All staff must be trained to meet residents’ needs, and the facility must provide and document that training. Assistants must also receive facility-specific orientation covering specific topics.

Is an Assessment Required Before Move-In?

A resident assessment is required, and the assisted living facility must develop, implement, and adhere to an ongoing quality assurance program.

What Care is Available in an Assisted Living Facility?

All residents are provided assistance with activities of daily living (ADLs), as long as they are medically stable and do not require skilled nursing services or supervision.

Home health services and licensed hospice may be contracted privately by the resident upon approval of the facility’s executive director. Hospice providers must submit a written assurance of residents’ safety—that all needs will be met without placing other residents at risk.

How is Medication Managed?

Residents may receive assistance with self-administration of medication by facility staff as long as the staff member assisting the resident has completed the Assistance with Self-Administration of Medications (AWSAM) training course - facilities must keep a record of all staff who have completed the AWSAM and report to the Board of Nursing as well. Administration of medication may only be performed by a registered nurse or licensed practical nurse.

What are the Bathroom Requirements for an Assisted Living Facility?

In facilities housing multiple residents there must be at least 1 working sink, toilet, and bathtub or shower for every 4 residents.

What are the Move-In or Move-Out Requirements?

Assisted living facilities can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who:

  • Require long-term nursing care.
  • Require skilled monitoring, testing, and medical treatments unless there is a registered nurse (RN) available to provide appropriate care.
  • Require monitoring of a chronic conditions that cannot be stabilized through medication and treatment.
  • Are bedridden for more than 14 days.
  • Having stage III or IV skin ulcers.
  • Require a ventilator.
  • Require treatment for a disease or condition that requires more than contact isolation.
  • Have an unstable tracheotomy (or stable tracheotomy for less than 6 months).
  • Have an unstable PEG tube.
  • Require an intravenous or central line other than a completely covered subcutaneously implanted port that meets the documentation and recording requirements. The facility will not permit care to the port or surround area nor the administration of medication or the removal of the port within the facility.
  • Wander to a degree that the assisted living facility in unable to provide adequate supervision and security.
  • Pose as a threat to themselves or others.
  • Are socially inappropriate - unmanageable behavior over a period of less than 60 days.

These conditions do not apply to residents under the care of a licensed hospice program, provided that the program submits written assurance that other residents will not be at risk.

Is an Assisted Living Facility Covered by Medicaid in the State of Delaware?

Yes. The Medicaid home and community-based services waiver covers assisted living services.

Who can I contact for more information?

Department of Health & Social Services, Division of Long Term Care Residents Protection
Mary Peterson
(302) 577-6661