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Costs of Assisted Living in Delaware

The costs for Assisted Living Care in Delaware average $5,400 per month for a private room ($64,400 per year) throughout most of the state. In Dover, CT, the average is around $4,700 per month ($17,000 yearly). In both cases, if Alzheimer’s or memory care is required, the cost will go up by about $1000. Nevertheless, it is a much more affordable rate than nursing homes in the Delaware state, which run approximately $118,800 yearly for a private room and $114,900 for a semi-private room. These rates are the second most expensive in the country.

The average cost for Adult Day Health Care in Delaware is $1,500 per month, which averages around $17,030 per year. A Home Health Aide costs, on average $4,481 a month ($147 daily), more than $53,000 annually. The cost of a Home Health Aide is based on a 44-hour-week, whereas Assisted Living provides 24-hour care. Homemaker Services average $4,195 monthly, which comes to approximately $50,300 per year. While they will take care of shopping and meal preparations, they only provide light housekeeping duties so a housekeeper may be a necessary additional expense.

Historical Delaware is set against a spectacular backdrop of verdant state parks, charming beaches and winding waterways, offering seniors who live in Delaware any number of activities to suit practically any lifestyle. And while this small state has only three counties, it boasts numerous historical sites and museums where you can learn of Delaware’s rich history that shaped the development of this country. Aside from all these wonderful attractions, however, there are a multitude of factors to consider about the Diamond State before making it your retirement destination.

Assisted Living Services and Amenities in Delaware

In Delaware, assisted living facilities are regulated by the Division of Health Care Quality (DHCQ) under the Delaware Department of Health and Social Services (DHSS). These facilities must adhere to specific regulations that ensure the safety, well-being, and quality of life for residents, while providing a supportive environment for individuals who may require help with activities of daily living (ADLs) such as bathing, dressing, and medication management.

Services Provided in Delaware Assisted Living Facilities

Assisted living facilities in Delaware offer a range of services designed to meet the needs of older adults who do not require the level of care provided in a nursing home but need assistance with daily tasks. These services generally include:

  1. Personal Care Services: This includes assistance with ADLs such as bathing, grooming, dressing, mobility assistance, and eating. Staff are trained to provide non-medical care, ensuring residents can live independently with the support they need.

  2. Medication Management: Facilities are required to have staff who can assist with medication administration. This may involve reminding residents to take their medications, organizing pillboxes, or providing full assistance depending on individual needs.

  3. Health Monitoring and Support: Assisted living communities in Delaware provide basic health services, including routine health monitoring such as blood pressure checks and assistance with managing chronic conditions. Some facilities may offer access to on-site healthcare professionals, such as nurses or nurse practitioners, who can provide more comprehensive care.

  4. Emergency Services: All assisted living facilities in Delaware are required to have 24-hour staff availability to address medical emergencies. They must have protocols for responding to medical needs and emergency situations, such as falls or other urgent health concerns.

  5. Housekeeping and Laundry: These services are typically provided to ensure a clean and comfortable living environment. Staff may assist with light housekeeping duties, such as cleaning common areas, and laundry services to ensure that residents’ clothing and bedding are clean and maintained.

  6. Nutritious Meals: Facilities offer three meals per day that are prepared on-site, with accommodations for dietary restrictions based on health conditions or personal preferences. Menus are often designed to promote balanced nutrition and can be adjusted for residents who need specialized diets.

  7. Social and Recreational Activities: Delaware’s assisted living facilities are required to provide activities that help residents remain engaged and maintain a high quality of life. This can include group exercises, arts and crafts, educational seminars, games, music therapy, and excursions. These activities promote social interaction and mental stimulation.

  8. Transportation Services: Many Delaware assisted living facilities offer scheduled transportation services to help residents access medical appointments, shopping, social events, and other community activities. This service ensures that those who no longer drive can remain active and involved outside the facility.

Amenities in Delaware Assisted Living Facilities

Delaware assisted living facilities offer various amenities designed to enhance comfort and quality of life. These can vary depending on the facility but typically include:

  1. Private or Shared Rooms: Most facilities offer both private and semi-private accommodations. Residents are provided with rooms that can be personalized with their own furniture and decorations. Some facilities also offer apartments or suites that include small kitchens or kitchenettes.

  2. Common Areas: Assisted living communities in Delaware typically have common areas such as lounges, dining rooms, libraries, and activity rooms. These spaces are designed to encourage social interaction among residents and to host group activities.

  3. Outdoor Spaces: Many facilities provide access to outdoor areas such as gardens, patios, or walking paths, where residents can enjoy fresh air and participate in outdoor activities, providing a sense of connection with nature.

  4. Security and Safety Features: Facilities must meet safety standards including secure entrances, handrails, emergency call systems, and surveillance systems to ensure the safety of all residents. The facilities also often provide well-lit areas and make provisions for residents with mobility impairments.

  5. Fitness and Wellness Centers: Some facilities include fitness centers equipped with exercise equipment and spaces for physical therapy or other wellness programs. Activities such as yoga, tai chi, or chair aerobics may be offered to promote physical health.

  6. On-Site Beauty and Barber Services: Many Delaware facilities offer beauty and barber services for residents who wish to maintain personal grooming. These services are typically offered for an additional fee and may be scheduled on a regular basis.

  7. Pet-Friendly Policies: Some facilities in Delaware may allow residents to keep small pets, subject to certain restrictions. This can help improve emotional well-being and provide companionship to residents.

  8. Wi-Fi and Technology: Assisted living communities often provide internet access, either in common areas or in residents' rooms, to help residents stay connected with family, friends, and the outside world. Some facilities may also offer technology programs or support for residents to use smartphones, tablets, or computers.

Safety measures in Delaware assisted living facilities

Safety is a critical aspect of assisted living facilities in Delaware, where various regulations and standards are in place to ensure the well-being of residents. These safety measures are designed to address the physical environment, staff training, emergency protocols, and day-to-day operations to create a secure and comfortable atmosphere for elderly individuals who may require assistance with daily activities.

1. Building and Environmental Safety

Delaware assisted living facilities are required to adhere to strict building codes to ensure that the physical environment is safe for residents. This includes ensuring that all facilities are fully accessible to individuals with mobility challenges. Hallways and doorways are designed to accommodate wheelchairs, walkers, and other mobility aids.

Facilities are also equipped with emergency exits and fire suppression systems. Regular fire drills are conducted to ensure that both staff and residents are familiar with evacuation procedures. Smoke detectors, sprinklers, and fire alarms are installed throughout the premises to provide early warnings in the event of a fire or emergency.

The design of the living spaces also focuses on reducing fall risks. Non-slip flooring, handrails, and well-lit corridors are standard safety features to prevent accidents. Bathrooms are fitted with grab bars and other accessibility tools to support residents who may need assistance with bathing and toileting.

2. Medication Management and Health Monitoring

In Delaware, assisted living facilities are required to have strict policies for medication management to ensure that residents receive their medications safely and on time. Trained staff members are responsible for administering medications and monitoring residents for any adverse reactions. Many facilities use medication management systems that track when medications are due and confirm that they are being administered correctly.

Additionally, health monitoring is an integral part of safety measures. Regular health assessments are conducted to track vital signs, mobility, and overall health. These assessments help staff identify any potential health issues early on, allowing for prompt intervention.

3. Staff Training and Background Checks

Staff training plays a significant role in maintaining safety in Delaware assisted living facilities. All staff members, including caregivers, housekeeping personnel, and administrative staff, undergo thorough training. This training typically includes emergency procedures, first aid, CPR, and patient care techniques. Specialized training may also be provided for staff members who work with residents with specific conditions, such as dementia or Alzheimer’s disease.

In addition to training, Delaware law mandates background checks for all employees in assisted living facilities. These checks are designed to ensure that staff members have no criminal history and are fit to provide care for vulnerable individuals. This helps prevent incidents of abuse or neglect, which are serious concerns in long-term care settings.

4. Emergency and Disaster Preparedness

Delaware assisted living facilities are required to have comprehensive emergency and disaster preparedness plans in place. These plans must include protocols for responding to natural disasters, medical emergencies, power outages, and other crises. Residents' safety is prioritized in these situations, with designated staff members responsible for coordinating evacuations or providing first aid.

Facilities are also required to maintain emergency contact information for each resident, ensuring that family members or designated emergency contacts can be reached quickly in case of an emergency. Evacuation plans must account for residents with special needs, ensuring that those with mobility challenges or cognitive impairments are safely escorted to safe locations if necessary.

5. Resident Monitoring and Security

Many Delaware assisted living facilities incorporate monitoring systems to enhance resident safety. These can include electronic alert systems that notify staff members when a resident is in distress, such as if they fall or require assistance. Some facilities may use motion sensors, surveillance cameras, or personal emergency response systems (PERS) to monitor residents and ensure they receive timely help if needed.

Security measures are also in place to protect residents from potential intruders. Most facilities have secure entrances and exits, with key cards or other access controls in place to restrict access to authorized personnel. In addition, some facilities employ security personnel or have partnerships with local law enforcement to ensure that the premises remain safe at all times.

6. Social and Emotional Well-Being

Safety in Delaware assisted living facilities is not only about physical protection but also about ensuring the emotional and social well-being of residents. Many facilities offer recreational programs, social activities, and opportunities for residents to engage with their peers. Social isolation can lead to mental health challenges, and facilities actively foster a community environment to combat this risk.

Furthermore, Delaware law requires facilities to offer residents the ability to raise concerns or complaints about their care in a safe, non-retaliatory environment. This ensures that residents and their families have a way to address any safety or care-related issues that arise.

7. Nutrition and Dietary Safety

In Delaware, assisted living facilities must also adhere to dietary guidelines to ensure that residents receive safe, nutritious meals. Facilities must provide well-balanced, appropriately prepared meals that account for dietary restrictions or health conditions such as diabetes, hypertension, or food allergies. Staff members are trained to manage special dietary needs, ensuring that meals are both safe and suitable for each resident's specific health requirements.

Types of Delaware Assisted Living Communities

Delaware offers a range of assisted living communities tailored to meet the specific needs of older adults who require varying levels of care and support. These communities differ in their services, amenities, and philosophies, providing individuals with the opportunity to choose a home that best suits their personal preferences and health requirements. Here are some key types of assisted living communities in Delaware:

1. Traditional Assisted Living Communities

These are the most common type of assisted living options in Delaware. They are designed for seniors who need help with daily tasks, such as bathing, dressing, and medication management, but who do not require full-time medical care. Residents enjoy private or semi-private apartments, with access to shared common areas for dining, socializing, and recreation. Meals are typically provided, along with housekeeping and laundry services. Staff members are available 24/7 to assist with activities of daily living (ADLs).

2. Memory Care Assisted Living

Memory care communities are specialized facilities within Delaware designed for individuals with Alzheimer’s disease, dementia, or other memory-related conditions. These communities offer a safe and secure environment, with enhanced supervision to prevent wandering. Staff members are trained to handle the specific needs of individuals with cognitive impairments. Memory care communities often feature specialized therapies, activities designed to improve cognitive function, and heightened safety measures.

3. Independent Living Communities with Assisted Services

Some Delaware communities combine independent living with assisted living services, often referred to as “independent living with assisted services.” These communities offer independent living quarters where residents have their own private apartments but can access additional assistance as needed. Services may include help with bathing, dressing, medication management, and housekeeping. This type of community is ideal for seniors who are largely independent but need support for specific tasks or have fluctuating care needs.

4. Continuing Care Retirement Communities (CCRCs)

Continuing Care Retirement Communities (CCRCs) in Delaware provide a continuum of care, allowing residents to age in place. These communities offer different levels of care, ranging from independent living to assisted living, and even skilled nursing care or memory care. CCRCs are ideal for seniors who may need to transition between different levels of care as their health needs change over time. Residents typically enter a CCRC with an independent living option, and as their needs increase, they can move to higher levels of care without having to leave the community.

5. Small-Scale or Residential Assisted Living Homes

Some Delaware assisted living options are small-scale, residential-style homes that provide a more intimate, personalized experience. These homes, often referred to as "residential care homes" or "adult family homes," cater to a smaller number of residents, usually between four and ten. They are often located in residential neighborhoods, offering a homelike environment. These communities can be ideal for seniors who prefer a less institutional setting with more individualized attention and care.

6. Specialized Assisted Living for Veterans

Delaware also has assisted living communities specifically designed to serve veterans and their families. These communities provide tailored services that cater to the unique needs of veterans, including military-related healthcare, social activities, and support services. In some cases, veterans can access additional financial assistance for their care through the Veterans Affairs (VA) benefits program. The specialized services ensure veterans receive the level of care they need while honoring their service.

7. Faith-Based Assisted Living Communities

Some assisted living communities in Delaware are affiliated with religious organizations and provide a faith-centered approach to care. These communities may offer spiritual services, religious activities, and support for residents’ religious practices. Faith-based communities are ideal for seniors who seek to maintain their spiritual well-being and connect with others who share their beliefs, in addition to receiving assistance with their physical and emotional needs.

8. Respite Care Assisted Living

Respite care is a temporary form of assisted living that provides caregivers with relief from their caregiving responsibilities. In Delaware, respite care is often offered by assisted living communities as a short-term option, ranging from a few days to several weeks. This service is perfect for family caregivers who need a break or who may be dealing with a temporary situation that prevents them from providing full-time care. During their stay, residents receive the same care and services as permanent residents, ensuring that their physical and emotional needs are met.

9. Luxury Assisted Living Communities

For seniors seeking a more upscale living experience, Delaware offers luxury assisted living communities. These communities focus on providing a high level of comfort, convenience, and privacy, often featuring lavish amenities such as gourmet dining, spa services, fitness centers, concierge services, and private transportation. Luxury assisted living communities may also offer personalized care plans and larger, more private living spaces.

10. Rehabilitation-Focused Assisted Living

Some assisted living communities in Delaware are designed for individuals recovering from surgery, illness, or injury. These rehabilitation-focused communities provide a combination of skilled nursing care and assisted living services. Residents in these communities may receive physical, occupational, or speech therapy as part of their recovery process. Rehabilitation services are often offered in partnership with hospitals or specialized rehabilitation centers, providing a seamless transition from hospital to home-like care.

Moving to Delaware Assisted Living Facilities

Moving to an assisted living facility in Delaware is a significant decision, as it offers a combination of independence with the added benefit of support services tailored to seniors. Delaware has become a popular choice for retirees and those seeking care due to its favorable tax policies, diverse healthcare services, and range of living environments, from coastal areas to more rural settings.

Choosing the Right Location in Delaware

Delaware’s assisted living facilities are spread across various regions, and selecting the right one depends on personal preferences, lifestyle, and family considerations. Some of the most well-regarded areas for seniors in Delaware include:

  • Northern Delaware (Wilmington area): This region has a variety of facilities that offer access to cultural activities, healthcare institutions like the Christiana Care Health System, and vibrant community life. Wilmington, Delaware’s largest city, is known for its parks, museums, and shopping districts, making it an ideal spot for seniors who want to stay close to urban amenities.

  • Southern Delaware (Rehoboth Beach and Lewes): For those who love coastal living, the southern part of Delaware offers picturesque beaches and a quieter lifestyle. Rehoboth Beach and Lewes are home to several well-regarded assisted living facilities. This area also benefits from a low-cost living, tax incentives for seniors, and mild winters, which is appealing for many retirees.

  • Central Delaware (Dover area): The state capital of Dover offers a balance between a more rural, slower-paced environment and proximity to healthcare and shopping. This region may appeal to individuals looking for a peaceful and serene setting while still being connected to essential services.

Understanding Delaware’s Assisted Living Regulations

Delaware has specific regulations that govern assisted living facilities to ensure a high standard of care for residents. The Division of Long-Term Care Residents Protection (DLTCRP) is the state agency that oversees licensing and compliance. Some of the key requirements for assisted living facilities in Delaware include:

  • Licensing and Staffing: Delaware’s assisted living facilities must be licensed and meet specific criteria for staff qualifications. The staff typically includes certified nursing assistants (CNAs), registered nurses (RNs), and other support staff who are trained to assist with daily activities and medical care.

  • Personalized Care Plans: Facilities are required to develop personalized care plans for each resident based on their health, mobility, and assistance needs. These plans can be adjusted over time to reflect changing health conditions.

  • Safety and Security: Delaware facilities are required to provide safe and secure living environments for their residents. This includes providing appropriate access control to prevent wandering, as well as ensuring fire safety, accessibility, and emergency preparedness.

Cost Considerations

The cost of assisted living in Delaware varies depending on the location, level of care required, and size of the facility. On average, the monthly cost for an assisted living facility in Delaware ranges from $3,500 to $5,500. However, these rates can be higher in more urban areas like Wilmington compared to rural or coastal locations.

Delaware does not have a state sales tax, which can be a financial advantage for retirees. Additionally, the state offers property tax exemptions and relief programs for seniors, which can help reduce the overall cost of living. Some residents may also qualify for Medicaid assistance to help cover the costs of assisted living, although not all facilities accept Medicaid.

Amenities and Services in Delaware Assisted Living Facilities

Delaware’s assisted living facilities typically offer a wide array of services and amenities designed to promote independence and well-being. These may include:

  • Personal Care Assistance: Facilities provide help with daily activities such as dressing, bathing, grooming, and eating.
  • Medical Services: Many facilities partner with local healthcare providers or have in-house medical staff to ensure residents receive necessary medical care, including medication management, physical therapy, and more.
  • Recreational Activities: Assisted living facilities in Delaware often offer a variety of recreational programs, such as arts and crafts, exercise classes, social outings, and cultural events, which contribute to mental and physical well-being.
  • Dining Services: Nutritious meals are provided, and many facilities offer a variety of dining options, including special diets for health conditions like diabetes or heart disease.
  • Transportation Services: Many facilities offer transportation to medical appointments, shopping centers, and local events, making it easier for seniors to maintain their independence.

Transitioning to an Assisted Living Facility

The process of moving into an assisted living facility in Delaware involves careful planning. The transition typically begins with a thorough assessment of the individual’s healthcare and personal needs. This is followed by a visit to the facility to ensure it aligns with expectations and lifestyle preferences. Family involvement is crucial during this period to help with the adjustment and ensure that the right level of care is being provided.

Once the decision is made, the move itself can be managed with the help of professional moving services or with family assistance, depending on the individual’s needs. Many assisted living communities also offer moving-in assistance, helping seniors settle into their new environment comfortably.

Community and Support

Delaware’s assisted living facilities often create a sense of community through shared activities and spaces. Many facilities have communal dining areas, lounges, and gardens where residents can interact and form bonds. This can be particularly beneficial for those looking for social interaction and support as they transition into assisted living.

Families can also be involved in the process through regular visits and communication with the facility staff, ensuring that the senior's needs are met and their care is consistent with their preferences. Most facilities encourage family engagement through events, feedback systems, and updates on the resident’s care plan.

Assisted Living Regulations in Delaware

In Delaware, assisted living facilities (ALFs) are governed by the Department of Health and Social Services (DHSS) through the Division of Health Care Quality (DHCQ). These regulations ensure the safety, health, and well-being of residents, while providing them with assistance in daily activities. The regulations are comprehensive and cover various aspects of facility operation, including staff qualifications, resident care, building standards, and licensing procedures.

Licensing and Certification

Assisted living facilities in Delaware must be licensed by the DHSS. The process involves an application that includes documentation about the facility's ownership, management, and compliance with health and safety standards. The state requires that all facilities be certified to operate and periodically undergo inspections to ensure ongoing compliance.

Facilities are classified based on their size and the level of care they provide, which can range from minimal support to more intensive assistance. Depending on the classification, facilities must meet different regulatory criteria to ensure they are equipped to manage residents' needs.

Resident Care and Services

The regulations mandate that assisted living facilities provide personalized care plans for each resident. These plans must be developed with input from the resident, their family, and healthcare professionals. The plans should be updated regularly, particularly when there is a change in the resident's health or functional status.

Staff members must provide assistance with activities of daily living (ADLs), such as bathing, dressing, eating, and mobility. Facilities are also required to offer medication management, either by a licensed nurse or under the supervision of one. Additionally, facilities must have protocols for providing 24-hour emergency assistance, including access to healthcare providers in case of urgent needs.

Staffing Requirements

Delaware’s regulations specify that assisted living facilities must employ qualified staff, including administrators, caregivers, and healthcare professionals. Administrators must hold a valid license and complete a specific number of continuing education hours annually. Caregivers are required to have proper training in areas such as first aid, CPR, infection control, and resident care.

The staff-to-resident ratio is also regulated, ensuring that there are enough caregivers available to meet the residents' needs. Facilities must be able to demonstrate their ability to provide adequate staffing, particularly during peak times or in cases of emergency.

Health and Safety Standards

Facilities must adhere to strict health and safety standards, including fire safety, sanitation, and building codes. Assisted living facilities in Delaware must be inspected by the DHCQ to ensure compliance with the state’s fire, health, and safety regulations. The buildings must have proper ventilation, lighting, and heating, and must be accessible to individuals with disabilities. Emergency evacuation procedures and fire drills must be conducted regularly to ensure residents’ safety.

Food service is another critical area of regulation. Assisted living facilities must offer nutritious meals that meet the dietary needs of their residents, including any special dietary requirements related to medical conditions. Facilities are required to provide a clean and safe environment for food preparation and storage.

Resident Rights

Delaware’s regulations emphasize the protection of residents' rights. This includes the right to privacy, the right to make personal decisions, and the right to participate in activities that enhance their quality of life. Facilities are required to provide residents with a written statement of their rights upon admission and ensure that these rights are upheld throughout their stay.

Residents must also have access to a grievance process if they feel their rights have been violated or if they are dissatisfied with the care provided. The facility must have a clear procedure for resolving complaints, and residents can appeal to the Division of Health Care Quality if necessary.

Admission and Discharge Procedures

Admission policies are strictly regulated. Assisted living facilities are prohibited from admitting individuals who require care beyond the scope of the services they can provide, such as those who need continuous medical care or advanced nursing services. However, facilities can admit individuals who are in need of lower levels of assistance and who do not pose a danger to themselves or others.

Discharge policies are also specified. Facilities must have clear discharge procedures in place and cannot discharge a resident without a valid reason, such as nonpayment or a need for higher levels of care. If a resident needs to be discharged, the facility must provide proper notice and assistance in finding alternative care options.

Financial Regulations

In Delaware, assisted living facilities are required to provide residents with a clear, written contract that details the cost of services, billing procedures, and any potential additional charges. The contract must also outline the facility's policies on refunds if a resident is discharged or moves out before the end of the billing period.

The state also regulates Medicaid participation for assisted living facilities. Medicaid recipients in Delaware may be eligible for certain assisted living services, and facilities must comply with Medicaid guidelines when providing these services.

Enforcement and Compliance

The Division of Health Care Quality regularly inspects assisted living facilities to ensure compliance with state regulations. Facilities that do not meet standards may face penalties, including fines, corrective action plans, or, in extreme cases, license revocation. Residents or their families can report concerns to the DHCQ, which investigates complaints and ensures facilities adhere to the regulatory requirements.

In addition to routine inspections, the DHSS conducts surveys and evaluations to assess the quality of care provided in assisted living facilities. These surveys help ensure that facilities maintain high standards of care and identify areas for improvement.

Services for a Senior Living in Delaware

Delaware Senior LivingHealth and Social Services oversees the Division of Services for the Aging and Adults with Physical Disabilities (DSAAPD). They offer a variety of services through their office and provide a link on their website to a comprehensive list of services available through other organizations. The following are provided by DSAAPD:

There are a total of 24 programs for seniors living in Delaware  to keep seniors connected to the community or enrich lifestyle:

Adult Day Services – provides activities and care for an elderly or disabled person who cannot be left by themselves for long periods such as when the primary caretaker is a family member who has to work during the day;
Community Living – provides personal, social, or educational opportunities for the disabled through community resources. Transportation is provided;
Congregate Meals – meals offered every day in a group setting such as a senior center, to offer healthy dietary options and a chance to socialize; and
Senior Community Service Employment Program – helps seniors find paid, part-time employment and receive training if needed.

The following programs are designed to provide a little extra help to elders living at home with or without a caretaker:

Assistive Devices – helps get the equipment a disabled senior would need to promote and maintain their independence;
Attendant Services – an attendant assists the disabled person with various tasks that they cannot perform on their own including personal hygiene, meal preparation, transportation, etc. With this self-directed service, the senior or disabled person acts as the employer of the attendant;
Home Delivered Meals – hot and cold meals delivered to the senior's home;
Home Modification – pays for modifications that allow the seniors to move about their home more freely (such as a wheelchair ramp);
Lifespan Respite – when a caregiver is a family member or spouse, they may receive respite vouchers to pay for care for their loved one while they take a break;
Money Management Program – assistance to low-income seniors and disabled persons who have trouble managing their bills and expenses so they may continue to enjoy their independence;
Personal Care – similar services to Attendant Care but not self-directed;
Respite Care – similar to lifespan respite but can be regularly scheduled, such as once a week.

Senior Medical Assistance and Advocacy:
Adult Protective Services – responds to incidents of abuse, neglect, or exploitation of impaired adults and seniors living independently in the community;
Alzheimer’s Day Treatment – adult day treatment for seniors with Alzheimer’s or related dementia by a specialized staff;
Caregiver Resource Centers – offers assistance, support, and resources for caregivers who take care of seniors;
Case Management – provides help to elders, the disabled, and caretakers in finding the services they need and in maintaining that program;
Senior Medicare Patrol Program – helps with any questions or concerns about Medicare and encourages seniors to stay informed about their benefits;
Legal Services – provides legal help with power of attorney, advance directives, and consumer, housing, and benefits
Long Term Care Ombudsman Program – advocate specifically for seniors who are residents of long-term care facilities and those living in the community that require assistance and aids in resolving complaints lodged by the senior receiving care, or the caregiver;
Nursing Home Transition Program – individualized case management to help nursing home residents who want to relocate to a community living setting;
Nursing Home Care – DSAAPD operates two nursing homes for seniors requiring care and who cannot live on their own;
Options Counseling – Counselors help seniors map out the health care plan best suited to them, explaining their options and assisting with paperwork;
Personal Emergency Response System – provides at-risk seniors a button to wear that will summon emergency services if needed.

Transportation Services for seniors in Delaware:
DART First State Transportation System – door to door bus service for the elderly and disabled.
One typical issue many seniors living in encounter is a lack of available primary care physicians. Delaware has had trouble keeping up with the demand for doctors, and when a new practice opens, it quickly fills up. Seniors who live in Delaware often find themselves traveling out of state to Maryland or New Jersey for health care.
It may also be inconvenient to learn that there are no international flights that depart from . Travelers can take a connecting flight or make a drive across the border to fly out of another state.

Who pays for Assisted Living Care in Delaware?

Delawareans who qualify for Medicaid are covered under the Diamond State Health Plan Plus (DSHP+). It is a Medicare-managed, long-term care plan designed to allow a greater level of self-directed care using more community-based resources. The state of Delaware dissolved its waiver program in 2014 to cross over entirely to DSHP+.

To receive Medicaid as a disabled or elderly person in Delaware, you must meet certain eligibility requirements.

  • Must be at least 65 years of age or under 65 but disabled;
  • Must be a resident of the state of Delaware;
  • Must meet the financial requirements; assets and household income (before taxes) are limited to:
    • Single person – $1,837.50/month;
    • Non-applicant Spouse - $3,022.50/month; and
    • Assets cannot exceed $2000, excluding the applicant’s home and one vehicle; non-applicant spouse may have up to $120,900 in assets
      In some cases, even if the applicants’ assets exceed the limit, they may still be eligible. They can get in contact with a Medicaid counselor through the DSAAPD.

Best Cities for Senior Living in Delaware

Wilmington, Delaware is located in New Castle County. With a population of 71,948, it is the largest city in Delaware. Residents 65 and older make up about 11%, and there are around 3,300 veterans. Wilmington has a significantly higher crime rate than any other city in Delaware with about 1,160 violent crimes per year. However, there are many attractions in the city that make it a popular destination for seniors and retirees, such as:

  • Brandywine Zoo: This small zoo has a lot to offer, from common to exotic and endangered species of all types. This is a great place to take the grandchildren or just enjoy the animals in their specialized habitats;
  • Brandywine Park: Housing the zoo, this park sprawls along either side of the Brandywine River. It is a great place for hiking and biking, and there’s an off-leash area for your canine companion;
  • The Grand Opera House: Visit this historic opera house for a taste of culture and history;
  • Daniel S. Frawley Stadium: Baseball fans will not want to pass up a game at this stadium, which also hosts music venues and other activities throughout the year;
  • Delaware Art Museum: Housing a varied collection of works and workshops, this is a must-see in Wilmington;
  • Delaware Children’s Museum: For seniors with grandchildren, this is a perfect place to keep grandchildren entertained while learning about science, nature, and art;
  • St. Anthony of Padua Church: This Roman Catholic church, which opened in 1924, is not only a place of worship but an architectural wonder as well.

    The warm summers in Wilmington, DE climb into the 80s. Winters tend to drop to the 20s, with the heaviest snowfall in January and February, averaging 8 inches.

Dover, DE, located in Kent County has a population of approximately 36,000. Of this number, about 14% are persons 65 and older, and at last count contained 3,600 veterans. Dover also has a relatively high non-violent crime rate. The statistics show mainly theft and various types of assault with the greatest numbers. Here are the most notable places for seniors to enjoy in Dover, DE:

  • Delaware Agricultural Museum and Village: History buffs will want to make this trip to learn about the agricultural history of Delaware and the Delmarva Peninsula;
  • John Dickinson House: This is another historical attraction for those who want to know more about the First State’s story or just learn about the “Penman of the Revolution;”
  • Air Mobility Command Museum: This is the only military aviation museum in America dedicated to airlift and air refueling;
  • Johnson Victrola Museum: Learn about the Victor Talking Machine Company and Delaware’s own Eldridge Reeves Johnson;
  • Kent County Veterans Memorial Park: This Memorial for Vietnam Veterans and Gold Star Families is located on South Little Creek Road and will be expanding to include memorials for the Korean and Iraq/Afghanistan wars;

    Weather in Dover differs little from Wilmington, occasionally a degree or two warmer. Snowfall levels are comparable.

    Newark, DE in New Castle County has a population of 31,450, 9% of which are 65 and older, and 1,300 veterans. Newark has a relatively high violent crime rate compared to cities in the nation but comes in third highest in the Diamond State. Here are things for seniors to do in Newark, DE:
  • REP Theater at the University of Delaware: For those who enjoy theater, the Resident Ensemble Players at the University perform all the classics and contemporary works;
  • Aunt Margaret’s Antique Mall: This mall offers two floors full of antiques, collectibles, vintage and primitive decor items;
  • New Castle 100 Archers: This club offers group and private lessons to anyone of any experience level so you can join your peers or take up a sport you’ve always wanted to try;
  • Pencader Heritage Museum: Here you can peruse an extensive collection of memorabilia from the Revolutionary War and others;
    Newark's weather is on par with Dover and Wilmington but gets several fewer inches of snow.

Hockessin, DE in New Castle County is populated by 13,500 residents; 18% are seniors 65 and up and almost 900 are veterans. Their crime rate is well below the national average, mostly property theft incidents with violent crime a rarity, so Hockessin is a very safe place to live. Most notable places for seniors in Hockessin are:

  • Ashland Nature Center of Delaware Nature Society: This is a learning experience for all ages. The Nature Society focuses on conservation and agriculture and has many programs to offer for seniors and anyone else who loves nature;
  • Auburn Heights Preserve and Marshall Steam Museum: This park has hiking and biking trails and preserves the Marshall Family estate, as well as some of their mills. It also features the Steam Museum, with its collection of steam powered cars and a miniature steam train;
  • Mt. Cuba Center: Featuring lush and scenic gardens, this center teaches about gardening, botany, and conservation of native plants;
  • Mt. Cuba Astronomical Observatory: This is an exciting and educational place to explore the stars. They have an all-digital planetarium, a library, workshops, lectures, and an 11.5-centimeter refracting telescope;

Temperature highs and lows are typical for the region with a greater amount of rainfall than the national average (46 inches annually). Yearly snowfall is around 11 inches.

Rehoboth Beach, DE of Sussex County has 1,300 residents, 35% of those being 65 years or older, and 139 veterans. The crime rate here seems to be very low with violent crimes almost nonexistent. They mostly see theft and burglary and those numbers are well below the national average. Delaware Seashore State Park located in Rehoboth Beach is one of Delaware’s most popular destinations. There are lots of swim-related activities for seniors, fishing and boating, hiking, biking, and equestrian trails. The beach and parts of the Indian River Marina are wheelchair accessible. Campgrounds are open from the beginning of March to the end of November and offer cabins and yurts for rental.
The climate differs little from the rest of Delaware with a yearly average of 10 inches of snow.

Ocean View, DE in Sussex County is a small town with a total of 1,880 people. People 65 and older make up 46% of the population and 331 of those are veterans. Crime is very low here, and Ocean View is, in fact, one of the safest towns for seniors living in Delaware. Places of interest for seniors living on Ocean View, DE:

  • Bear Trap Dunes Golf Club: If golf is your game, you’ll want to play this beautiful course. Become a member or sign up for a guest package;
  • James Farm Ecological Preserve: Stroll down the beach along Indian River Bay at low tide. Experience seven different habitats along the way, presenting the opportunity to see a myriad of wildlife in the marshes and woods;
  • Oceanova Spa: When you feel like pampering yourself, visit for a massage, facial, skin care or body treatments. Then hit the beach looking and feeling fantastic!
  • Gallery One: For the art lover and anyone who wants to support local artists, drop in and see the creative talent Delaware has to offer;
  • Badfish Charters: Offering fishing trips and coastal cruises, book some time on the water with Captain Griff Kroll. Equipment is provided.

The temperatures in Ocean View are average for Delaware but expect higher humidity. The snowfall is typically less than in other parts of the state, at 9 inches per year.

Lewes, DE (pronounced like Lewis) lies in Sussex County. Its population is 2,747. Seniors who are 65 or older make up 44% of the people living in Lewes, and 562 are veterans. This is another low-crime city as most of the smaller towns tend to be. Places of interest for seniors in Lewes, DE include:

  • Zwaanendael Museum: This museum features the history of Delaware’s first European community as well as Lewes’s maritime and military past;
  • Delaware Breakwater East End Light: This is an attraction steeped in Delawarean history. The ambitious undertaking of building the breakwater was finished in 1869, and the East End Lighthouse was added in 1903. This is a must-see for seniors who are history buffs and lighthouse enthusiasts;
  • United States Lightship Overfalls: This Historic Landmark is one of only 17 lightships remaining of the 179 built between 1820 and 1952 and is one of seven still open to the public;
  • Cannonball House: Built around 1765, this house has seen a great deal of Delawarean history and is a revered landmark in Lewes. A cannonball is still lodged in the side of the house from the bombardment by the British in the War of 1812.
    Summers in Lewes, Delaware see temperatures in the 80s and winters in the 40s with even rainfall throughout the year.
  • Hopkins Farm Creamery—When in Lewes, any senior who is a fan of frozen desserts will want to visit this dairy farm, where they can sample homemade, hand-dipped ice creams. The Hopkins farm has been in operation since 1942. Since 2008, they’ve been sharing information about the dairy industry and products to increase appreciation for Delaware’s important agricultural history;

Weather in Delaware

Delaware is surrounded by bodies of water, bordered to the east by the Atlantic and Delaware Bay. The Chesapeake Bay lies on the west side of the Delmarva Peninsula which Delaware shares with Maryland. It is considered to have a continental climate with winters averaging in the 50s and summers in the high 70s. Their record highs and lows were both set in the southern region—110° F in 1930 and -17° F in 1893, respectively.

Because of this moderate climate disposition, rainfall is very even with each region getting an average of 45 inches per year. Snowfall tends to be most persistent in Wilmington with an annual average of 20 inches. Dover and Georgetown follow with 13 to 15 inches. The lightest precipitation is in Lewes and Newark (7 to 9 inches).

According to the Office of the Delaware State Climatologist, the First State is susceptible to extreme weather during the winter and spring in the form of severe thunderstorms, with nor-easters bringing heavy snowfall and coastal flooding.

Delaware Demographics

Delaware is the 6th most densely populated state in America, with 442 people per square mile. There are no cities with more than 100,000 people, a distinction it shares with only four other states. Delaware contains a population of 897,934 people according to the latest Census Bureau report. Recently, it was reported that the racial composition broke down into 68% White, 21% Black, 3% Asian, 0.5% Native American, 3% Other Races and 2% Mixed Races. This Census also showed that lesbian, gay, bisexual, and transgender adults make up about 3% of the population (an estimated 23,698 people). The Census Bureau reports that 17% of the population (or approximately 150,000) are elderly residents who are 65 and older.

The two most common religious affiliations are Methodist at 20% and Baptist at 19%, followed closely by those with no religion making up 17% of the population. Other denominations of significant size are the Roman Catholics (9%), Lutheran (4%), Presbyterian (5%), Pentecostal (3%), Episcopalian/Anglican (2%), Seventh-day Adventist (2%), Churches of Christ (1%), Muslim (2%) Jewish (1%) and Other (5%). There is an Amish community in Dover and a Hindu temple in Hockessin. Residents of Delaware consider themselves 34% moderately religious, 33% very religious, and 33% non-religious.

Though no official language has been designated, 91% of Delawareans speak English, followed by 5% who speak Spanish, 0.7% French, 0.5% Chinese, and 0.5% also for German.
Delaware is known as the Diamond State but more commonly as the First State. Delawareans chose this official nickname since they were the first to ratify the Constitution of the United States on December 7, 1787. Its three counties are New Castle, Kent, and Sussex. The former has historically been the most industrialized region while the other two are primarily agricultural.

Delaware does not have a state tax, though local city taxes average about 0.160%. Estates valued at under $5,450,000 are tax exempt, and property taxes average 0.43% of fair market value which is the 4th lowest in the country. The state also exempts up to $12,500 of investment and qualified pension income for people 60 or over.

For homeowners 65 and older who have owned their home for three or more years consecutively, there’s the Senior School Property Tax Relief which grants a tax credit against regular school property taxes at 50% up to $500. This is for the primary home only, and one credit will be granted per home regardless of the number of eligible residents. The application for the credit must be filed by April 30 of the given year, but the applicant may still be eligible if they turn 65 by June 30 immediately before the beginning of the county fiscal year.

The cost of living in Delaware is 10-16% greater than the national average. Some of the beach communities are even higher, while the rural areas are more affordable; Hockessin represents the highest home costs with a median price of $402,800, and Wilmington averages out at a much lower $120,900, with the average house price for the state as a whole being $213,500. Housing and utilities comprise the greatest expenses of a Delawarean lifestyle, and grocery costs are about 12% higher than the national average. Health care and transportation, however, are only slightly above the median.

Some places to consider for Delaware Assisted Living

There are a number of Assisted Living Communities in Delaware situated near the coast of Delaware Bay or along the Delaware River, though any location is just a short trip from access to beaches and water activities for those so inclined. Many of these facilities, both coastal and further inland, provide transportation for outings, shopping trips, and medical appointments.

  • Brandywine facilities – with multiple locations along the coast, offers multiple levels of care with onsite nurses 24/7 at all locations as well as a wide array of activities to suit various interests
  • State Street Assisted Living in Dover – offers Memory Care and Respite Care, 24/7 personal and medical care assistants, activities for residents including student- and faculty-led courses from Wesley College, fitness classes, and spiritual growth programs
  • Manor House in Seaford – located near the Nanticoke River, offers numerous assisted living amenities including transportation to doctors and physical therapists on site, and is pet friendly
  • Serenity Gardens Assisted Living Facility in Middletown – for recuperative care, offers long term options, a good selection of activities and amenities, and dietary and medical specialists, including dementia care
  • Somerford House and Place in Newark – located near a golf course and medical center, offers long and short term stays, excellent services and amenities with a focus on memory care, and is another pet friendly facility

Common Questions About Assisted Living in Delaware

1. What is assisted living?

Assisted living is a residential option for seniors who require some assistance with daily activities such as bathing, dressing, medication management, and meal preparation. It offers a combination of housing, support services, and personalized care, fostering independence while ensuring safety and well-being.

2. How do I know if assisted living is the right option for my loved one in Delaware?

Assisted living can be a suitable choice if your loved one values their independence but needs assistance with certain activities. Consider their medical needs, social preferences, and desired level of care. Research options in cities like Wilmington, Newark, or Dover and visit facilities to see if they align with your loved one's needs and preferences.

3. What cities in Delaware have reputable assisted living facilities?

Delaware offers a range of assisted living options in cities like Wilmington, known for its cultural attractions and medical facilities; Newark, home to the University of Delaware; and charming Lewes, with its coastal beauty. Research and visit facilities in these cities to find the best fit for your loved one.

4. What services are typically provided in Delaware's assisted living communities?

Assisted living communities in Delaware usually offer assistance with activities of daily living, medication management, housekeeping, and transportation services. They often provide social and recreational activities to promote engagement and well-being among residents. Additionally, some facilities may have specialized memory care programs for residents with Alzheimer's or other forms of dementia.

5. How much does assisted living cost on average in Delaware?

The cost of assisted living in Delaware varies based on factors such as location, services provided, and the size of the living space. On average, you can expect to pay around $5,000 to $6,000 per month. Keep in mind that costs may be higher in cities like Wilmington and lower in more rural areas of the state. It's important to request detailed pricing information from the facilities you're considering.

6. Are there financial assistance options available for assisted living in Delaware?

Yes, Delaware offers financial assistance programs to help seniors cover the costs of assisted living. The Delaware Medicaid program provides support for eligible individuals, and the Assisted Living Waiver may help cover some expenses. Additionally, veterans and their spouses may qualify for benefits through the VA Aid and Attendance program. It's advisable to consult with financial advisors to explore all available options.

7. How can I evaluate the quality of assisted living facilities in Delaware?

When assessing the quality of assisted living facilities in Delaware, consider factors such as licensing, staff-to-resident ratio, cleanliness, safety measures, and resident reviews. Check if the facility is regulated by Delaware's Division of Health Care Quality and review inspection reports. Visit potential facilities in person to observe the environment, interact with staff, and get a sense of the overall atmosphere before making a decision.

8. Can residents personalize their living spaces in Delaware's assisted living communities?

Yes, many assisted living communities in Delaware allow residents to personalize their living spaces. While there may be some guidelines to ensure safety and aesthetics, residents are often encouraged to bring their own furniture, decorations, and personal belongings to create a homely and comfortable atmosphere. This helps residents feel more at ease and promotes a sense of ownership over their living space.

9. Are there age restrictions for assisted living communities in Delaware?

Assisted living communities in Delaware typically cater to seniors aged 55 and older. However, age restrictions may vary slightly between facilities. It's recommended to inquire about the specific age requirements of the assisted living communities you're interested in. Some communities may offer specialized programs or services for seniors with specific needs or preferences.

10. Can residents continue to see their doctors in Delaware's assisted living communities?

Yes, residents of assisted living communities in Delaware can usually continue seeing their own doctors. They can maintain existing relationships with healthcare providers, including primary care physicians and specialists. The facility may also offer transportation assistance for medical appointments. Additionally, some facilities have partnerships with nearby medical centers, making it convenient for residents to access healthcare services.

11. What types of social activities are available for residents in Delaware's assisted living communities?

Assisted living communities in Delaware offer a variety of social activities to keep residents engaged and active. These may include exercise classes, art and crafts, gardening, group outings to local attractions like Hagley Museum in Wilmington or the Delaware Art Museum, music and cultural events, and even pet therapy sessions. The goal is to provide a stimulating and enjoyable environment that enhances residents' quality of life.

12. How do I start the process of moving my loved one into an assisted living community in Delaware?

To begin the process of moving your loved one into an assisted living community in Delaware, follow these steps:
1. Research facilities: Explore options online and narrow down choices based on your loved one's preferences and needs.
2. Schedule visits: Arrange tours of the facilities you're interested in to assess their environment and services.
3. Assessment: Facility staff will evaluate your loved one's needs and create a personalized care plan.
4. Transition planning: Work with the chosen facility to coordinate the move, including packing, transportation, and paperwork.
5. Transition support: Offer emotional support to your loved one during the transition, and help them settle into their new home.
By taking these steps, you can ensure a smooth and positive transition for your loved one into their new living arrangement.

13. Can assisted living facilities accommodate residents with specific dietary preferences or restrictions in Delaware?

Yes, many assisted living facilities in Delaware are equipped to accommodate residents with specific dietary preferences or restrictions. Whether your loved one follows a vegetarian, gluten-free, or low-sodium diet, the facility's culinary team can often create meals tailored to their needs. It's advisable to discuss dietary requirements during the assessment process so that the facility can provide appropriate options that align with your loved one's preferences and health goals.

14. What is the role of Delaware's Division of Health Care Quality in overseeing assisted living communities?

Delaware's Division of Health Care Quality pl

Cities and Counties With Assisted Living Facilities in Delaware

Don't see your city/town/village on the list? Please use our search bar at the top of the page to search through 77 senior living options from 18 cities, towns and villages in Delaware. Simply enter your city name or zip code.

SeniorGuidance.org provides comprehensive resources on various senior living options, including: assisted living facilities, senior living communities, nursing homes, independent living communities, continuing care retirement communities (CCRC) and all other long term senior care options, including memory care such as Alzheimer's or Dementia.

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