2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Wilmington, DE

2026 monthly care rates for Wilmington (New Castle County), local Census affordability metrics, and 14 CMS-certified care facilities.

Assisted Living🏠
$6,430/mo
$77,160/yr
+4% vs U.S. avg
Memory Care🧠
$7,840/mo
$94,080/yr
+4% vs U.S. avg
In-Home Care🤝
$36.28/hr
$6,920/mo (44h/wk)
+4% vs U.S. avg
Nursing Home (Semi)🏥
$9,930/mo
Private: $11,190/mo
+4% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$6,430/mo
Memory Care$7,840/mo
Home Care$36.28/hr
Nursing Semi$9,930/mo
Nursing Priv$11,190/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $307k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Wilmington, DE

40.9 hrs/wk Break-even threshold

At Wilmington, DE's average caregiver rate of $36.28/hr, hiring in-home care equals the $6,430/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$3,144/mo

Saves $3,286/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$6,917 vs. $6,430/mo

Full-time home care costs $487/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$12,576/mo

Assisted Living saves $6,146/mo; Memory Care averages $7,840/mo.

Wilmington vs. Delaware & U.S. Averages

Monthly Assisted Living cost comparison adjusted for New Castle County economic indicators.

Wilmington, DE$6,430/mo
Delaware State Average$6,090/mo
U.S. National Median$6,200/mo

New Castle County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $89,901/yr ($7,492/mo)
Median Home Value $329,800
Median Gross Rent $1,379/mo
Delaware Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Wilmington, DE

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

Encore At Foulk
1212 Foulk Road, Wilmington, DE 19803 • 3024784296
46 Certified Beds For profit - Limited Liability company CCN: 085060
5/5 CMS Rating
Willowbrooke Court At Country House
4830 Kennett Pike, Wilmington, DE 19807 • 3026545101
14 Certified Beds Non profit - Corporation CCN: 085003
5/5 CMS Rating
Cadia Rehabilitation Pike Creek
3540 Three Little Bakers Blvd, Wilmington, DE 19808 • 3024550808
177 Certified Beds For profit - Corporation CCN: 085054
4/5 CMS Rating
Complete Care At Hillside Llc
810 South Broom Street, Wilmington, DE 19805 • 3026521181
106 Certified Beds For profit - Limited Liability company CCN: 085013
4/5 CMS Rating
Excelcare At Wilmington Llc
2801 W. 6Th Street, Wilmington, DE 19805 • 3026556135
150 Certified Beds For profit - Limited Liability company CCN: 085002
3/5 CMS Rating
Cadia Rehabilitation Silverside
3322 Silverside Road, Wilmington, DE 19810 • 3024788889
116 Certified Beds For profit - Limited Liability company CCN: 085056
3/5 CMS Rating
Kentmere Rehabilitation And Healthcare Center
1900 Lovering Avenue, Wilmington, DE 19806 • 3026523311
104 Certified Beds Non profit - Other CCN: 085001
3/5 CMS Rating
Gilpin Hall
1101 Gilpin Avenue, Wilmington, DE 19806 • 3026544486
96 Certified Beds Non profit - Other CCN: 085047
3/5 CMS Rating
Encore At Wilmington
2723 Shipley Road, Wilmington, DE 19810 • 3024790111
82 Certified Beds For profit - Corporation CCN: 085031
3/5 CMS Rating
Pike Creek Nursing & Rehabilitation Center
5651 Limestone Road, Wilmington, DE 19808 • 3022398583
177 Certified Beds For profit - Corporation CCN: 085033
2/5 CMS Rating
Coral Springs Rehab & Healthcare
505 Greenbank Road, Wilmington, DE 19808 • 3029980101
169 Certified Beds For profit - Limited Liability company CCN: 085004
2/5 CMS Rating
Regency Healthcare & Rehab Center
801 N. Broom Street, Wilmington, DE 19806 • 3026548400
100 Certified Beds For profit - Limited Liability company CCN: 085012
2/5 CMS Rating
Kutz Rehabilitation And Nursing
704 River Road, Wilmington, DE 19809 • 3027647000
90 Certified Beds Non profit - Corporation CCN: 085043
2/5 CMS Rating
Wilmington Nursing & Rehabilitation Center
700 Foulk Road, Wilmington, DE 19803 • 3027640181
138 Certified Beds For profit - Limited Liability company CCN: 085028
Not Yet Rated

Frequently Asked Questions About Senior Care in Wilmington

The estimated median cost of assisted living in Wilmington, DE is $6,430 per month ($77,160 per year), adjusted for New Castle County housing and income data.
A semi-private room in a skilled nursing facility in Wilmington averages $9,930 per month, while a private room averages $11,190 per month.
In-home caregiver services in Wilmington, DE average $36.28 per hour, or roughly $6,920 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in Delaware is $2,901 per individual applicant.

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