• Medical treatments 

• Medication management 

• Personal care assistance 

2. Regulations 

Skilled Nursing Services are governed by Delaware Administrative Code, Title 16, Section 3201, which adopts the provisions of 42 CFR Ch. IV Part 483, Subpart B, requirements for Long Term Care Facilities 

3. Licensing or Certification 

A license is required to operate a Skilled Nursing Facility in Delaware. Each facility must be licensed by the Division of Health Care Quality 

4. Responsible State Agency 

The Department of Health and Social Services, Division of Health Care Quality, is responsible for licensing and regulating Skilled Nursing Facilities 

5. Application Process 

While specific application details are not provided, potential providers must submit a written statement of intent to the Department describing the services to be offered and request a licensure application 

6. Required Documentation 

Required documents likely include: 

• Completed application form 

• Policies and procedures manual 

• Facility floor plans 

• Proof of compliance with state and federal regulations 

• Staff qualifications documentation 

7. Timeline for Approval 

An initial license is typically granted for 90 calendar days, during which an on-site survey is conducted 

8. Pre-Application Process 

There is no explicit pre-application process mentioned. 

9. Pre-Application Training 

While specific pre-application training is not mentioned, facilities must ensure that their staff are fully trained and professionally qualified 

10. Additional Notes 

• Facilities must provide a minimum of 2.25 hours of direct care and treatment per resident per day 

• A physician must serve as the medical director responsible for implementing resident care policies 

• Residents must be under the care of a licensed physician 

• As of February 28, 2025, Delaware continues to offer Skilled Nursing Services through various Medicaid programs, including the Nursing Facility program