Assisted Living
Serenity Gardens Assisted Living
207 Ruth Drive, Middletown, DE 19709 · Map
Licensed for 16 residents
Serenity Gardens Assisted Living is a state-licensed assisted living community in Middletown, Delaware. It is licensed for 16 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Care and services
From the community’s website
What Serenity Gardens Assisted Living says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
We offer 24/7 assistance, on-call nursing services, in-home visits from medical specialists, nutrition and medication management, transportation to medical appointments, engaging activities, and—all designed to enhance the well-being and satisfaction of our residents.
(page, checked Oct 12, 2026) - 3 meals a day.
3 Meals Per Day and Snacks
(page, checked Oct 12, 2026)
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 16 residents
Assisted Living Facility 1905.
Nearest emergency room
14.5 miles
Christiana Hospital, rated 4 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Serenity Gardens Assisted Living this community | 16 | Not published | Active | 3 surveys, 5 deficiencies | |
| Meadowcrest at Middletown Senior Living | 1.8 mi | 90 | Not published | Active | 9 surveys, 25 deficiencies |
| Harmony at Glasgow | 8.5 mi | 168 | $5,995/mo | Active | 3 surveys, 12 deficiencies |
| Heron's Creek Assisted Living | 10.2 mi | 8 | Not published | Active | No record |
| The Addison of Lindsay Place | 12.6 mi | 47 | $5,049/mo | Active | No record |
State inspection record3 surveys, 5 deficiencies
- Last survey report
- October 6, 2025
- Survey reports posted
- 3
- Deficiencies cited
- 5
- Reports that include a complaint survey
- 1
Survey reports (newest first)
- October 6, 2025, Annual Visit & Complaint Survey: 3 deficiencies cited. Report (PDF)
- Contracts rule 3225.10.1, Scope and severity code: D (as printed on the report), completion date October 9, 2025
DHCQ: “One out of three residents reviewed for contracts, the facility failed to provide evidence of a signed contract. 10/24/24 — R1 was admitted to the facility. The facility failed to have a contract on file in the resident’s record. 10/6/25 — Per interview with E1 at approximately 9:30 AM, E1 confirmed R1’s contract was unable to located.” - Staffing rule 3225.16.14.3, Scope and severity code: E (as printed on the report)
DHCQ: “Three out of three employees reviewed for annual trainings, the facility lacked evidence that these three employees did not receive any staff trainings for the years of 2024 or 2025. 1. 11/29/23 - E6 (RCA/LLAM) was hired. These trainings were completed during E6’s orientation on 11/29/23. There was no evidence that annual trainings were completed for these topics for the years of 2.” - Emergency Preparedness rule 3225.18.6.2, Scope and severity code: F (as printed on the report), completion date November 20, 2025
- Contracts rule 3225.10.1, Scope and severity code: D (as printed on the report), completion date October 9, 2025
- September 24, 2024, Annual Visit: 2 deficiencies cited. Report (PDF)
- Services completion date October 4, 2024
DHCQ: “The facility failed to comply with the Delaware Food Code.” - Notice to resident (16 Del. C. § 1123) rule 16 Del. C. § 1123, completion date October 31, 2024
- Services completion date October 4, 2024
- September 29, 2022, Annual Visit: see the report. Report (PDF)
See this facility’s reports on the state’s list → (Serenity Gardens Assisted Living)
What these terms mean
Delaware’s Division of Health Care Quality inspects each assisted living facility at an annual visit and investigates complaints; a follow-up survey checks that cited problems were fixed. Each deficiency names the rule in Delaware’s assisted living regulations (16 Del. Admin. Code 3225) that was not met, and DHCQ’s statement of how it was not met.
Reports from 2024 on print a scope and severity code beside each deficiency. Delaware does not publish what these codes mean for assisted living, so we show the letter as printed.
The completion date is the date the facility gave in its plan of correction for being back in compliance with the rule.
The reports are scanned PDFs; rule numbers, codes and quoted statements were read from the scans and may contain reading errors, so check the report itself. Older reports may carry the facility’s earlier name; DHCQ files them under the same license number. Rule names are the section headings of the current regulations. This community is licensed for 16 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Delaware Department of Health and Social Services, Division of Health Care Quality, data as of October 16, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.
License and ownershipActive license
- License type
- Assisted Living Facility
- License number
- 1905
- License status
- Active
- Licensed capacity
- 16
- County
- New Castle County
Source: Delaware state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Paying with Medicaid and other programsHow Medicaid pays for care in Delaware, and other programs
How Medicaid pays for care in Delaware
- Diamond State Health Plan Plus (DSHP Plus). Yes. Delaware's Medicaid long-term care program, Diamond State Health Plan Plus, lists assisted living care as a benefit for residents who are elderly or physically disabled and qualify. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 14.5 mi, nursing home 3.6 mi, pharmacy 3.0 mi
- Nearest hospital with an emergency room
- Christiana Hospital, Newark. 14.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Cadia Rehabilitation Broadmeadow, Middletown. 3.6 miles away, straight line.
- Nearest home health agency office
- Home Call, Bear. 8.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Living Well Pharmacy. 3.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 19709 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Fkc Middletown, Middletown, 4.0 miles away, straight line (CMS rating 3 of 5 stars)
Fkc Fox Run, Bear, 8.8 miles away, straight line (CMS rating 5 of 5 stars)
Innovative Renal Care Newark, Newark, 9.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 19709.
Vitas Healthcare Corporation Atlantic, office in Newark, 12.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Christianacare Accentcare Hosp & Palliative Care, office in Newark, 14.1 miles away, straight line (CMS family survey rating 2 of 5 stars)
Heartland Hospice, office in Newark, 14.1 miles away, straight line - Nearest geriatric medicine practice
- Christiana Care Health Services Inc, Newark. 14.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, coastal flooding relatively low, wildfire relatively low, tornado relatively low, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in October 2025. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Delaware Department of Health and Social Services, Division of Health Care Quality inspection records | Oct 16, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Delaware Division of Public Health, Office of Food Protection kitchen inspections | Oct 15, 2026 | No kitchen matched |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Serenity Gardens Assisted Living provide?
Serenity Gardens Assisted Living is licensed by the state of Delaware for assisted living in Middletown, Delaware. Its licensed capacity is 16 residents.
Does Lilisity rate Serenity Gardens Assisted Living?
No. We publish state licensing details for Serenity Gardens Assisted Living but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Serenity Gardens Assisted Living cost?
Serenity Gardens Assisted Living does not publish its prices.
How do I contact Serenity Gardens Assisted Living?
Use Serenity Gardens Assisted Living's website, serenitygardensde.com, or visit at 207 Ruth Drive, Middletown, DE 19709.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid