The Delaware State Courts will be closed on Monday, May 27, 2024 for Memorial Day. Justice of the Peace Court 11 (New Castle County) and Court 7 (Kent County) will remain open 24 hours and Justice of the Peace Court 3 (Sussex County) will be open from 6AM-Midnight (no new cases after 11PM).

Delaware Nursing Home Residents Quality Assurance Commission


The commission was created in 1999. It is comprised of 13 members who work closely with reviewing policies and laws to implement changes/improvements for Delaware nursing home residents.

Commission Members



DNHRQAC's mission is to monitor Delaware's quality assurance system for nursing home residents inboth privately operated and state operated facilities so that complaints of abuse, neglect mistreatment, financial exploitation and other complaints are responded to in a timely manner so as to ensure the health and safety of nursing home residents.

Key Objectives:

  • Examine the policies and procedures and evaluate the effectiveness of the quality assurance system for nursing home residents.
  • Monitor data and analyze trends in the quality of care and life of individuals receiving long-term care in Delaware.
  • Review and make recommendations to the Governor, Secretary of the Department of Health and Social Services and General Assembly concerning the quality assurance system and improvements to the overall quality of life and care of nursing home residents.
  • Protect the privacy of nursing home residents.


DNHRQAC By-Laws PDF opens in new window (effective 5/19/2022)

Eagles Law Waiver

“New” Epilogue language was approved by Joint Finance Committee (JFC) members during JFC Mark-up Meeting in May 2023 for FY 24 which states:

Section 187. Long-term care facilities must continue to provide 3.28 hours of direct care per resident per day. However, the staffing ratios required in 16 Del. C. § 1162 are hereby suspended until July 1, 2024.

As a result, a DNHRQAC sub-committee was established to create a formalized nursing home staffing ratio waiver process relating to Eagles Law and applicable policies & procedures.

Eagles Law Waiver Subcommittee Meetings: Public Meeting Calendar: State of Delaware.


DNHRQAC created a legislative/advocacy subcommittee to comment on legislation, regulations or other items on behalf of the Commission. DNHRQAC Legislative/Advocacy Subcommittee meetings are open to the public and posted to the Delaware Public Meeting Calendar.

Please note DNHRQAC's response to the CMS Proposed Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting—submitted October 31, 2023

Staffing Models

DNHRQAC created a Staffing Model Subcommittee to study long term care staffing models in Delaware. DNHRQAC Staffing Model Subcommittee meetings are open to the public and posted to the Delaware Public Meeting Calendar.

More About DNHRQAC & Facility Visits

Please note, for more information about DNHRQAC, we've created an Introduction brochure to assist with commonly asked questions.

In addition, DNHRQAC commissioners and staff visit long term care facilities to monitor the quality assurance system. Please read our brochure, Facility Visits, for more information about long-term care and assisted living facility visits.

Facility Visit Rubric Document opens in new window

Meeting Notice

Next meeting: Tuesday May 21, 2024
When: 9:30 am as a hybrid meeting
Where: Via Cisco Webex & anchor location:
Milford Place
500 S. DuPont Blvd
Milford, DE 19963
Please note the Public Meeting Calendar (PMC) will include Cisco Webex link with login details and anchor location.

PDF opens in new window View the 2024 Meeting Schedule

Meetings & Minutes

Annual Reports

View current and past annual reports.

Helpful Links

Residents Rights 
Nursing Home Facilities in Delaware
Delaware Nursing Facility Regulations
Assisted Living Facilities in Delaware
Delaware Assisted Living Facility Regulations
Nursing Home Compare (CMS)

Contact Information:
Margaret E. Bailey, Executive Director
2540 Wrangle Hill Road   |   Suite 223   |   Bear, DE 19701
Phone: (302) 836-2133   |   Fax: (302) 836-2644
State Location Code: N711A