About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2026 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2026 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2026 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
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10 Best Assisted Living Facilities in Middletown, DE

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Assisted living costs in Middletown average about $5,650 per month. To find the best assisted living options for your needs and budget, browse through 250 communities in Middletown. Our detailed directory has 5226 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Newark, Wilmington and Havre de Grace.

Middletown Assisted Living Facilities | 5226 Reviews

Showing 213 communities
Last Updated: 3/3/26
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Photo of Alhambra Assisted Living
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Alhambra Assisted Living is located in Baltimore, MD in Baltimore County. This residential care home provides the comfort that you are seeking in an area that is filled with things to do and events to attend. Those who spend time in Baltimore find that there is always something to do and always...
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Photo of St Paul Assisted Living
99 Photos available
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Lions Gate CCRC
5 star
33%
4 star
33%
3 star
17%
2 star
0%
1 star
17%
See all reviews
The Lions Gate community has been a good fit for my loved one. He is receiving the care and attention he needs. The staff is very attentive and keep him safe. The place overall is very clean and well...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Lions gate, a continuing care retirement community in affiliation with the Jewish Federation of Southern New Jersey for adults 62 and up. Our residents enjoy an active worry free lifestyle complete with spacious apartments, cottages and a remarkable variety of amenities and on site...
Photo of Magothy Gardens Assisted Living LLC
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Provides: Assisted Living, Independent Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Blakehurst Retirement Community
5 star
60%
4 star
0%
3 star
0%
2 star
20%
1 star
20%
See all reviews
When my mother told me she wanted to relocate to the Towson area to be near me I knew it was time to look for just the right place. I toured both independent living and assisted living communities in the...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Christian Life Services
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of New Manor Personal Care Boarding Home
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Taylors Personal Care Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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Photo of Vista Ridge of Magnolia
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
At Cathedral Village, you have the flexibility to create your own experience. All of our senior living services are available as you need them in Philadelphia, PA. Ideally located near the Plymouth/Whitemarsh area of Montgomery County in the Roxborough community of Northwest Philadelphia, we are...
Photo of Serenity Manor at Bolton Hill
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of assisted living in Middletown, DE

The average cost of senior living in Middletown is $5,650 per month. Cheaper nearby regions include New Castle, DE with an average of $5,595 per month.

Assisted living costs in Middletown, DE, vs. nearby cities

Middletown, DE
$5,650/mo
$5,856/mo
$5,637/mo

Assisted living costs in Middletown, DE, vs. state and national averages

Middletown, DE
$5,650/mo
U.S. national average
$4,752/mo

Assisted living costs in Middletown, DE, vs. other senior living options

Assisted Living
$5,650/mo
$5,786/mo

Assisted living costs in Middletown, DE, by floor plan type

Semi-Private
$4,084/mo
Studio
$5,490/mo
1 Bedroom
$6,505/mo
2 Bedroom
$7,808/mo

Senior living costs in Middletown vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Middletown, DE
Column state: Delaware
Column national: U.S.
Community typeMiddletown, DEDelawareU.S.
Assisted Living$5,650/mo$6,235/mo$4,752/mo
Memory Care$5,786/mo$6,295/mo$5,014/mo
Independent Living$4,407/mo$5,236/mo$4,211/mo
Assisted Living
Middletown, DE:$5,650/mo
Delaware:$6,235/mo
U.S.:$4,752/mo
Memory Care
Middletown, DE:$5,786/mo
Delaware:$6,295/mo
U.S.:$5,014/mo
Independent Living
Middletown, DE:$4,407/mo
Delaware:$5,236/mo
U.S.:$4,211/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Middletown, DE, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Middletown and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Middletown, DEDE stateNational

Assisted living cost trends in Middletown, DE

The table below shows how monthly assisted living costs in Middletown have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Middletown, DE$6,485/mo$6,231/mo+4.1%
Delaware$6,507/mo$6,231/mo+4.4%
National$5,374/mo$5,126/mo+4.8%
Middletown, DE
2024 average cost:$6,485/mo
2023 average cost:$6,231/mo
Percent change:+4.1%
Delaware
2024 average cost:$6,507/mo
2023 average cost:$6,231/mo
Percent change:+4.4%
National
2024 average cost:$5,374/mo
2023 average cost:$5,126/mo
Percent change:+4.8%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Middletown, DE

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Middletown.

What families are saying about assisted living in Middletown

Recent reviews for assisted living in Middletown

Integrity Esther's Place at the Park in Baltimore, MD

4.8
From the first day of admittance, until his final passing, Esther's Place delivered excellent care for my 96 yr old Brother in law who suffered from Alzheimers & other medical issues. The high level of competence, caring & attention all within a great budget.. I highly recommend Esther's Place ...
Read more

Divine Care Assisted Living Inc in Baltimore, MD

4.3
The facility ca be described as a detached home that has been very tastefully refurbished and decorated. My family and I were impressed with the cleanliness, the furniture (brand new) and it has all of the up to date amenities. Mr. Benjamin has been very kind, respectful and patient with my ...
Read more

Maurice House in Millville, NJ

5.0
My mom loves her "apartment " I wish the communication was better from the administration. No part is covered by insurance so all expenses are out of pocket

Middletown review score based on 1,097 family reviews

8.2
Review score213 facilities1097 reviewsWrite a review
This proprietary review score is based on 1097 reviews of 213 Middletown assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Middletown review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Middletown review score compared against nearby cities

8.2
Middletown, DE213 facilities
8.4
Odessa, DE8 facilities
8.2
Townsend, DE222 facilities

Review subcategories for Middletown assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 1,097 reviews of 213 Middletown assisted living communities. This chart helps you compare Middletown resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Middletown, DE averageNational average
Cleanliness
3.7
3.9
Friendliness
3.8
4.0
Care services
3.4
3.6
Staff
3.7
3.9
Meals & dining
3.3
3.5
Activities
3.4
3.5
Value for cost*
3.4
3.6
0.01.02.03.04.05.0
*Learn more about cost details

Middletown assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Middletown assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Middletown, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Middletown assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Middletown that offer these care services compared to the percentage of partners that offer them nationally.
Middletown, DENational
Full medication management
Full medication management
70%
52.6%
Doctor on call
Doctor on call
60.6%
33.9%
24-Hour awake staff
24-Hour awake staff
94.8%
96%
Diabetic care
Diabetic care
97.2%
97.6%
*Visiting health care professionals
*Visiting health care professionals
72.3%
56.8%
Home care agency on-site
Home care agency on-site
38.5%
30.1%
Non-ambulatory care
Non-ambulatory care
94.8%
96.7%
Respite or short term stays
Respite or short term stays
63.4%
47.6%
Hospice available on-site
Hospice available on-site
65.3%
52.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Middletown assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Middletown Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Middletown, DENational
Dementia behaviors care
Dementia behaviors care
70.4%
51.5%
Specialized memory care training for staff
Specialized memory care training for staff
53.5%
32.7%
Secured community and/or wander guard
Secured community and/or wander guard
61.5%
41.2%
Memory care only community
Memory care only community
22.1%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Middletown assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Middletown partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Middletown, DENational
Nutritionist / dietician
Nutritionist / dietician
41.3%
27.4%
Low / no sodium
Low / no sodium
57.7%
41.2%
No sugar
No sugar
55.9%
37.7%
Vegetarian
Vegetarian
51.6%
36.4%
Pureed meals
Pureed meals
34.3%
17.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Middletown assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Middletown communities that offer dining options to their discerning residents compared to our partners nationally.
Middletown, DENational
Professional chef
Professional chef
45.5%
31.7%
Restaurant style dining
Restaurant style dining
54%
42.5%
Room service
Room service
42.7%
37%
Anytime dining
Anytime dining
23.9%
18.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Middletown assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Middletown offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Middletown, DENational
Activity director
Activity director
62%
46.6%
Pet-focused programs
Pet-focused programs
44.1%
31.2%
Community service programs
Community service programs
42.7%
30.6%
Devotional activities on-site
Devotional activities on-site
63.8%
49.6%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
65.3%
49.6%
Outings / off-site activities
Outings / off-site activities
64.3%
52.5%
Piano or organ
Piano or organ
54%
41.6%
Arts and crafts center
Arts and crafts center
49.8%
35.6%
Educational speakers / life long learning
Educational speakers / life long learning
51.6%
38.3%
Clubs / games / karaoke
Clubs / games / karaoke
62.4%
47%
Live performances
Live performances
62%
47.2%
Dances
Dances
46.9%
30.8%
Fitness center
Fitness center
28.2%
24.7%
Fitness classes
Fitness classes
62%
46.2%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Middletown

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Delaware assisted living regulations will help you understand how assisted living communities in Middletown protect seniors.
Learn about Delaware assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports
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