When no other long-term care options are available, the Delaware Hospital for the Chronically Ill (DHCI) provides high-quality, compassionate care to older adults and adults with disabilities who need it most.
Operated by the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD), DHCI is a state-run skilled nursing and an Intermediate Care facility located in Smyrna, Delaware. Learn about construction of a new facility expected to open in early 2028.
Who DHCI Serves
DHCI is designed for Delaware residents who:
- Are older adults or adults with physical disabilities
- Require skilled nursing care
- Have no other available long-term care options
Each resident is carefully evaluated to ensure this is the right setting for their needs.
What to Expect
Located on a 62-acre campus, DHCI is a 205-bed facility that offers around-the-clock care and support. Services include:
- Skilled nursing care from registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs)
- On-site dental clinic, physical and occupational therapy
- Full-service meals, housekeeping, and maintenance
- Social services to help residents adjust and thrive
- Security and safety staff on campus
- Organized activities and events, including the much-loved Family Day
- A smoke free facility
Medical specialists and rehabilitation providers visit the facility regularly through established partnerships, ensuring a continuum of care.
A Longstanding Commitment to Care
Founded in 1931, DHCI has a long history of supporting Delawareans in need of long-term care. Over the decades, the facility has grown into a fully licensed skilled nursing home with a strong reputation for service to those who have no other options for care.
Contact DHCI
📍 Location:
Delaware Hospital for the Chronically Ill
Smyrna, DE (off Route 13)
📞 To learn more about eligibility or admissions, call the Delaware Aging and Disability Resource Center (ADRC) at 1-800-223-9074
Become a Volunteer at Delaware Hospital for the Chronically Ill (DHCI)
Volunteer Job Opportunities
The following volunteer opportunities are available at DHCI. Read more about each opportunity in the DHCI Volunteer Application Packet.
- Activity Assistant
- Friendly Visitor
- Beauty Shop Assistant
- Physical Therapy Assistant
- Library Assistant
- Gift Shop Assistant
- Office Assistant
- Donation Room Organizer
Volunteer FAQ
How do I apply to become a volunteer?
Information about the application and screening process is included in the DHCI Volunteer Application Packet. Briefly, persons interested in volunteering should review the packet, complete an application, and schedule an interview with the volunteer coordinator. Individuals who are considered a good fit and offered a volunteer position will be scheduled to attend a two-hour training session.
How do I set up an interview to become a volunteer?
Contact the Volunteer Services Coordinator to schedule an appointment for an interview. Contact information is included in the DHCI Volunteer Application Packet.
When is the best time to apply to volunteer?
Due to holiday preparations and programs, it is highly recommended that interested volunteers consider applying prior to October 1st or after February 1st.
Do you have a program for high school students in the summer time?
Yes. Student summer volunteer program applications are due by May 1st. Student summer orientation is held on two dates which are announced in early spring. The minimum age for volunteering without a parent is 16 years old.
Is a flu vaccination required to volunteer?
Flu vaccinations are optional. Volunteers are required to take a TB test. Flu shots and TB tests are available free of charge to volunteers.


