Town councillors say plans for a new 60 bed care home in Heanor need changing or they will cause traffic chaos on ilkeston Road.
Codnor-based care company Ashmere Derbyshire want to build the home for the elderly on land behind 39 Ilkeston Road including a 32 space car park.
The company claims it would create 60 part time jobs at the site.
But councillors on Heanor and Loscoe Town Council have lodged their doubts over the proposal with planning authority Amber Valley Borough Council officers who are due to decide on the scheme by February.
Cllr Phil Hill said: “We are welcoming of any development that will clean up that bit of land.
“But the entrance is literally next door to the hospital - and the hospital entrance is quite tight and busy.
“While I accept the care home will not be busy all the time, it will be a problem at certain times during the day.”
A spokesperson for the town council added that councillors formally objected to the plans on the grounds that 32 parking spaces would not be enough at the 60-bed home and concerns were raised over the development taking place in a flood risk area. The council was also concerned that public footpaths would be removed.
In response Keith Clarke of CBP Architects, which has designed the care home, says it will bring 60 skilled jobs to the area and will regenerate the site which he says: “Is currently overgrown and has a history of antisocial behaviour.”
In response to concerns over access, car parking and appearance to the site, he added: “The entrance to the site will be widened and enhanced to improve access and safety with generous car parking along the access road leading to the home.
“CBP have complied with all of the requirements of the Council including considerations for flood risk, coal-mining, drainage and highways.”
Amber Valley is due to decide on the plan by delegated powers by February 22.