diff --git src/wp-admin/css/customize-nav-menus.css src/wp-admin/css/customize-nav-menus.css
index c266bb7..136f94e 100644
--- src/wp-admin/css/customize-nav-menus.css
+++ src/wp-admin/css/customize-nav-menus.css
@@ -573,6 +573,11 @@
 	color: #f00;
 }
 
+.menu-item-bar .item-delete:focus {
+	-webkit-box-shadow: 0 0 0 1px #5b9dd9, 0 0 2px 1px rgba(30, 140, 190, .8);
+	box-shadow: 0 0 0 1px #5b9dd9, 0 0 2px 1px rgba(30, 140, 190, .8);
+}
+
 .adding-menu-items .menu-item-bar .item-edit {
 	display: none;
 }
diff --git src/wp-admin/js/customize-nav-menus.js src/wp-admin/js/customize-nav-menus.js
index e745561..a9f2cde 100644
--- src/wp-admin/js/customize-nav-menus.js
+++ src/wp-admin/js/customize-nav-menus.js
@@ -1125,21 +1125,21 @@
 
 			$removeBtn.on( 'click', function() {
 				// Find an adjacent element to add focus to when this menu item goes away
-				var $adjacentFocusTarget;
-				if ( control.container.next().is( '.customize-control-nav_menu_item' ) ) {
-					if ( ! $( 'body' ).hasClass( 'adding-menu-items' ) ) {
-						$adjacentFocusTarget = control.container.next().find( '.item-edit:first' );
-					} else {
-						$adjacentFocusTarget = control.container.next().find( '.item-delete:first' );
-					}
-				} else if ( control.container.prev().is( '.customize-control-nav_menu_item' ) ) {
-					if ( ! $( 'body' ).hasClass( 'adding-menu-items' ) ) {
-						$adjacentFocusTarget = control.container.prev().find( '.item-edit:first' );
-					} else {
-						$adjacentFocusTarget = control.container.prev().find( '.item-delete:first' );
-					}
+				var addingItems = true, $adjacentFocusTarget, $next, $prev;
+
+				if ( ! $( 'body' ).hasClass( 'adding-menu-items' ) ) {
+					addingItems = false;
+				}
+
+				$next = control.container.nextAll( '.customize-control-nav_menu_item:visible' ).first();
+				$prev = control.container.prevAll( '.customize-control-nav_menu_item:visible' ).first();
+
+				if ( $next.length ) {
+					$adjacentFocusTarget = $next.find( false === addingItems ? '.item-edit' : '.item-delete' ).first();
+				} else if ( $prev.length ) {
+					$adjacentFocusTarget = $prev.find( false === addingItems ? '.item-edit' : '.item-delete' ).first();
 				} else {
-					$adjacentFocusTarget = control.container.next( '.customize-control-nav_menu' ).find( '.add-new-menu-item' );
+					$adjacentFocusTarget = control.container.nextAll( '.customize-control-nav_menu' ).find( '.add-new-menu-item' ).first();
 				}
 
 				control.container.slideUp( function() {