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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E12 | F1 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 27, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 27, 2026 | Health | Health Complaint, Health Standard | 6 | Immediate jeopardy | — | Open → |
| Dec 12, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 12, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Jul 16, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 8, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Nov 8, 2023 | Health | Health Complaint, Health Standard | 17 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 16, 2024 | Civil money penalty (fine) | $8,018 | — | 085048|Fine|6101 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E12 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 27, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Past non-compliance Dec 11, 2025 | Complaint |
| Jan 27, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 13, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
5 facilities in 1 states. CMS chain ID 96.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Schafer Family LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Silver Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Eric Schafer | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Lauren Schafer | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Jonathan Silver | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Schafer Family LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Silver Holdings LLC | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Cadia Rehabilitation Broadmeadow 500 South Broad Street, Middletown, DE 19709 CCN 085050SFF Candidate | 120 | May 29, 2026 | 423 IJ2 harm | $168k | |
| Cadia Rehabilitation Renaissance |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Westminster Village Health 1175 Mckee Road, Dover, DE 19904 CCN 085032 | 0.9 km | 75 | Dec 16, 2025 | 352 IJ | $30k | |
| Complete Care at Silver Lake LLC 1080 Silver Lake Blvd, Dover, DE 19904 CCN 085027 | 1.8 km | 120 | Jan 23, 2026 | 341 harm | $48k | |
| Center at Eden Hill, LLC 300 Banning Street, Dover, DE 19904 CCN 085057 | 2.4 km | 80 | May 22, 2026 | 23 | — | |
| Bay Terrace Rehabilitation and Health Center 889 South Little Creek Road, Dover, DE 19901 CCN 085019 | 4.6 km | 85 | Apr 23, 2026 | 391 IJ1 harm | $35k | |
| Evergreen Post Acute 3034 South Dupont Blvd, Smyrna, DE 19977 CCN 085020 | 10.9 km | 151 | May 11, 2026 | 717 harm | $94k | |
| Delaware Hospital F/T Chronically Ill (Dhci) 100 Sunnyside Road, Smyrna, DE 19977 CCN 085035SFF Candidate | 14.3 km | 175 | Jan 9, 2026 | 163 IJ | $60k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 085048 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 085048 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jan 27, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Jan 27, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Jan 27, 2026 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Jan 27, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Dec 12, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 24, 2025 | Complaint |
| Dec 12, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 24, 2025 | Complaint |
| Dec 12, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 24, 2025 | Complaint |
| Dec 12, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 24, 2025 | Complaint |
| Dec 12, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 24, 2025 | Complaint |
| Dec 12, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 24, 2025 | Complaint |
| Dec 12, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 24, 2025 | Complaint |
| Jul 16, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance Jun 14, 2024 | Complaint |
| Nov 8, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 8, 2023 | Complaint |
| Nov 8, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 8, 2023 | Complaint |
| Nov 8, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 8, 2023 | Complaint |
| Nov 8, 2023 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 8, 2023 | Complaint |
| Nov 8, 2023 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 8, 2023 | Complaint |
| Nov 8, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 8, 2023 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 8, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.53 (case-mix index 1.23).
| Indirect owner |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| not provided |
| Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Eric Schafer | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Lauren Schafer | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Jonathan Silver | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Long Term Care Corp | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 1997 |
| Laura Dittmar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 13, 2024 |
| Freddy Makoyi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Elizabeth Price | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 13, 2024 |
| Stephen Silver | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 1997 |
| Karen Litwa | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 1997 |
| Karen Litwa | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Feb 1, 1997 |
| Long Term Care Corp | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 1997 |
| Sabra Health Care Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2011 |
| Laura Dittmar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 13, 2024 |
| Karen Litwa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 1997 |
| Freddy Makoyi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Elizabeth Price | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 13, 2024 |
| Ron Schafer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 1997 |
| Stephen Silver | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 1997 |
| 130 |
| Aug 17, 2026 |
401 IJ2 open |
| $14k |
| Cadia Rehabilitation Pike Creek 3540 Three Little Bakers Blvd, Wilmington, DE 19808 CCN 085054 | 177 | Jul 1, 2026 | 354 IJ1 harm | $106k |
| Cadia Rehabilitation Silverside 3322 Silverside Road, Wilmington, DE 19810 CCN 085056 | 116 | Aug 11, 2026 | 332 IJ1 harm3 open | $87k |