Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D34 | E1 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| May 29, 2026 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Jan 30, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 30, 2026 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Nov 14, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 7, 2025 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Jan 22, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 22, 2025 | Health | Health Complaint, Health Standard | 20 | Actual harm | — | Open → |
| Jan 12, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 12, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 29, 2026 | Civil money penalty (fine) | $89,247 | — | 085050|Fine|141664 |
| Jul 7, 2025 | Civil money penalty (fine) | $17,610 | — | 085050|Fine|135592 |
| Jan 22, 2025 | Civil money penalty (fine) | $61,516 | — | 085050|Fine|6115 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D34 | E1 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 29, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jul 13, 2026 | Complaint |
| May 29, 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 Jul 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 |
|---|---|---|---|---|---|
| Schafer Family LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 31, 2010 |
| Silver Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 31, 2010 |
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Eric Schafer | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Lauren Schafer | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Jonathan Silver | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Schafer Family LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 31, 2010 |
| Silver Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 31, 2010 |
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Cadia Rehabilitation Capitol 1225 Walker Road, Dover, DE 19904 CCN 085048 | 120 | Jan 27, 2026 | 321 IJ1 harm | $8,018 | |
| Cadia Rehabilitation Renaissance 26002 John J Williams Highway, Millsboro, DE 19966 CCN 085052 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Elkton Nursing and Rehabilitation Center 1 Price Drive, Elkton, MD 21921 CCN 215269SFF CandidateAbuse icon | 18.7 km | 182 | Jul 16, 2026 | 1891 IJ3 harm | $94k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 085050 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 085050 | 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
| May 29, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 13, 2026 | Complaint |
| May 29, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 13, 2026 | Complaint |
| Jan 30, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | No revisit needed Apr 17, 2026 |
| Jan 30, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Jan 30, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Jan 30, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Jan 30, 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 17, 2026 |
| Jan 30, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Jan 30, 2026 | 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 | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Jan 30, 2026 | 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 | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Jan 30, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Jan 30, 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 17, 2026 |
| Jan 30, 2026 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 17, 2026 |
| Jan 30, 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 17, 2026 |
| Jan 30, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Nov 14, 2025 | 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 | Corrected Dec 29, 2025 | Complaint |
| Jul 7, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jul 29, 2025 | Complaint |
| Jul 7, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | J · Immediate jeopardy Isolated | Corrected Jul 29, 2025 | Complaint |
| Jul 7, 2025 | 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 Jul 29, 2025 | Complaint |
| Jul 7, 2025 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 29, 2025 | Complaint |
| Jan 22, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 14, 2025 | Complaint |
| Jan 22, 2025 | 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 Mar 8, 2025 |
| Jan 22, 2025 | 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 Mar 8, 2025 | Complaint |
| Jan 22, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2025 |
| Jan 22, 2025 | F-0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2025 |
| Jan 22, 2025 | 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 | D · Potential harm Isolated | Corrected Mar 8, 2025 |
| Jan 22, 2025 | 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 | D · Potential harm Isolated | Corrected Mar 8, 2025 | Complaint |
| Jan 22, 2025 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2025 |
| Jan 22, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 14, 2025 |
| Jan 22, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2025 | Complaint |
| Jan 22, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2025 | Complaint |
| Jan 22, 2025 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 8, 2025 |
| Jan 22, 2025 | 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 8, 2025 |
| Jan 22, 2025 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 14, 2025 |
| Jan 22, 2025 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 8, 2025 |
| Jan 22, 2025 | 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 Mar 8, 2025 |
| Jan 22, 2025 | 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 8, 2025 |
| Jan 22, 2025 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 8, 2025 |
| Jan 22, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 8, 2025 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.02 (case-mix index 1.34).
| 5% |
| Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Eric Schafer | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Lauren Schafer | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Jonathan Silver | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Dec 31, 2010 |
| Long Term Care Corp | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2005 |
| Laura Dittmar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 24, 2025 |
| Alfred Hylton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 24, 2025 |
| Elizabeth Price | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 24, 2025 |
| Ron Schafer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 24, 2025 |
| Stephen Silver | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 24, 2025 |
| Karen Litwa | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2005 |
| Alfred Hylton | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 23, 2023 |
| Karen Litwa | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 1, 2005 |
| Ron Schafer | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 1, 2005 |
| Stephen Silver | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 1, 2005 |
| Long Term Care Corp | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Sabra Health Care Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Laura Dittmar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Alfred Hylton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Karen Litwa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Elizabeth Price | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Ron Schafer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| 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 |