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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D31 | E6 | F1 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Aug 17, 2026 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| Aug 25, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 25, 2025 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Jun 2, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 19, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 19, 2024 | Health | Health Complaint, Health Standard | 16 | Potential harm | — | Open → |
| Jun 26, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 2, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 7, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 7, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 2, 2024 | Civil money penalty (fine) | $13,627 | — | 085052|Fine|6102 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D31 | E6 | F1 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 17, 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 | Plan of correction, not yet verified Oct 1, 2026 | Complaint |
| Aug 17, 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 | Plan of correction, not yet verified |
“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 |
| Ron Schafer | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2008 |
| Stephen Silver | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | 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 Broadmeadow 500 South Broad Street, Middletown, DE 19709 CCN 085050 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Ocean Grove Post Acute 231 South Washington Street, Millsboro, DE 19966 CCN 085037Abuse icon | 9.7 km | 181 | Jul 30, 2026 | 78 | — | |
| The Moorings at Lewes 17028 Cadbury Circle, Lewes, DE 19958 CCN 085053 | 14.7 km | 40 | Jan 9, 2026 | 2 | — | |
| Excelcare at Lewes LLC 301 Ocean View Blvd, Lewes, DE 19958 CCN 085034Abuse icon | 16.4 km | 179 | Feb 18, 2026 | 532 harm2 open | $69k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 085052 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 085052 | 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
| Complaint |
| Aug 25, 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 Oct 9, 2025 | Complaint |
| Aug 25, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 9, 2025 |
| Aug 25, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 9, 2025 |
| Aug 25, 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 Oct 9, 2025 |
| Aug 25, 2025 | 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 Oct 9, 2025 |
| Aug 25, 2025 | 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 Oct 9, 2025 |
| Aug 25, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 9, 2025 | Complaint |
| Aug 25, 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 Oct 9, 2025 |
| Aug 25, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 9, 2025 | Complaint |
| Aug 25, 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 Oct 9, 2025 |
| Aug 25, 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 Oct 9, 2025 |
| Jun 2, 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 Jun 27, 2025 | Complaint |
| Jun 2, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 27, 2025 | Complaint |
| Sep 19, 2024 | 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 | E · Potential harm Pattern | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | 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 Oct 23, 2024 | Complaint |
| Sep 19, 2024 | 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 Oct 23, 2024 | Complaint |
| Sep 19, 2024 | 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 Oct 23, 2024 | Complaint |
| Sep 19, 2024 | 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 Oct 23, 2024 | Complaint |
| Sep 19, 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 Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Oct 23, 2024 | Complaint |
| Sep 19, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 23, 2024 | Complaint |
| Jun 26, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance Jun 14, 2024 | Complaint |
| May 2, 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 Jun 15, 2024 | Complaint |
| May 2, 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 Jun 15, 2024 | Complaint |
| Aug 7, 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 | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 7, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 7, 2023 | 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 Sep 8, 2023 |
| Aug 7, 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 Sep 8, 2023 |
| Aug 7, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 7, 2023 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Sep 8, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.23 (case-mix index 1.25).
| 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 |
| Ron Schafer | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2008 |
| Stephen Silver | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2010 |
| Long Term Care Corp | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2008 |
| Onix Group Ll | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2017 |
| Laura Dittmar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2024 |
| Elizabeth Price | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2024 |
| Karen Litwa | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2008 |
| Long Term Care Corp | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2008 |
| Onix Group Ll | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2017 |
| 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 | Dec 31, 2024 |
| Karen Litwa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2024 |
| Elizabeth Price | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2024 |
| Mary Rodgers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2024 |
| Ron Schafer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2024 |
| Stephen Silver | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2024 |
| 120 |
| May 29, 2026 |
423 IJ2 harm |
| $168k |
| 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 |