Cadia Rehabilitation Broadmeadow
500 South Broad Street, Middletown, DE 19709 · New Castle County · 120 certified beds · avg 112 residents/day · certified since Dec 21, 2005
SFF Candidate
Part of chain: CADIA HEALTHCARE (5 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 29, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 13, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 7, 2025 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 29, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 7, 2025 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 29, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 14, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 29, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 22, 2025 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 14, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (41)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 29, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 29, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 29, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 29, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 30, 2026 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Nov 14, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 7, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Jul 7, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Jul 7, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jul 7, 2025 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Jan 22, 2025 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Jan 22, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jan 22, 2025 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · from a complaint |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (19 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 25 | 4 | J ▲ |
| 2026 | 16 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $216,429.
| Date | Type | Amount / length |
|---|---|---|
| May 29, 2026 | Fine | $137,303 |
| Jul 7, 2025 | Fine | $17,610 |
| Jan 22, 2025 | Fine | $61,516 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Delaware avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.11 | 4.67 | 3.95 | bottom 40% in Delaware; top 35% in the U.S. |
| Registered Nurse hours | 0.75 | 1.04 | 0.69 | bottom 33% in Delaware; top 32% in the U.S. |
| Weekend total nurse staffing | 3.80 | 4.18 | 3.50 | top 49% in Delaware; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.64 | 0.48 | bottom 33% in Delaware; top 45% in the U.S. |
| Total nursing staff turnover (%) | 44.9 | 41.3 | 45.8 | bottom 44% in Delaware; top 50% in the U.S. |
| RN turnover (%) | 39.1 | 41.2 | 42.9 | top 48% in Delaware; top 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.88, RN 0.71, weekend 3.59. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Schafer Family LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 12/31/2010 |
| Schafer, Eric | Individual | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Schafer, Lauren | Individual | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Silver Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 12/31/2010 |
| Silver, Jonathan | Individual | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Dittmar, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/24/2025 |
| Dittmar, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Hylton, Alfred | Individual | Contracted Managing Employee | NOT APPLICABLE | 10/23/2023 |
| Hylton, Alfred | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/24/2025 |
| Hylton, Alfred | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Litwa, Karen | Individual | Contracted Managing Employee | NOT APPLICABLE | 10/01/2005 |
| Litwa, Karen | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2005 |
| Litwa, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Long Term Care Corp | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2005 |
| Long Term Care Corp | Organization | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Price, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/24/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Elkton Nursing and Rehabilitation Center | 11.6 mi | Elkton, MD | ★☆☆☆☆ | 1/5 | abuseSFF |
| Delaware Hospital F/T Chronically Ill (dhci) | 12.3 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | SFF |
| Laurelwood Healthcare Center | 13.3 mi | Elkton, MD | ★★★☆☆ | 2/5 | |
| New Castle Health and Rehabilitation Center | 14.2 mi | New Castle, DE | ★★☆☆☆ | 1/5 | SFF |
| Evergreen Post Acute | 14.4 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | |
| Exceptional Care for Children | 14.5 mi | Newark, DE | ★★★★★ | 5/5 | |
| Jeanne Jugan Residence | 15.2 mi | Newark, DE | ★★★★★ | 4/5 | |
| Newark Manor Nursing Home | 16.8 mi | Newark, DE | ★★★☆☆ | 2/5 | abuse |
| Excelcare at Newark LLC | 17.7 mi | Newark, DE | ★★☆☆☆ | 1/5 | |
| Encore at Parkside | 18.3 mi | Newark, DE | ★★☆☆☆ | 1/5 | SFF |
| Autumn Lake Healthcare at Salem County | 18.4 mi | Salem, NJ | ★★☆☆☆ | 2/5 | |
| Cadia Rehabilitation Pike Creek | 20.0 mi | Wilmington, DE | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 085050.