Cadia Rehabilitation Capitol
1225 Walker Road, Dover, DE 19904 · Kent County · 120 certified beds · avg 104 residents/day · certified since Feb 25, 1997
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: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Jan 27, 2026 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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: Dec 11, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Jul 16, 2024 · 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: Jun 14, 2024 (Past Non-Compliance)
All citations in the current public record (31)
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 |
|---|---|---|
| Jan 27, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jan 27, 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 |
| Jan 27, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 27, 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 27, 2026 | 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 27, 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. |
| Dec 12, 2024 | 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. · from a complaint |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Dec 12, 2024 | 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 |
| Dec 12, 2024 | 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 |
| Dec 12, 2024 | 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. · from a complaint |
| Dec 12, 2024 | D · Potential for 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 |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Jul 16, 2024 | ▲ 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 |
| Nov 8, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Nov 8, 2023 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 8, 2023 | E · Potential for harm, repeated | 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. |
| Nov 8, 2023 | E · Potential for harm, repeated | 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 |
| Nov 8, 2023 | E · Potential for harm, repeated | 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. |
| Nov 8, 2023 | E · Potential for harm, repeated | 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 |
| Nov 8, 2023 | E · Potential for harm, repeated | 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. · from a complaint |
| Nov 8, 2023 | E · Potential for harm, repeated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · from a complaint |
| Nov 8, 2023 | E · Potential for harm, repeated | 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. |
| Nov 8, 2023 | E · Potential for harm, repeated | 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. |
| Nov 8, 2023 | E · Potential for harm, repeated | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Nov 8, 2023 | 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. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Nov 8, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 17 | 0 | E |
| 2024 | 8 | 1 | G ▲ |
| 2026 | 6 | 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)
1 fine totaling $8,018.
| Date | Type | Amount / length |
|---|---|---|
| Jul 16, 2024 | Fine | $8,018 |
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) | 4.32 | 4.67 | 3.95 | top 40% in Delaware; top 28% in the U.S. |
| Registered Nurse hours | 0.79 | 1.04 | 0.69 | bottom 42% in Delaware; top 28% in the U.S. |
| Weekend total nurse staffing | 3.84 | 4.18 | 3.50 | top 42% in Delaware; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.64 | 0.48 | bottom 19% in Delaware; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 45.8 | 41.3 | 45.8 | bottom 32% in Delaware; bottom 48% in the U.S. |
| RN turnover (%) | 42.9 | 41.2 | 42.9 | bottom 43% in Delaware; bottom 49% 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 3.87, RN 0.71, weekend 3.43. 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: 5/5 · short-stay residents: 3/5
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 | — | 12/31/2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | Organization | 5% or Greater Indirect Ownership Interest | — | 12/31/2010 |
| Schafer Family LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/31/2010 |
| Schafer, Eric | Individual | 5% or Greater Indirect Ownership Interest | — | 12/31/2010 |
| Schafer, Lauren | Individual | 5% or Greater Indirect Ownership Interest | — | 12/31/2010 |
| Silver Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/31/2010 |
| Silver, Jonathan | Individual | 5% or Greater Indirect Ownership Interest | — | 12/31/2010 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | Organization | 5% or Greater Indirect Ownership Interest | — | 12/31/2010 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | Organization | 5% or Greater Indirect Ownership Interest | — | 12/31/2010 |
| Dittmar, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/13/2024 |
| Dittmar, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 11/13/2024 |
| Litwa, Karen | Individual | Corporate Officer | NOT APPLICABLE | 02/01/1997 |
| Litwa, Karen | Individual | Trustee of the SNF | NOT APPLICABLE | 02/01/1997 |
| Litwa, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/1997 |
| Long Term Care Corp | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/1997 |
| Long Term Care Corp | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/1997 |
| Makoyi, Freddy | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2021 |
| Makoyi, Freddy | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Price, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/13/2024 |
| Price, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 11/13/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Westminster Village Health | 0.6 mi | Dover, DE | ★★★★☆ | 3/5 | |
| Complete Care at Silver Lake LLC | 1.1 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Center at Eden Hill, LLC | 1.5 mi | Dover, DE | ★★★★★ | 4/5 | |
| Bay Terrace Rehabilitation and Health Center | 2.9 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Evergreen Post Acute | 6.8 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | |
| Delaware Hospital F/T Chronically Ill (dhci) | 8.9 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | SFF |
| Delaware Veterans Home | 16.9 mi | Milford, DE | ★★★★☆ | 2/5 | abuse |
| Milford Center | 19.1 mi | Milford, DE | ★★☆☆☆ | 2/5 | |
| Polaris Healthcare and Rehabilitation Center | 19.2 mi | Milford, DE | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 085048.