Cadia Rehabilitation Silverside
3322 Silverside Road, Wilmington, DE 19810 · New Castle County · 116 certified beds · avg 100 residents/day · certified since Dec 5, 2012
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: 5/5
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 · Mar 27, 2025 · F-0609 · triggered by a complaint
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.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
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 17, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Apr 27, 2026 · 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 11, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (29)
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 |
|---|---|---|
| Apr 27, 2026 | ▲ 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 |
| Apr 27, 2026 | 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. |
| Apr 27, 2026 | 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. |
| Apr 27, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Apr 27, 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. · from a complaint |
| Apr 27, 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 |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint |
| Dec 1, 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 |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint |
| Dec 1, 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. · from a complaint |
| Mar 27, 2025 | ▲ J · Immediate jeopardy, 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 |
| Mar 27, 2025 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Mar 27, 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 |
| Mar 27, 2025 | 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 |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Mar 27, 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. · from a complaint |
| Mar 27, 2025 | 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 |
| Mar 27, 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. |
| Mar 7, 2024 | 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. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 7, 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. |
| Mar 7, 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. |
| Mar 7, 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. |
| Mar 7, 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. |
| Mar 7, 2024 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | D |
| 2025 | 16 | 1 | J ▲ |
| 2026 | 6 | 1 | G ▲ |
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 $10,608.
| Date | Type | Amount / length |
|---|---|---|
| Mar 27, 2025 | Fine | $10,608 |
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) | 4.30 | 4.67 | 3.95 | top 42% in Delaware; top 29% in the U.S. |
| Registered Nurse hours | 0.98 | 1.04 | 0.69 | top 40% in Delaware; top 16% in the U.S. |
| Weekend total nurse staffing | 4.09 | 4.18 | 3.50 | top 35% in Delaware; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.64 | 0.48 | top 33% in Delaware; top 15% in the U.S. |
| Total nursing staff turnover (%) | 48.1 | 41.3 | 45.8 | bottom 29% in Delaware; bottom 42% in the U.S. |
| RN turnover (%) | 21.7 | 41.2 | 42.9 | top 15% in Delaware; top 17% 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 3.99, RN 0.91, weekend 3.80. Staffing rating: 5/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Schafer, Ron | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/18/2011 |
| Silver, Stephen | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/18/2011 |
| Dittmar, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Dittmar, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Litwa, Karen | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2012 |
| Litwa, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2012 |
| Long Term Care Corp | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2008 |
| Long Term Care Corp | Organization | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Onix Group LL | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/23/2025 |
| Onix Group LL | Organization | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Price, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Price, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Schafer, Ron | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2012 |
| Silver, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How can my family member make private phone or video calls, and can we see where?"
- "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 |
|---|---|---|---|---|---|
| Encore at Wilmington | 0.6 mi | Wilmington, DE | ★★★☆☆ | 2/5 | |
| Encore at Foulk | 1.1 mi | Wilmington, DE | ★★★★★ | 5/5 | |
| Wilmington Nursing & Rehabilitation Center | 1.5 mi | Wilmington, DE | —/5 | abuseSFF | |
| Kentmere Rehabilitation and Healthcare Center | 3.4 mi | Wilmington, DE | ★★★☆☆ | 3/5 | |
| Willowbrooke Court at Country House | 3.8 mi | Wilmington, DE | ★★★★★ | 5/5 | |
| Stonegates | 3.8 mi | Greenville, DE | ★★★★☆ | 3/5 | |
| Kutz Rehabilitation and Nursing | 3.9 mi | Wilmington, DE | ★★☆☆☆ | 2/5 | abuse |
| Gilpin Hall | 3.9 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Regency Healthcare & Rehab Center | 4.3 mi | Wilmington, DE | ★★★★☆ | 4/5 | |
| Excelcare at Wilmington LLC | 4.3 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Naamans Creek Country Manor | 4.9 mi | Boothwyn, PA | ★★★★☆ | 4/5 | |
| Continuing Care at Maris Grove | 5.0 mi | Glen Mills, PA | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 085056.