Delaware ›Wilmington

Cadia Rehabilitation Silverside

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3322 Silverside Road, Wilmington, DE 19810 (opens Google Maps) · New Castle County · (302) 478-8889· 116 certified beds · avg 100 residents/day · certified since Dec 5, 2012 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CADIA HEALTHCARE (5 facilities, chain avg rating 3.2★)

3/5
Health inspection rating (on-site)
inspected Apr 27, 2026
2
Serious findings on record
most recent Apr 27, 2026
$10,608
Fines, last 3 years
4.30
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 17, 2024 (Past Non-Compliance)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 11, 2026 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    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 F-0689

  2. D · Potential for more than minimal harm, isolated

    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. F-0550

  3. D · Potential for more than minimal harm, isolated

    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. F-0558

View all 29 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 27, 2026▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0550
Apr 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0558
Apr 27, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0561
Apr 27, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0580
Apr 27, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0658
Dec 1, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0576
Dec 1, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0657
Dec 1, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0745
Dec 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Mar 27, 2025▲ J · Immediate jeopardy, isolatedThe 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 · F-0609
Mar 27, 2025F · Potential for more than minimal harm, widespreadThe 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 · F-0880
Mar 27, 2025E · Potential for more than minimal harm, patternThe 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 · F-0585
Mar 27, 2025E · Potential for more than minimal harm, patternThe 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 · F-0759
Mar 27, 2025E · Potential for more than minimal harm, patternThe facility did not dispose of garbage and refuse properly. · F-0814
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0600
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0610
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0623
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0625
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0580
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0600
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0610
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0847

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 7
Serious citations (G–L): 0
2025
All citations: 16
Serious citations (G–L): 1
2026
All citations: 6
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202470D
2025161J ▲
202661G ▲

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)

How to file a complaint about care →

1 fine totaling $10,608.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Mar 27, 2025Fine$10,608

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityDelaware averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.30
Delaware average: 4.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.98
Delaware average: 1.04
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.09
Delaware average: 4.18
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityDelaware avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.304.673.95top 42% in Delaware; top 29% in the U.S.
Registered Nurse hours0.981.040.69top 40% in Delaware; top 16% in the U.S.
Weekend total nurse staffing4.094.183.50top 35% in Delaware; top 20% in the U.S.
Weekend RN hours (not acuity-adjusted)0.730.640.48top 33% in Delaware; top 15% in the U.S.
Total nursing staff turnover (%)48.141.345.8bottom 29% in Delaware; bottom 42% in the U.S.
RN turnover (%)21.741.242.9top 15% in Delaware; top 17% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.99 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Cadia Rehabilitation Silverside. CMS inspection and staffing records do not tell us what this home will charge you.

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Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Schafer, RonIndividualDirect Ownership InterestNOT APPLICABLE07/18/2011
Silver, StephenIndividualDirect Ownership InterestNOT APPLICABLE07/18/2011
Dittmar, LauraIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2020
Dittmar, LauraIndividualADP of the SNFNOT APPLICABLE01/01/2020
Litwa, KarenIndividualCorporate OfficerNOT APPLICABLE11/01/2012
Litwa, KarenIndividualADP of the SNFNOT APPLICABLE11/01/2012
Long Term Care CorpOrganizationOperational/Managerial ControlNOT APPLICABLE09/01/2008
Long Term Care CorpOrganizationADP of the SNFNOT APPLICABLE01/23/2025
Onix Group LLOrganizationOperational/Managerial ControlNOT APPLICABLE01/23/2025
Onix Group LLOrganizationADP of the SNFNOT APPLICABLE01/23/2025
Price, ElizabethIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2023
Price, ElizabethIndividualADP of the SNFNOT APPLICABLE06/01/2023
Schafer, RonIndividualADP of the SNFNOT APPLICABLE11/01/2012
Silver, StephenIndividualADP of the SNFNOT APPLICABLE07/18/2011

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Cadia Healthcare — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 74 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Encore at Wilmington0.6 miWilmington, DE★★★☆☆2/5
Encore at Foulk1.1 miWilmington, DE★★★★★5/5
Wilmington Nursing & Rehabilitation Center1.5 miWilmington, DE—/5abuseSFF
Kentmere Rehabilitation and Healthcare Center3.4 miWilmington, DE★★★☆☆3/5
Willowbrooke Court at Country House3.8 miWilmington, DE★★★★★5/5
Stonegates3.8 miGreenville, DE★★★★☆3/5
Kutz Rehabilitation and Nursing3.9 miWilmington, DE★★☆☆☆2/5abuse
Gilpin Hall3.9 miWilmington, DE★★★☆☆2/5abuse
Regency Healthcare & Rehab Center4.3 miWilmington, DE★★★★☆4/5
Excelcare at Wilmington LLC4.3 miWilmington, DE★★★☆☆2/5abuse
Naamans Creek Country Manor4.9 miBoothwyn, PA★★★★☆4/5
Continuing Care at Maris Grove5.0 miGlen Mills, PA★★★★★4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in New Castle, DE — 25 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Wilmington →

Facility data as of CMS processing date 2026-08-01. CCN 085056.

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