Complete Care at Silver Lake LLC
1080 Silver Lake Blvd, Dover, DE 19904 · Kent County · 120 certified beds · avg 117 residents/day · certified since May 10, 1984
Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)
3/5
Health inspection rating (on-site)
1
Serious findings on record
$47,541
Fines, last 3 years
3.83
Nurse hours/resident/day (adjusted)
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)
▲ Actual harm, one-off · Jan 23, 2025 · F-0689
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: Mar 6, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (30)
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 23, 2026 | 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 |
| Jan 23, 2026 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jan 23, 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. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jan 23, 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. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jan 23, 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 23, 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 23, 2026 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 23, 2026 | 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. |
| Jan 23, 2026 | 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. |
| Jan 23, 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. |
| Jan 23, 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 23, 2025 | F · Potential for harm, facility-wide | 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. |
| Jan 23, 2025 | 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. |
| Jan 23, 2025 | 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 23, 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. |
| Jan 23, 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. |
| Jan 23, 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. |
| Jan 23, 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. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 12, 2024 | 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 |
| Feb 12, 2024 | 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. |
| Feb 12, 2024 | 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. |
| Feb 12, 2024 | 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. |
| Feb 12, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Feb 12, 2024 | 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 |
| Feb 12, 2024 | C · Minimal risk, facility-wide | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | E |
| 2025 | 12 | 1 | G ▲ |
| 2026 | 11 | 0 | F |
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 $47,541.
| Date | Type | Amount / length |
|---|---|---|
| Jan 23, 2025 | Fine | $47,541 |
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) | 3.83 | 4.67 | 3.95 | bottom 19% in Delaware; top 47% in the U.S. |
| Registered Nurse hours | 0.96 | 1.04 | 0.69 | top 44% in Delaware; top 18% in the U.S. |
| Weekend total nurse staffing | 3.43 | 4.18 | 3.50 | bottom 16% in Delaware; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.64 | 0.48 | top 30% in Delaware; top 14% in the U.S. |
| Total nursing staff turnover (%) | 34.5 | 41.3 | 45.8 | top 24% in Delaware; top 23% in the U.S. |
| RN turnover (%) | 41.9 | 41.2 | 42.9 | bottom 48% 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 3.75, RN 0.94, weekend 3.35. 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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| PC de Opcos LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2021 |
| PC Wta Opco Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2021 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2021 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2021 |
| Aurora Guardian Holdco II Co-Borrower, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| Aurora Guardian Holdco II, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| Aurora Guardian II Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| Aurora Guardian Partners II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| Burns, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 04/18/2024 |
| Cox, Vickie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
| Hillside Center Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| J & R Family Investments, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| L Friedman 2018 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| L Friedman Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| Landau Family Investment Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| M Friedman 2018 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/30/2021 |
| Mansfield, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
| Mansfield, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| PC Wta Acquisition LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| PC Wta Multi-State LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 | 0.8 mi | Dover, DE | ★★★★☆ | 3/5 | |
| Cadia Rehabilitation Capitol | 1.1 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Center at Eden Hill, LLC | 1.7 mi | Dover, DE | ★★★★★ | 4/5 | |
| Bay Terrace Rehabilitation and Health Center | 2.5 mi | Dover, DE | ★★★☆☆ | 3/5 | |
| Evergreen Post Acute | 6.3 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | |
| Delaware Hospital F/T Chronically Ill (dhci) | 8.4 mi | Smyrna, DE | ★★☆☆☆ | 1/5 | SFF |
| Delaware Veterans Home | 17.4 mi | Milford, DE | ★★★★☆ | 2/5 | abuse |
| Milford Center | 19.5 mi | Milford, DE | ★★☆☆☆ | 2/5 | |
| Polaris Healthcare and Rehabilitation Center | 19.7 mi | Milford, DE | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 085027.