ElderGrade
C

64/100

Average

Cadia Rehabilitation Silverside

3322 Silverside Road, Wilmington, DE 19810

CMS 4/5 stars #9 of 25 in New Castle County (302) 478-8889
Certified beds
116
Occupancy
86%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $10,608 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

12.8/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -3.2 for 26 total citations against a national median of 17

Staffing

23/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.3 total nurse hours per resident per day (national median 3.77)
  • 0.91 RN hours per resident per day
  • Weekend staffing holds steady

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 48% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $10,608 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.99 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.91 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.80 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 48.10%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 28 citations

Last standard health inspection: March 27, 2025 (1 year ago).

G Apr 27, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

D Apr 27, 2026 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Apr 27, 2026 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Dec 1, 2025 F0576 From a complaint

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

No actual harm, potential for more than minimal harm

D Dec 1, 2025 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Dec 1, 2025 F0745 From a complaint

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

No actual harm, potential for more than minimal harm

D Dec 1, 2025 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

F Mar 27, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CADIA HEALTHCARE, which operates 5 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
SCHAFER, RON Individual DIRECT OWNERSHIP INTEREST
SILVER, STEPHEN Individual DIRECT OWNERSHIP INTEREST
LITWA, KAREN Individual CORPORATE OFFICER
LONG TERM CARE CORP Organization OPERATIONAL/MANAGERIAL CONTROL
ONIX GROUP LL Organization OPERATIONAL/MANAGERIAL CONTROL
DITTMAR, LAURA Individual OPERATIONAL/MANAGERIAL CONTROL
PRICE, ELIZABETH Individual OPERATIONAL/MANAGERIAL CONTROL
LONG TERM CARE CORP Organization ADP OF THE SNF
ONIX GROUP LL Organization ADP OF THE SNF
DITTMAR, LAURA Individual ADP OF THE SNF
LITWA, KAREN Individual ADP OF THE SNF
PRICE, ELIZABETH Individual ADP OF THE SNF

What families say

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Common questions about Cadia Rehabilitation Silverside

What is the ElderGrade for Cadia Rehabilitation Silverside? +

Cadia Rehabilitation Silverside holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Cadia Rehabilitation Silverside? +

Residents receive an average of 3.99 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Cadia Rehabilitation Silverside been cited for harming residents? +

Yes. 2 of the 28 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Cadia Rehabilitation Silverside accept Medicaid? +

Yes, Cadia Rehabilitation Silverside is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.