Elder Care Record

Delaware › New Castle County › Middletown

Cadia Rehabilitation Broadmeadow

500 South Broad Street, Middletown, DE 19709

CCN 085050 · For-profit, limited liability company · 120 certified beds · chain Cadia Healthcare

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Cadia Rehabilitation Broadmeadow, in Middletown, Delaware, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Cadia Healthcare chain.

CMS gives it 1 of 5 stars overall, below the Delaware median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.

Inspectors recorded 41 health deficiencies across the three most recent survey cycles (17, 24, 0 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 34.2 per 100 beds, about the same as the state median of 35.0.

CMS lists 3 penalties in the period covered: fines totalling $216K.

Reported nurse staffing is 3.9 hours per resident per day (0.7 RN), close to the Delaware median of 3.9; nursing staff turnover is 44.9%.

CMS flags that the facility is a Special Focus Facility candidate.

41health deficiencies, 3 survey cycles5 at actual harm or worse
$216Kfines listed by CMS3 penalties in period
3.9nurse hours per resident per daystate median 3.9
94%occupancy (residents ÷ beds)112 residents a day

Compared with county, state and nation

MeasureThis facilityNew Castle Co. medianDelaware medianUS average
Overall star rating1333.0
Health citations, 3 cycles41333328.7
Citations per 100 beds34.235.735.026.8
Total nurse hours per resident day3.93.93.93.9
RN hours per resident day0.70.80.80.7
Nursing staff turnover44.9%44.9%41.7%45.8%
Fines listed$216,429$32,394$34,838—

County and state figures are medians across facilities (25 in the county, 44 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)17
Cycle 224
Cycle 30

Dark bar: this facility. Grey bar: Delaware average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jan 2026, 22 Jan 2025.

Severity mix: J ×3 G ×2 D ×34 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
29 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation13 Jul 2026
29 May 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation13 Jul 2026
29 May 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation13 Jul 2026
29 May 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation13 Jul 2026
30 Jan 2026F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey17 Mar 2026
30 Jan 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey17 Mar 2026
30 Jan 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey17 Mar 2026
30 Jan 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey17 Mar 2026
30 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey17 Mar 2026
30 Jan 2026F0610Respond appropriately to all alleged violations.DStandard survey17 Mar 2026
30 Jan 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey17 Mar 2026
30 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey17 Mar 2026
30 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 Mar 2026
30 Jan 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Mar 2026
30 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey17 Mar 2026
30 Jan 2026F0881Implement a program that monitors antibiotic use.DStandard survey17 Mar 2026
14 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation29 Dec 2025
7 Jul 2025F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint investigation29 Jul 2025
7 Jul 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JComplaint investigation29 Jul 2025
7 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation29 Jul 2025
7 Jul 2025F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DComplaint investigation29 Jul 2025
22 Jan 2025F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation14 Apr 2025
22 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey8 Mar 2025
22 Jan 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey8 Mar 2025
22 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation8 Mar 2025
22 Jan 2025F0641Ensure each resident receives an accurate assessment.DStandard survey8 Mar 2025
22 Jan 2025F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard survey8 Mar 2025
22 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Mar 2025
22 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation8 Mar 2025
22 Jan 2025F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey8 Mar 2025
22 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey14 Apr 2025
22 Jan 2025F0685Assist a resident in gaining access to vision and hearing services.DComplaint investigation8 Mar 2025
22 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation8 Mar 2025
22 Jan 2025F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard survey8 Mar 2025
22 Jan 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey8 Mar 2025
22 Jan 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey8 Mar 2025
22 Jan 2025F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey14 Apr 2025
22 Jan 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey8 Mar 2025
22 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey8 Mar 2025
22 Jan 2025F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard survey8 Mar 2025
22 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey8 Mar 2025

Penalties

DateTypeAmountDetail
29 May 2026Fine$137,303
7 Jul 2025Fine$17,610
22 Jan 2025Fine$61,516

Staffing

Total nursing3.88 h
Nurse aides2.18 h
LPN0.99 h
RN0.71 h
Weekend total3.59 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 44.9%, RNs 39.1%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityDelaware medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.1%11.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%1.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%2.8%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.2%0.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.9%14.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.6%10.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Broadmeadow Investment Llc. Chain: Cadia Healthcare (5 facilities).

OrganisationRole in the CMS recordInterestSince
Silver Holdings LLC5% or greater direct ownership interest50%12/31/2010
Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer5% or greater indirect ownership interest5%12/31/2010
Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer5% or greater indirect ownership interest5%12/31/2010
Long Term Care CorpOperational/managerial controlNOT APPLICABLE10/01/2005
Long Term Care CorpAdp of the snfNOT APPLICABLE01/24/2025
Sabra Health Care Reit IncAdp of the snfNOT APPLICABLE01/24/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in New Castle County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Cadia Rehabilitation SilversideWilmington1165352925.0$11K27 Apr 2026
Encore At FoulkWilmington465551226.1$14K13 Apr 2026
Exceptional Care For ChildrenNewark4655—510.9—19 May 2026
Jeanne Jugan ResidenceNewark405451435.0—10 Apr 2026
Willowbrooke Court At Cokesbury VillageHockessin1054511110.0—29 Jul 2025
Willowbrooke Court At Country HouseWilmington14555535.7—26 Feb 2025
Cadia Rehabilitation Pike CreekWilmington1774323519.8$106K1 Jul 2026
Complete Care At Brackenville LLCHockessin1044333028.8$17K5 Mar 2026

All 25 facilities in New Castle County

Questions and answers

How many deficiencies has Cadia Rehabilitation Broadmeadow been cited for?

41 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Delaware median is 33 per facility.

Has Cadia Rehabilitation Broadmeadow been fined?

Yes. CMS lists fines totalling $216K in the period covered.

How does staffing at Cadia Rehabilitation Broadmeadow compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.

Who operates Cadia Rehabilitation Broadmeadow?

It is part of the Cadia Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Silver Holdings LLC, Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer and Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer. Individual owners and managers are not listed on this site.

When was Cadia Rehabilitation Broadmeadow last inspected?

The most recent survey or investigation in the CMS record is dated 29 May 2026; the most recent standard health survey was 30 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.