Delaware › Sussex County › Millsboro
Cadia Rehabilitation Renaissance
26002 John J Williams Highway, Millsboro, DE 19966
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 Renaissance is a For-profit, limited liability company nursing home in Millsboro, Delaware, certified for 130 beds and caring for about 116 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Delaware median; the health inspection rating is 3, staffing 4 and quality measures 4.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (11, 18, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 30.0 per 100 beds, about the same as the state median of 35.0.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.6 hours per resident per day (0.8 RN), close to the Delaware median of 3.9; nursing staff turnover is 48.4%.
Compared with county, state and nation
| Measure | This facility | Sussex Co. median | Delaware median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 39 | 33 | 28.7 |
| Citations per 100 beds | 30.0 | 30.0 | 35.0 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.9 | 3.9 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 48.4% | 42.2% | 41.7% | 45.8% |
| Fines listed | $13,627 | $62,618 | $34,838 | — |
County and state figures are medians across facilities (12 in the county, 44 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Delaware average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Aug 2025, 19 Sep 2024.
Severity mix: J ×1 D ×30 E ×6 F ×1 C ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Oct 2025 |
| 25 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 9 Oct 2025 |
| 25 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Oct 2025 |
| 25 Aug 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 9 Oct 2025 |
| 25 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 Oct 2025 |
| 25 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Oct 2025 |
| 25 Aug 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 9 Oct 2025 |
| 25 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 Oct 2025 |
| 25 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 9 Oct 2025 |
| 25 Aug 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 9 Oct 2025 |
| 25 Aug 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 9 Oct 2025 |
| 2 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Jun 2025 |
| 2 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Jun 2025 |
| 19 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 23 Oct 2024 |
| 19 Sep 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Complaint investigation | 23 Oct 2024 |
| 26 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 14 Jun 2024 |
| 2 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Jun 2024 |
| 2 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Jun 2024 |
| 7 Aug 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 8 Sep 2023 |
| 7 Aug 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 8 Sep 2023 |
| 7 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Sep 2023 |
| 7 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Sep 2023 |
| 7 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Sep 2023 |
| 7 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 Sep 2023 |
| 7 Aug 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 8 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 May 2024 | Fine | $13,627 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 48.4%, RNs 59.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Delaware median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.3% | 11.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.7% | 14.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.7% | 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: Peninsula Healthcare Services Llc. Chain: Cadia Healthcare (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Silver Holdings LLC | 5% or greater direct ownership interest | 50% | 12/31/2010 |
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| Long Term Care Corp | Operational/managerial control | NOT APPLICABLE | 02/01/2008 |
| Onix Group Ll | Operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| Long Term Care Corp | Adp of the snf | NOT APPLICABLE | 02/01/2008 |
| Onix Group Ll | Adp of the snf | NOT APPLICABLE | 01/01/2017 |
| Sabra Health Care Reit Inc | Adp of the snf | NOT APPLICABLE | 08/01/2011 |
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 Sussex County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Delmar Nursing & Rehabilitation Center | Delmar | 109 | 5 | 4 | 5 | 17 | 15.6 | $24K | 5 Dec 2025 |
| The Moorings At Lewes | Lewes | 40 | 5 | 5 | 5 | 2 | 5.0 | — | 22 Jan 2024 |
| Willowbrooke Court Skilled Center At Manor House | Seaford | 15 | 5 | 5 | 5 | 7 | 46.7 | — | 6 May 2025 |
| Delaware Veterans Homeabuse icon | Milford | 144 | 4 | 2 | 5 | 21 | 14.6 | $119K | 12 Mar 2026 |
| Lofland Park Center | Seaford | 110 | 4 | 4 | 4 | 20 | 18.2 | — | 30 Jun 2026 |
| Seaford Center | Seaford | 124 | 3 | 3 | 4 | 55 | 44.4 | $192K | 9 Sep 2025 |
| Delaware Bay Rehabilitation and Healthcare Center | Georgetown | 139 | 2 | 2 | 3 | 38 | 27.3 | $63K | 22 Oct 2025 |
| Excelcare At Lewes LLCabuse icon | Lewes | 179 | 2 | 2 | 3 | 46 | 25.7 | $107K | 18 Feb 2026 |
All 12 facilities in Sussex County
Questions and answers
How many deficiencies has Cadia Rehabilitation Renaissance been cited for?
39 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Delaware median is 33 per facility.
Has Cadia Rehabilitation Renaissance been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Cadia Rehabilitation Renaissance compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.
Who operates Cadia Rehabilitation Renaissance?
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 Renaissance last inspected?
The most recent survey or investigation in the CMS record is dated 25 Aug 2025; the most recent standard health survey was 25 Aug 2025.
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.