Delaware › New Castle County › Wilmington
Cadia Rehabilitation Silverside
3322 Silverside Road, Wilmington, DE 19810
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 Silverside is a For-profit, limited liability company nursing home in Wilmington, Delaware, certified for 116 beds and caring for about 100 residents a day.
CMS gives it 5 of 5 stars overall, above the Delaware median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (10, 12, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 25.0 per 100 beds, fewer than the state median of 35.0.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 4.0 hours per resident per day (0.9 RN), close to the Delaware median of 3.9; nursing staff turnover is 48.1%.
Compared with county, state and nation
| Measure | This facility | New Castle Co. median | Delaware median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 33 | 33 | 28.7 |
| Citations per 100 beds | 25.0 | 35.7 | 35.0 | 26.8 |
| Total nurse hours per resident day | 4.0 | 3.9 | 3.9 | 3.9 |
| RN hours per resident day | 0.9 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 48.1% | 44.9% | 41.7% | 45.8% |
| Fines listed | $10,608 | $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
Dark bar: this facility. Grey bar: Delaware average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Apr 2026, 27 Mar 2025.
Severity mix: J ×1 G ×1 D ×23 E ×3 F ×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 |
|---|---|---|---|---|---|
| 27 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Jun 2026 |
| 27 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 11 Jun 2026 |
| 27 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 11 Jun 2026 |
| 27 Apr 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 11 Jun 2026 |
| 27 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 11 Jun 2026 |
| 27 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Jun 2026 |
| 1 Dec 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 15 Jan 2026 |
| 1 Dec 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 | Complaint investigation | 15 Jan 2026 |
| 1 Dec 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 15 Jan 2026 |
| 1 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Jan 2026 |
| 27 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 17 Jul 2024 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 11 May 2025 |
| 27 Mar 2025 | 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. | E | Complaint investigation | 11 May 2025 |
| 27 Mar 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 11 May 2025 |
| 27 Mar 2025 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 11 May 2025 |
| 27 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 May 2025 |
| 27 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 May 2025 |
| 27 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 11 May 2025 |
| 27 Mar 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 11 May 2025 |
| 27 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 May 2025 |
| 27 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 May 2025 |
| 27 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 11 May 2025 |
| 7 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 22 Apr 2024 |
| 7 Mar 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 22 Apr 2024 |
| 7 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 22 Apr 2024 |
| 7 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 Apr 2024 |
| 7 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 22 Apr 2024 |
| 7 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Apr 2024 |
| 7 Mar 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 22 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Mar 2025 | Fine | $10,608 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 48.1%, RNs 21.7%; 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 | 11.2% | 11.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 0.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.2% | 14.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.9% | 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: Onix Silverside Llc. Chain: Cadia Healthcare (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Long Term Care Corp | Operational/managerial control | NOT APPLICABLE | 09/01/2008 |
| Onix Group Ll | Operational/managerial control | NOT APPLICABLE | 01/23/2025 |
| Long Term Care Corp | Adp of the snf | NOT APPLICABLE | 01/23/2025 |
| Onix Group Ll | Adp of the snf | NOT APPLICABLE | 01/23/2025 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Encore At Foulk | Wilmington | 46 | 5 | 5 | 5 | 12 | 26.1 | $14K | 13 Apr 2026 |
| Exceptional Care For Children | Newark | 46 | 5 | 5 | — | 5 | 10.9 | — | 19 May 2026 |
| Jeanne Jugan Residence | Newark | 40 | 5 | 4 | 5 | 14 | 35.0 | — | 10 Apr 2026 |
| Willowbrooke Court At Cokesbury Village | Hockessin | 10 | 5 | 4 | 5 | 11 | 110.0 | — | 29 Jul 2025 |
| Willowbrooke Court At Country House | Wilmington | 14 | 5 | 5 | 5 | 5 | 35.7 | — | 26 Feb 2025 |
| Cadia Rehabilitation Pike Creek | Wilmington | 177 | 4 | 3 | 2 | 35 | 19.8 | $106K | 1 Jul 2026 |
| Complete Care At Brackenville LLC | Hockessin | 104 | 4 | 3 | 3 | 30 | 28.8 | $17K | 5 Mar 2026 |
| Complete Care At Hillside LLC | Wilmington | 106 | 4 | 3 | 3 | 35 | 33.0 | — | 30 Jan 2026 |
All 25 facilities in New Castle County
Questions and answers
How many deficiencies has Cadia Rehabilitation Silverside been cited for?
29 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Delaware median is 33 per facility.
Has Cadia Rehabilitation Silverside been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Cadia Rehabilitation Silverside compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.
Who operates Cadia Rehabilitation Silverside?
It is part of the Cadia Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Long Term Care Corp and Onix Group Ll. Individual owners and managers are not listed on this site.
When was Cadia Rehabilitation Silverside last inspected?
The most recent survey or investigation in the CMS record is dated 27 Apr 2026; the most recent standard health survey was 27 Apr 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.