Delaware › Kent County › Dover
Complete Care At Silver Lake LLC
1080 Silver Lake Blvd, Dover, DE 19904
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.
Certified for 120 beds, Complete Care At Silver Lake LLC serves Dover in Kent County, Delaware and has taken Medicare and Medicaid residents since 1984.
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 30 health deficiencies across the three most recent survey cycles (11, 12, 7 by cycle, most recent first), 1 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 $48K.
Reported nurse staffing is 3.7 hours per resident per day (0.9 RN), close to the Delaware median of 3.9; nursing staff turnover is 34.5%.
Compared with county, state and nation
| Measure | This facility | Kent Co. median | Delaware median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 31 | 33 | 28.7 |
| Citations per 100 beds | 25.0 | 30.0 | 35.0 | 26.8 |
| Total nurse hours per resident day | 3.7 | 4.2 | 3.9 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.8 | 0.7 |
| Nursing staff turnover | 34.5% | 35.1% | 41.7% | 45.8% |
| Fines listed | $47,541 | $34,838 | $34,838 | — |
County and state figures are medians across facilities (7 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: 23 Jan 2026, 23 Jan 2025.
Severity mix: G ×1 D ×22 E ×2 F ×4 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 |
|---|---|---|---|---|---|
| 23 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 11 Mar 2026 |
| 23 Jan 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 11 Mar 2026 |
| 23 Jan 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 11 Mar 2026 |
| 23 Jan 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 11 Mar 2026 |
| 23 Jan 2026 | 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 | 11 Mar 2026 |
| 23 Jan 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 11 Mar 2026 |
| 23 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Mar 2026 |
| 23 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Mar 2026 |
| 23 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Mar 2026 |
| 23 Jan 2026 | 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 Mar 2026 |
| 23 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Mar 2026 |
| 23 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 6 Mar 2025 |
| 23 Jan 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 | 6 Mar 2025 |
| 23 Jan 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 6 Mar 2025 |
| 23 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Mar 2025 |
| 23 Jan 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 6 Mar 2025 |
| 23 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 6 Mar 2025 |
| 23 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 6 Mar 2025 |
| 23 Jan 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 | 6 Mar 2025 |
| 23 Jan 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 | 6 Mar 2025 |
| 23 Jan 2025 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 6 Mar 2025 |
| 23 Jan 2025 | 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 | Standard survey | 6 Mar 2025 |
| 23 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 6 Mar 2025 |
| 12 Feb 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. | E | Complaint investigation | 6 Mar 2024 |
| 12 Feb 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 6 Mar 2024 |
| 12 Feb 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 | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | 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 | 6 Mar 2024 |
| 12 Feb 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Mar 2024 |
| 12 Feb 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | C | Complaint investigation | 6 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Jan 2025 | Fine | $47,541 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 34.5%, RNs 41.9%; 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 | 6.8% | 11.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 0.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.9% | 14.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.4% | 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. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pc De Opcos LLC | 5% or greater direct ownership interest | 100% | 06/01/2021 |
| Pc Wta Opco Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 06/01/2021 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 07/30/2021 |
| Hillside Center Realty, LLC | Adp of the snf | NOT APPLICABLE | 07/30/2021 |
| Pc Wta Acquisition LLC | Adp of the snf | NOT APPLICABLE | 06/01/2021 |
| Pc Wta Multi-State LLC | Adp of the snf | NOT APPLICABLE | 06/01/2021 |
| Peace Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 06/01/2021 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 07/30/2021 |
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 Kent County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Center At Eden Hill, LLC | Dover | 80 | 5 | 4 | 5 | 24 | 30.0 | — | 22 May 2026 |
| Westminster Village Health | Dover | 75 | 4 | 3 | 5 | 33 | 44.0 | $30K | 16 Dec 2025 |
| Bay Terrace Rehabilitation and Health Center | Dover | 85 | 3 | 3 | 4 | 38 | 44.7 | $35K | 23 Apr 2026 |
| Cadia Rehabilitation Capitol | Dover | 120 | 3 | 3 | 4 | 31 | 25.8 | $8K | 27 Jan 2026 |
| Delaware Hospital F/T Chronically Ill (Dhci)SFF Candidate | Smyrna | 175 | 2 | 1 | 5 | 11 | 6.3 | $60K | 9 Jan 2026 |
| Evergreen Post Acute | Smyrna | 151 | 2 | 1 | 3 | 69 | 45.7 | $94K | 11 May 2026 |
All 7 facilities in Kent County
Questions and answers
How many deficiencies has Complete Care At Silver Lake LLC been cited for?
30 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 Complete Care At Silver Lake LLC been fined?
Yes. CMS lists fines totalling $48K in the period covered.
How does staffing at Complete Care At Silver Lake LLC compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.
Who operates Complete Care At Silver Lake LLC?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc De Opcos LLC and Pc Wta Opco Holdco LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Silver Lake LLC last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jan 2026; the most recent standard health survey was 23 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.