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Nursing HomeMedicaid

Cadia Rehabilitation Silverside

Strong Medicare quality ratings; families often praise effective physical and occupational therapy teams. Still worth an in-person visit.

3322 Silverside Road, Wilmington, DE 19810116 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 67 Google reviews

5
4
3
2
1
Cadia Rehabilitation Silverside Nursing Home in Wilmington, DE — Street View
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What this means for your family

While the physical therapy department is frequently cited as a strength, the recurring, severe reports of patient neglect and lack of responsiveness are deeply concerning. If you consider this facility, we strongly recommend unannounced visits during weekends and evenings to verify staffing levels and the quality of care provided to residents.

Google Reviews

Google Reviews

67 reviews on Google
Cadia Rehabilitation Silverside receives highly polarized feedback, with many families reporting severe neglect, including poor hygiene, slow response times to call bells, and inadequate medical oversight. While some reviewers praise the physical therapy department and individual staff members for their dedication, these positive experiences are frequently overshadowed by recurring reports of understaffing and communication failures.

Quality Themes

Tap a score for details
Food3.0Staff3.0Clean4.0Activities5.0Meds2.0Memory2.0Comms2.0ValueN/A

Strengths

  • Effective physical and occupational therapy teams
  • Modern, clean facility appearance
  • Some highly compassionate individual staff members

Concerns

  • Neglect and poor hygiene (e.g., patients left soiled for hours) (mentioned by 9 reviewers)
  • Slow or non-existent response to call bells (mentioned by 7 reviewers)
  • Inadequate medical oversight and communication (mentioned by 8 reviewers)
  • Poor quality or inedible food (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(6)'19(1)'21(9)'23(5)'25(14)'26(6)

Distribution · 64 analyzed

5
23
4
5
3
3
2
5
1
28

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your facility has a high staffing rating; how do you ensure that staff are consistently available to respond to call bells in a timely manner?
  • 2Given the recent health inspection reports, what specific steps is the facility taking to improve hygiene standards and ensure residents are checked on frequently?
  • 3I see that you are very active in responding to online feedback; how do you use that family input to improve the quality of care and communication with residents' loved ones?
  • 4Since the physical and occupational therapy teams are highly regarded here, how do you coordinate their work with the nursing staff to ensure a resident's overall medical needs are met?
  • 5What is the current process for ensuring residents receive nutritious, appealing meals, and how do you handle specific dietary preferences or concerns?
  • 6How do you ensure that medical oversight and communication remain proactive and transparent for families, especially regarding medication management and changes in health status?

Personalized based on this facility's data


Key Review Excerpts

If you ring for a nurse they never come. They leave you in a soiled diaper for hours on end. No compassion or concern whatsoever.

Local Guide · 2025☆☆☆☆

The therapy staff appear to be competent, but the patient care was bad and the management appears to be poor. My sister reported having to wait over two hours for assistance to visit the toilet.

Family member · 2017☆☆☆☆

I was in a wing with dementia patients screaming, taking of their clothes and coming into my room. No one asked to change my sheets, make my bed etc. Facility not clean.

Rehab patient · 2021☆☆☆☆
Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.90hrs
OK
Registered nurses for medical care
Total Nursing
4.01hrs
98%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
15.5%
DE
10.9%
New castle
10.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.3%
Worse than Avg
Here
27.3%
US
19.5%
DE
21.6%
New castle
21.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
DE
95.8%
New castle
97.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.0%
Better than Avg
Here
16.0%
US
19.4%
DE
21.2%
New castle
21.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
DE
97.4%
New castle
98.0%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
4.9%
DE
4.1%
New castle
3.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
81.8%
DE
83.1%
New castle
81.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.1%
Better than Avg
Here
92.1%
US
79.8%
DE
83.1%
New castle
83.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
DE
0.9%
New castle
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Near state avg (13.5)
15 complaint-triggered
$10,608 in fines

This facility has significant safety concerns with 12 complaint-triggered deficiencies, indicating families have repeatedly filed reports about problems. The most troubling issues involve repeated failures in abuse and neglect protection, resident rights violations, and safety hazards across multiple surveys from 2023-2025. While the facility claims corrections have been made, the pattern of recurring problems in these critical areas suggests persistent quality issues that families should carefully consider.

Apr 27, 2026Complaint
3
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0580Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 1, 2025Complaint
4
0576Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0657Potential for harm · IsolatedCorrected

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.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

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.

Mar 27, 2025Routine
5
0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Mar 27, 2025Complaint
8
0609Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 7, 2024Routine
7
0580Potential for harm · IsolatedCorrected

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0847Potential for harm · IsolatedCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Mar 27, 2023Routine
2
0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Federal Penalties

Fine

Mar 27, 2025

$10,608

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cadia Rehabilitation Silverside

Organization Type

for profit

Chain Affiliation

Chain Name

Cadia Healthcare

Chain Size

5 facilities nationwide

Chain avg rating: 2.8/5 · Rank 1 of 5 (Best)

Ownership & Management

Owners

Schafer, Ron

Owner

Silver, Stephen

Owner

Key personnel

Litwa, KarenOfficer / DirectorLong Term Care CORPManagerOnix Group LlManagerDittmar, LauraManagerPrice, ElizabethManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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