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Nursing HomeMedicaid

Complete Care at Silver Lake LLC

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1080 Silver Lake Blvd, Dover, DE 19904120 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 186 Google reviews

5
4
3
2
1

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What this means for your family

This facility is highly regarded for its compassionate nursing staff and effective rehab outcomes, making it a strong contender for many. However, families should be aware of recurring reports regarding cleanliness and responsiveness. We strongly recommend visiting in person to inspect the environment and asking management specifically about their protocol for call-bell response times and room sanitation.

Google Reviews

Google Reviews

186 reviews on Google
Complete Care at Silver Lake receives high praise for its compassionate and attentive nursing and CNA staff, with many families noting that their loved ones feel treated like family. However, the facility faces recurring criticism regarding cleanliness, food quality, and occasional lapses in communication or responsiveness from management. While many families report excellent rehab outcomes, others have expressed serious concerns about patient safety, hygiene, and staffing levels.

Quality Themes

Tap a score for details
Food4.0Staff9.0Clean4.0Activities8.0Meds3.0Memory8.0Comms5.0ValueN/A

Strengths

  • Compassionate and attentive nursing/CNA staff
  • Effective physical and occupational therapy programs
  • Welcoming and friendly atmosphere
  • Strong administrative support for long-term transitions

Concerns

  • Poor cleanliness and hygiene (feces, odors, dirty floors) (mentioned by 6 reviewers)
  • Slow or non-responsive call bell system (mentioned by 3 reviewers)
  • Poor food quality (mentioned by 3 reviewers)
  • Management/administrative communication issues (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'18(2)'20(8)'22(4)'24(70)'26(15)

Distribution · 188 analyzed

5
150
4
14
3
4
2
2
1
18
12 reviews posted between Oct 30, 2019Oct 31, 2019 · 12 were 5-star

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily dining experience and food quality?
  • 2Given that cleanliness is a top priority for our family, could you walk us through your current housekeeping schedule and how you ensure rooms remain sanitary throughout the day?
  • 3With a 4-star staffing rating, how does your nursing team manage the call bell system to ensure residents receive timely assistance when they need it most?
  • 4Since your therapy programs are highly regarded, how do you integrate those physical and occupational sessions into a resident's daily routine to keep them active and engaged?
  • 5What specific protocols do you have in place to address the recent health inspection findings and ensure the highest standard of care for your 120 residents?
  • 6How does your administrative team facilitate communication with families to ensure we are always kept in the loop regarding any changes in our loved one's health or care plan?

Personalized based on this facility's data


Key Review Excerpts

My mom was well taken care of. The staff and administrators introduced themselves and made us feel welcomed. My mom received excellent care.

Long-term resident's family · 2024★★★★★

The staff at Complete Care Silver Lake are the best. They treat patients with dignity and respect and try to be as accommodating as humanly possible. My mom has been a full time resident for over a year and although the rooms are small and it’s not perfect, I feel 100% confident my mom is safe.

Long-term resident's family · 2024★★★★★

I have never been so disgusted with a healthcare facility in my life. Silver Lake is an absolute horror.

Family member · 2023★★★★★
Source: 186 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.92hrs
OK
Registered nurses for medical care
Total Nursing
3.94hrs
96%
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
47%
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
4/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility67.0%
Worse than Avg
Here
67.0%
US
12.1%
DE
8.7%
Kent
11.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
15.3%
DE
15.5%
Kent
16.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
15.4%
DE
10.9%
Kent
16.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
14.4%
DE
13.7%
Kent
15.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
DE
95.8%
Kent
94.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
DE
97.4%
Kent
96.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.4%
Better than Avg
Here
95.4%
US
79.7%
DE
83.1%
Kent
78.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.8%
Better than Avg
Here
92.8%
US
81.8%
DE
83.1%
Kent
84.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.3%
Worse than Avg
Here
3.3%
US
1.6%
DE
0.9%
Kent
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
1penalties
Near state avg (13.5)
4 complaint-triggered
$47,541 in fines

Complete Care at Silver Lake has persistent quality issues across multiple surveys, with families filing six complaint reports about serious problems including abuse reporting failures, medication management, and care planning deficiencies. The facility shows recurring problems with resident protection, care planning, and food safety that appear across all four surveys, indicating systemic challenges that may not be fully resolved despite correction plans.

Jan 23, 2026Routine
10
0925Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 23, 2026Complaint
1
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jan 23, 2025Routine
12
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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0881Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

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.

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.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Feb 12, 2024Complaint
3
0657Potential for harm · PatternCorrected

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.

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.

0756Minimal · WidespreadCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Feb 12, 2024Routine
8
0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Federal Penalties

Fine

Jan 23, 2025

$47,541

Ownership & Operations

Who Operates This Facility

Owner / Operator

Complete Care at Silver Lake LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Complete Care

Chain Size

85 facilities nationwide

Chain avg rating: 3.2/5 · Rank 42 of 85

Ownership & Management

Owners

Pc De Opcos LLC

Owner · Organization

100%

Pc Wta Opco Holdco LLC

Owner (parent company) · Organization

Sms 2021 Trust

Owner (parent company) · Organization

Stein, Shalom

Owner (parent company)

Key personnel

Welltower INC5% or Greater Security InterestStein, ShalomManaging Control - Governing BodyStein, ShalomOfficer / DirectorCox, VickieManagerMansfield, MelissaManager
Source: Medicare provider data

Contact

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References & Resources

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