Nursing homeActive
Complete Care At Silver Lake LLC
1080 Silver Lake Blvd, Dover, DE 199043027345990120 certified beds · 117 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
30
● 1● 28● 1
Penalties · 3 yrs
$47,541
1 fine
Last survey
2026-01-23
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Delaware Division of Health Care Quality · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-23 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2025-01-23 | Standard | 0111 | CMS-2567 (Care Compare) | — |
| 2024-02-12 | Standard | 160 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Delaware Division of Health Care Quality publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F558
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F605
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F656
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F676
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F690
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 085027-20260123-F925
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-03-06Record 085027-20250123-F689
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F552
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F625
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F660
F742Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F742
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 085027-20250123-F881
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 085027-20240212-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 085027-20240212-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 085027-20240212-F657
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 085027-20240212-F688
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 085027-20240212-F791
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 085027-20240212-F842
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity CPaperwork
Medication
Widespread; potential for minimal harm.Corrected 2024-03-06Record 085027-20240212-F756
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-01-23 | Civil money penalty | $47,541 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.94
Facility
Delaware
National
Delaware 0.97 · National 0.69
Total nurse hours per resident day3.75
Facility
Delaware
National
Delaware 4.35 · National 3.86
Weekend total nurse hours3.35
Facility
Delaware
National
Delaware 3.89 · National 3.42
Total nursing staff turnover35%
Facility
Delaware
National
Delaware 41% · National 46%
Registered nurse turnover42%
Facility
Delaware
National
Delaware 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Delaware | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.2% | 3.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.4% | 10.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 2.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.8% | 12.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.5% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 19.1% | 21.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| PC De Opcos LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| PC Wta Opco Holdco LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Sms 2021 Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Cox, Vickie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mansfield, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rastogi, Ritu Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Silverberg, Nisanel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Steven Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aurora Guardian Holdco II Co-Borrower, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian Holdco II, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian II Realty, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian Partners II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Burns, Donna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hillside Center Realty, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| J & R Family Investments, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| L Friedman 2018 Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| L Friedman Family Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Landau Family Investment Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| M Friedman 2018 Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mansfield, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| PC Wta Acquisition LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| PC Wta Multi-State LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peace Capital Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| R&J Family Investments LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rastogi, Ritu Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smith, Steven Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sms 2021 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Welltower Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welltower Inc Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Complete Care — 85 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Delaware.
No county cost figures on file for Kent.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Westminster Village Health Dover | 0.8 mi | 2025-12-16 | 1302 |
| Cadia Rehabilitation Capitol Dover | 1.1 mi | 2026-01-27 | 0292 |
| Center At Eden Hill, LLC Dover | 1.7 mi | 2026-05-22 | 0110 |
| Bay Terrace Rehabilitation And Health Center Dover | 2.5 mi | 2026-04-23 | 1352 |
| Evergreen Post Acute Smyrna | 6.3 mi | 2026-05-11 | 1497 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |