Cadia Rehabilitation Broadmeadow
500 South Broad Street, Middletown, DE 197093024493400120 certified beds · 112 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2024
Deficiencies
41
● 0● 36● 5
Penalties · 3 yrs
$216,429
3 fines
Last survey
2026-05-29
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
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 |
|---|---|---|---|---|
| 2026-05-29 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2026-01-30 | Standard | 0120 | CMS-2567 (Care Compare) | — |
| 2025-11-14 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-07-07 | Complaint | 022 | CMS-2567 (Care Compare) | — |
| 2025-01-22 | Standard | 0191 | CMS-2567 (Care Compare) | — |
| 2024-01-12 | Standard | 000 | 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.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-07-13Record 085050-20260529-F684
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 2026-07-13Record 085050-20260529-F609
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 2026-07-13Record 085050-20260529-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-13Record 085050-20260529-F658
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 2026-03-17Record 085050-20260130-F552
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 085050-20260130-F580
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 085050-20260130-F604
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 2026-03-17Record 085050-20260130-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 085050-20260130-F610
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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 085050-20260130-F657
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 2026-03-17Record 085050-20260130-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 2026-03-17Record 085050-20260130-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 085050-20260130-F695
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 085050-20260130-F838
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 2026-03-17Record 085050-20260130-F842
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-17Record 085050-20260130-F881
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 2025-12-29Record 085050-20251114-F689
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-29Record 085050-20250707-F678
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity JHarm
Staffing
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-29Record 085050-20250707-F726
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 2025-07-29Record 085050-20250707-F609
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-29Record 085050-20250707-F838
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-14Record 085050-20250122-F692
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F550
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 2025-03-08Record 085050-20250122-F600
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F641
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F646
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 2025-03-08Record 085050-20250122-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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F657
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F661
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 2025-04-14Record 085050-20250122-F684
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F685
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 2025-03-08Record 085050-20250122-F690
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F712
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F756
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F758
F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 085050-20250122-F773
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F810
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 2025-03-08Record 085050-20250122-F812
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 2025-03-08Record 085050-20250122-F842
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 085050-20250122-F847
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 2025-03-08Record 085050-20250122-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-05-29 | Civil money penalty | $137,303 | CMS · Penalties |
| 2025-07-07 | Civil money penalty | $17,610 | CMS · Penalties |
| 2025-01-22 | Civil money penalty | $61,516 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.71
Facility
Delaware
National
Delaware 0.97 · National 0.69
Total nurse hours per resident day3.88
Facility
Delaware
National
Delaware 4.35 · National 3.86
Weekend total nurse hours3.59
Facility
Delaware
National
Delaware 3.89 · National 3.42
Total nursing staff turnover45%
Facility
Delaware
National
Delaware 41% · National 46%
Registered nurse turnover39%
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 | 2.7% | 3.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.6% | 10.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 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 | 15.1% | 12.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.4% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.1% | 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 |
|---|---|---|---|---|
| Schafer Family LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Silver Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Schafer, Eric Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Schafer, Lauren Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Silver, Jonathan Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Stephen Silver Irrevocable Trust Fbo Casey Silver Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Dittmar, Laura Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hylton, Alfred Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Long Term Care Corp Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Price, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schafer, Ron Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Silver, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dittmar, Laura Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hylton, Alfred Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Hylton, Alfred Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Litwa, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Litwa, Karen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Litwa, Karen Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Long Term Care Corp Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Price, Elizabeth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sabra Health Care Reit Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schafer, Ron Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schafer, Ron Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Silver, Stephen Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Cadia Healthcare — 5 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 New Castle.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Elkton Nursing And Rehabilitation Center Elkton | 11.6 mi | 2026-06-17 | 21153 |
| Delaware Hospital F/T Chronically Ill (Dhci) Smyrna | 12.3 mi | 2026-01-09 | 083 |
| Laurelwood Healthcare Center Elkton | 13.3 mi | 2026-01-30 | 0441 |
| Exceptional Care For Children Newark | 14.5 mi | 2026-05-19 | 140 |
| New Castle Health And Rehabilitation Center New Castle | 14.2 mi | 2025-12-13 | 0443 |
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 |