Nursing homeActive
Cadia Rehabilitation Renaissance
26002 John J Williams Highway, Millsboro, DE 199663029474200130 certified beds · 116 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
39
● 1● 37● 1
Penalties · 3 yrs
$13,627
1 fine
Last survey
2025-08-25
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 |
|---|---|---|---|---|
| 2025-08-25 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2025-06-02 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-09-19 | Standard | 0160 | CMS-2567 (Care Compare) | — |
| 2024-06-26 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-05-02 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-08-07 | 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.
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 2025-10-09Record 085052-20250825-F609
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-09Record 085052-20250825-F628
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-09Record 085052-20250825-F645
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 2025-10-09Record 085052-20250825-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 2025-10-09Record 085052-20250825-F677
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 2025-10-09Record 085052-20250825-F688
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-09Record 085052-20250825-F755
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 2025-10-09Record 085052-20250825-F756
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-09Record 085052-20250825-F761
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 2025-10-09Record 085052-20250825-F773
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 2025-10-09Record 085052-20250825-F812
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 2025-06-27Record 085052-20250602-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-27Record 085052-20250602-F610
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F561
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 2024-10-23Record 085052-20240919-F604
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 2024-10-23Record 085052-20240919-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 2024-10-23Record 085052-20240919-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 2024-10-23Record 085052-20240919-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F689
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F700
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 2024-10-23Record 085052-20240919-F742
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F755
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F760
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F761
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F803
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F847
F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 085052-20240919-F848
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 2024-10-23Record 085052-20240919-F880
F610Respond appropriately to all alleged violations.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-14Record 085052-20240626-F610
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 2024-06-15Record 085052-20240502-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 2024-06-15Record 085052-20240502-F609
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 085052-20230807-F585
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 2023-09-08Record 085052-20230807-F656
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 2023-09-08Record 085052-20230807-F686
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 2023-09-08Record 085052-20230807-F695
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 2023-09-08Record 085052-20230807-F842
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 085052-20230807-F908
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2023-09-08Record 085052-20230807-F577
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-05-02 | Civil money penalty | $13,627 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.78
Facility
Delaware
National
Delaware 0.97 · National 0.69
Total nurse hours per resident day3.61
Facility
Delaware
National
Delaware 4.35 · National 3.86
Weekend total nurse hours3.27
Facility
Delaware
National
Delaware 3.89 · National 3.42
Total nursing staff turnover48%
Facility
Delaware
National
Delaware 41% · National 46%
Registered nurse turnover59%
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 | 1.7% | 3.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.7% | 10.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 16.3% | 12.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.5% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.6% | 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 | — | — |
| Long Term Care Corp Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Onix Group Ll Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Price, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dittmar, Laura Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Litwa, Karen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Litwa, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Long Term Care Corp Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Onix Group Ll Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Price, Elizabeth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rodgers, Mary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sabra Health Care Reit Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schafer, Ron Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Schafer, Ron Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Silver, Stephen Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Silver, Stephen Individual | ADP OF THE SNF | 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 Sussex.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Ocean Grove Post Acute Millsboro | 6.1 mi | 2026-04-01 | 1480 |
| The Moorings At Lewes Lewes | 9.1 mi | 2026-01-09 | 020 |
| Excelcare At Lewes LLC Lewes | 10.2 mi | 2026-02-18 | 1432 |
| Delaware Bay Rehabilitation And Healthcare Center Georgetown | 11.6 mi | 2025-10-22 | 0244 |
| Berlin Nursing And Rehabilitation Center Berlin | 20.2 mi | 2025-07-23 | 1423 |
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 |