Nursing homeActive
Cadia Rehabilitation Pike Creek
3540 Three Little Bakers Blvd, Wilmington, DE 198083024550808177 certified beds · 153 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
35
● 1● 29● 5
Penalties · 3 yrs
$105,729
4 fines · 1 action
Last survey
2026-07-01
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 2
Quality 5
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 |
|---|---|---|---|---|
| 2026-07-01 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2026-05-15 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-04-18 | Standard | 1102 | CMS-2567 (Care Compare) | — |
| 2025-02-17 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-03-21 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-10-17 | Complaint | 042 | 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.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-12Record 085054-20260701-F689
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 2026-08-03Record 085054-20260701-F609
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-29Record 085054-20260515-F578
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 2026-06-29Record 085054-20260515-F686
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 2026-06-29Record 085054-20260515-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-29Record 085054-20260515-F812
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 2025-06-02Record 085054-20250418-F684
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 2025-03-21Record 085054-20250418-F689
F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 085054-20250418-F563
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 085054-20250418-F584
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 085054-20250418-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 2025-06-02Record 085054-20250418-F657
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 2025-06-02Record 085054-20250418-F686
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 2025-06-02Record 085054-20250418-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 085054-20250418-F759
F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 085054-20250418-F809
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 085054-20250418-F812
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 085054-20250418-F925
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-06-02Record 085054-20250418-F623
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 2025-04-07Record 085054-20250217-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 085054-20250217-F695
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 2025-04-07Record 085054-20250217-F773
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-12Record 085054-20240321-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-12Record 085054-20240321-F641
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 2024-05-12Record 085054-20240321-F657
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-12Record 085054-20240321-F692
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-12Record 085054-20240321-F697
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-12Record 085054-20240321-F699
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 2024-05-12Record 085054-20240321-F755
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity JHarm
Staffing
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-04-19Record 085054-20231017-F711
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-09-08Record 085054-20231017-F760
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 2023-11-15Record 085054-20231017-F580
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 2023-11-15Record 085054-20231017-F658
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 2023-11-15Record 085054-20231017-F684
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 2023-11-15Record 085054-20231017-F842
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-05-15 | Civil money penalty | $27,378 | CMS · Penalties |
| 2025-04-18 | Civil money penalty | $52,305 | CMS · Penalties |
| 2025-04-18 | Denial of payment for new admissions Payment denial for 5 days, from 2025-05-28 | — | CMS · Penalties |
| 2023-10-17 | Civil money penalty | $12,649 | CMS · Penalties |
| 2023-10-17 | Civil money penalty | $13,397 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.68
Facility
Delaware
National
Delaware 0.97 · National 0.69
Total nurse hours per resident day4.52
Facility
Delaware
National
Delaware 4.35 · National 3.86
Weekend total nurse hours3.98
Facility
Delaware
National
Delaware 3.89 · National 3.42
Total nursing staff turnover48%
Facility
Delaware
National
Delaware 41% · National 46%
Registered nurse turnover54%
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 | 7.6% | 3.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 2.9% | 10.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.0% | 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 | 8.7% | 12.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.2% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.0% | 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 | — | — |
| Price, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dittmar, Laura Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Litwa, Karen Individual | CONTRACTED MANAGING EMPLOYEE | 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 | — | — |
| Price, Elizabeth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sabra Health Care Reit Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schafer, Ron Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Silver, Stephen Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Silver, Stephen Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Wilson, Brandi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wilson, Brandi 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 |
|---|---|---|---|
| Excelcare At Newark LLC Newark | 2.4 mi | 2026-04-01 | 3353 |
| Coral Springs Rehab & Healthcare Wilmington | 2.0 mi | 2025-12-08 | 2574 |
| Pike Creek Nursing & Rehabilitation Center Wilmington | 2.1 mi | 2026-05-19 | 5786 |
| Regal Heights Healthcare & Rehab Center Hockessin | 2.5 mi | 2026-05-23 | 3403 |
| Willowbrooke Court At Cokesbury Village Hockessin | 3.0 mi | 2025-07-29 | 0110 |
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 |