01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-30 | 17 | 2026-01-30 | 1 |
| Cycle 2 | 2025-01-22 | 24 | 2025-01-22 | 0 |
| Cycle 3 | 2024-01-12 | 0 | 2024-01-12 | 0 |
CMS CCN 0850502026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Cadia Rehabilitation Broadmeadow
500 South Broad Street · Middletown, DE 19709 · New Castle County
Certified beds120CMS provider file
Recent citation rows42current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
42 rows in the current release
5 rows carry G–L scope/severity codes; 3 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-29 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-07-13 · complaint2026-05-29 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-07-13 · complaint2026-05-29 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-07-13 · complaint2026-05-29 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-07-13 · complaint2026-01-30 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0838Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Conduct 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.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2026-03-172026-01-30 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: No revisit needed · 2026-04-172025-11-14 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-12-29 · complaint2025-07-07 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-07-29 · complaint2025-07-07 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2025-07-29 · complaint2025-07-07 · HEALTHF0726Severity J · isolated immediate jeopardy
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2025-07-29 · complaint2025-07-07 · HEALTHF0838Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Conduct 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.
Correction field: Deficient, Provider has date of correction · 2025-07-29 · complaint2025-01-22 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-03-082025-01-22 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-03-08 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-05-29 | Fine | $137,303 | 0 |
| 2025-07-07 | Fine | $17,610 | 0 |
| 2025-01-22 | Fine | $61,516 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SCHAFER FAMILY LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST50% · since 12/31/2010
- SILVER HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST50% · since 12/31/2010
- RONALD E SCHAFER IRREV TR FBO ERIC ROBERT SCHAFEROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/31/2010
- RONALD E SCHAFER IRREV TRFBO LAUREN ELIZABETH MARIE SCHAFEROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/31/2010
- STEPHEN SILVER IRREVOCABLE TRUST FBO CASEY SILVEROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/31/2010
- STEPHEN SILVER IRREVOCABLE TRUST FBO JONATHAN SILVEROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/31/2010
- SCHAFER, ERICIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/31/2010
- SCHAFER, LAURENIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/31/2010
- SILVER, JONATHANIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/31/2010
- HYLTON, ALFREDIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/23/2023
- LITWA, KARENIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2005
- SCHAFER, RONIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2005
- SILVER, STEPHENIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2005
- LITWA, KARENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2005
- LONG TERM CARE CORPOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2005
- DITTMAR, LAURAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/24/2025
- HYLTON, ALFREDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/24/2025
- PRICE, ELIZABETHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/24/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.88per resident day
RN hours0.71per resident day
Weekend nurse hours3.59per resident day
Staff turnover44.9%CMS reported field
06 / LOCAL RECORDS
Open the Delaware ledger →Other published facilities nearby
No second facility in the same city met the directory rule.