CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 0850542026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Cadia Rehabilitation Pike Creek

3540 Three Little Bakers Blvd · Wilmington, DE 19808 · New Castle County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds177CMS provider file
Recent citation rows35current CMS citation release
Penalty rows5current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-1562025-04-180
Cycle 22025-04-18162024-03-210
Cycle 32024-03-21132023-02-230
02 / CITATION DETAIL

35 rows in the current release

5 rows carry G–L scope/severity codes; 4 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-07-01 · 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 plan of correction · 2026-08-03 · complaint
2026-07-01 · HEALTHF0689Severity J · isolated immediate jeopardy

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: Past Non-Compliance · 2026-06-12 · complaint
2026-05-15 · HEALTHF0578Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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.

Correction field: Deficient, Provider has date of correction · 2026-06-29
2026-05-15 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2026-06-29 · complaint
2026-05-15 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2026-06-29 · complaint
2026-05-15 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2026-06-29 · complaint
2025-04-18 · HEALTHF0563Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Correction field: Deficient, Provider has date of correction · 2025-06-02 · complaint · under IDR/IIDR
2025-04-18 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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.

Correction field: Past Non-Compliance · 2025-03-21 · complaint
2025-04-18 · 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 · 2025-06-02 · complaint
2025-04-18 · HEALTHF0623Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction field: Deficient, Provider has date of correction · 2025-06-02
2025-04-18 · 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 · 2025-06-02
2025-04-18 · 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 · 2025-06-02 · complaint · under IDR/IIDR
2025-04-18 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2025-06-02 · complaint
2025-04-18 · 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: Past Non-Compliance · 2025-03-21 · complaint
2025-04-18 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2025-06-02
2025-04-18 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-06-02
2025-04-18 · HEALTHF0809Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure 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.

Correction field: Deficient, Provider has date of correction · 2025-06-02
2025-04-18 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-06-02
2025-04-18 · HEALTHF0925Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Correction field: Deficient, Provider has date of correction · 2025-06-02
2025-02-17 · 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 · 2025-04-07 · complaint
2025-02-17 · HEALTHF0695Severity E · pattern; 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 · 2025-04-07 · complaint
2025-02-17 · HEALTHF0773Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Correction field: Deficient, Provider has date of correction · 2025-04-07 · complaint
2024-03-21 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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.

Correction field: Deficient, Provider has date of correction · 2024-05-12 · complaint
2024-03-21 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2024-05-12
03 / 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.

DateTypeFine amountPayment-denial days
2026-05-15Fine$27,3780
2025-04-18Fine$52,3050
2025-04-18Payment Denial$05
2023-10-17Fine$12,6490
2023-10-17Fine$13,3970
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • SCHAFER FAMILY LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    50% · since 12/31/2010
  • SILVER HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    50% · since 12/31/2010
  • RONALD E SCHAFER IRREV TR FBO ERIC ROBERT SCHAFEROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 12/31/2010
  • RONALD E SCHAFER IRREV TRFBO LAUREN ELIZABETH MARIE SCHAFEROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 12/31/2010
  • STEPHEN SILVER IRREVOCABLE TRUST FBO CASEY SILVEROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 12/31/2010
  • STEPHEN SILVER IRREVOCABLE TRUST FBO JONATHAN SILVEROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 12/31/2010
  • SCHAFER, ERICIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 12/31/2010
  • SCHAFER, LAURENIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 12/31/2010
  • SILVER, JONATHANIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 12/31/2010
  • SILVER, STEPHENIndividual · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 12/31/2010
  • LITWA, KARENIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 11/28/2009
  • SCHAFER, RONIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 11/28/2009
  • SILVER, STEPHENIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 11/28/2009
  • WILSON, BRANDIIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 11/01/2024
  • LITWA, KARENIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/28/2009
  • LONG TERM CARE CORPOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/28/2009
  • DITTMAR, LAURAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/05/2024
  • PRICE, ELIZABETHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/05/2024

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 hours4.52per resident day
RN hours0.68per resident day
Weekend nurse hours3.98per resident day
Staff turnover48.2%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.