Cadia Rehabilitation Silverside

Nursing home in Wilmington, DE

Medicare & Medicaid certified5★ overall (CMS)

Call (302) 478-8889 Send a message Map ↗

Public-record details

Address: 3322 Silverside Road, Wilmington, DE 19810
Phone: (302) 478-8889
Listed under: For-profit, 4–5 star overall rating
Medicare CCN: 085056
Overall star rating: 5 of 5 ★★★★★
Health inspection rating: 3 of 5
Staffing rating: 5 of 5
Quality measures rating: 5 of 5
Certified beds: 116
Average residents per day: 100
Ownership: For-profit, limited Liability company
Legal business name: Onix Silverside LLC
Chain: Cadia Healthcare (5 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Dec 5, 2012
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 085056. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 27, 2026. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 7, 2024 to Apr 27, 2026): 15 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Apr 27, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Apr 27, 2026	Reasonably accommodate the needs and preferences of each resident. Resident Rights	D Potential for more than minimal harm, isolated
Apr 27, 2026	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights	D Potential for more than minimal harm, isolated
Apr 27, 2026	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Apr 27, 2026	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Apr 27, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Dec 1, 2025	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Dec 1, 2025	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Dec 1, 2025	Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Dec 1, 2025	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Mar 27, 2025	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Mar 27, 2025	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,608 in the last three years.

Mar 27, 2025

Fine: $10,608

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.99 hours
Registered nurse (RN) time per resident per day: 0.91 hours
Nurse aide time per resident per day: 2.18 hours
Total nurse staffing on weekends: 3.80 hours
Nursing staff turnover (yearly): 48%
RN turnover (yearly): 22%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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