Kent County, Delaware · Nursing home
Cadia Rehabilitation Capitol
3 of 5 overall from CMS
1225 Walker Road, Dover, DE 19904
At a glance
- Overall rating 3 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.87 hours Below the state average of 4.35
- Nursing staff who left in a year 45.8% Above the state average of 41.3%
- Health citations, last 3 inspection cycles 31 2 at the harm level or above
- Fines in 3 years $8,018 1 fine
- Certified beds in use 86.2% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Cadia Rehabilitation Capitol is a 120-bed nursing home in Dover, Delaware (Kent County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.87 nurse staffing hours per resident per day, below the Delaware average of 4.35. CMS lists 1 fine totaling $8,018 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 103.5
- Certified since
- 1997 (29 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Cadia Healthcare (5 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Cadia Rehabilitation Capitol
Chosen from this home's public data.
- CMS lists 1 fine totaling $8,018 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 45.8%, above the Delaware average of 41.3%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.43 hours per resident on weekends against 3.87 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Delaware average 3.2
- Health inspections 3 of 5 Delaware average 2.7
- Staffing 4 of 5 Delaware average 4.0
- Quality measures 4 of 5 Delaware average 4.0
The vertical line marks the Delaware average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.87 h Delaware average 4.35
- Nurse aides 2.15 h Delaware average 2.40
- Licensed practical nurses 1.01 h Delaware average 0.98
- Registered nurses 0.71 h Delaware average 0.97
- All staff, weekends 3.43 h Delaware average 3.89
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Delaware average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover45.8%
- Delaware average41.3%
- Registered nurse turnover42.9%
- Delaware average41.2%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Delaware and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Delaware | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% | 12.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.8% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.7% | 2.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.0% | 10.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 8.0% | 13.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.6% | 21.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 75.2% | 97.4% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.0% | 3.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.0% | 20.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 10.3% | 10.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.30 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.79 | 1.40 | 1.78 |
Short-stay residents
| Measure | This home | Delaware | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% | 83.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 18.7% | 83.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.6% | 23.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 11.4% | 11.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 31 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 15 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jan 27, 2026: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 27, 2026 | 6 | 0 |
| Dec 12, 2024 | 7 | 0 |
| Nov 8, 2023 | 18 | 1 |
Delaware homes averaged 10.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (31)
-
JImmediate jeopardy, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Past Non-Compliance (Dec 11, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 13, 2026)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 13, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Mar 13, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 13, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 24, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 24, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 24, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 24, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 24, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 24, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jan 24, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jun 14, 2024)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Provide or obtain dental services for each resident.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 8, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Dec 8, 2023)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2023)
-
DPotential for more than minimal harm, isolated
Provide 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.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2023)
-
DPotential for more than minimal harm, isolated
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 8, 2023)
Showing the 30 most recent of 31.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 16, 2024 | Fine | $8,018 |
Delaware homes averaged 1.5 fines and $67,512 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Delaware
- Size18 of 44 by certified beds
- Delaware average residents per day90.1
- ChainCadia Healthcare
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in Dover5
- Homes in Kent County7
Common questions
What is the CMS star rating for Cadia Rehabilitation Capitol?
Cadia Rehabilitation Capitol has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 4.
How many beds does Cadia Rehabilitation Capitol have?
Cadia Rehabilitation Capitol has 120 certified beds. It averages 103.5 residents per day, about 86.2% of its certified beds.
How much nursing care do residents get at Cadia Rehabilitation Capitol?
The home reports 3.87 hours of nurse staffing per resident per day, including 0.71 hours from registered nurses. The Delaware average is 4.35 hours and 0.97 hours from registered nurses.
Has Cadia Rehabilitation Capitol been fined?
Yes. CMS lists 1 fine totaling $8,018 in the past three years.
Does Cadia Rehabilitation Capitol accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Westminster Village Health 75beds 72.9%in use 4.33nurse hours a day
- 3 of 5 Complete Care at Silver Lake LLC 120beds 97.2%in use 3.75nurse hours a day
- 5 of 5 Center at Eden Hill, LLC 80beds 89.0%in use 5.35nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Kent County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 085048. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.