New Castle County, Delaware · Nursing home
Cadia Rehabilitation Silverside
5 of 5 overall from CMS
3322 Silverside Road, Wilmington, DE 19810
At a glance
- Overall rating 5 of 5 Above the state average of 3.2
- Nurse time per resident, per day 3.99 hours Below the state average of 4.35
- Nursing staff who left in a year 48.1% Above the state average of 41.3%
- Health citations, last 3 inspection cycles 29 2 at the harm level or above
- Fines in 3 years $10,608 1 fine
- Certified beds in use 86.1% of 116 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 Silverside is a 116-bed nursing home in Wilmington, Delaware (New Castle County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.99 nurse staffing hours per resident per day, below the Delaware average of 4.35. CMS lists 1 fine totaling $10,608 in the past three years.
- Certified beds
- 116
- Residents per day (average)
- 99.9
- Certified since
- 2012 (14 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 Silverside
Chosen from this home's public data.
- CMS lists 1 fine totaling $10,608 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 48.1%, above the Delaware average of 41.3%. How often would the same aides care for my relative?Turnover in CMS data
- Registered nurse time is 0.91 hours per resident per day; the Delaware average is 0.97. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Delaware average 3.2
- Health inspections 3 of 5 Delaware average 2.7
- Staffing 5 of 5 Delaware average 4.0
- Quality measures 5 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 3.99 h Delaware average 4.35
- Nurse aides 2.18 h Delaware average 2.40
- Licensed practical nurses 0.89 h Delaware average 0.98
- Registered nurses 0.91 h Delaware average 0.97
- All staff, weekends 3.80 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 turnover48.1%
- Delaware average41.3%
- Registered nurse turnover21.7%
- Delaware average41.2%
- Administrators who left0
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 | 11.2% | 12.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.1% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.7% | 2.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 6.8% | 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 | 4.8% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 18.2% | 13.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.5% | 21.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 97.4% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.6% | 3.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.8% | 20.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 1.9% | 10.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.53 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.55 | 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 | 97.5% | 83.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% | 1.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.1% | 83.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% | 23.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 6.2% | 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 29 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 Apr 27, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 27, 2026 | 10 | 0 |
| Mar 27, 2025 | 12 | 1 |
| Mar 7, 2024 | 7 | 0 |
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 (29)
-
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 · Deficient, Provider has date of correction (Jun 11, 2026)
-
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 (Jun 11, 2026)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Jun 11, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Jun 11, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 11, 2026)
Show 24 more
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 11, 2026)
-
DPotential for more than minimal harm, isolated
Ensure residents have reasonable access to and privacy in their use of communication methods.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 15, 2026)
-
DPotential for more than minimal harm, isolated
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 (Jan 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 15, 2026)
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 15, 2026)
-
JImmediate jeopardy, 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 · Past Non-Compliance (Jul 17, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 11, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 11, 2025)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 11, 2025)
-
EPotential for more than minimal harm, pattern
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (May 11, 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 (May 11, 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 (May 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (May 11, 2025)
-
DPotential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (May 11, 2025)
-
DPotential for more than minimal harm, isolated
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 (May 11, 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 (May 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (May 11, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Apr 22, 2024)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Apr 22, 2024)
-
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.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 22, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 22, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 22, 2024)
-
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.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 22, 2024)
-
DPotential for more than minimal harm, isolated
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Apr 22, 2024)
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 |
|---|---|---|
| Mar 27, 2025 | Fine | $10,608 |
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
- Size20 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 Wilmington14
- Homes in New Castle County25
Common questions
What is the CMS star rating for Cadia Rehabilitation Silverside?
Cadia Rehabilitation Silverside has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 5.
How many beds does Cadia Rehabilitation Silverside have?
Cadia Rehabilitation Silverside has 116 certified beds. It averages 99.9 residents per day, about 86.1% of its certified beds.
How much nursing care do residents get at Cadia Rehabilitation Silverside?
The home reports 3.99 hours of nurse staffing per resident per day, including 0.91 hours from registered nurses. The Delaware average is 4.35 hours and 0.97 hours from registered nurses.
Has Cadia Rehabilitation Silverside been fined?
Yes. CMS lists 1 fine totaling $10,608 in the past three years.
Does Cadia Rehabilitation Silverside 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
- 3 of 5 Encore at Wilmington 82beds 79.8%in use 3.95nurse hours a day
- 5 of 5 Encore at Foulk 46beds 89.8%in use 3.91nurse hours a day
- – not rated Wilmington Nursing & Rehabilitation Center 138beds 95.7%in use 3.71nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in New Castle County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 085056. 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.