Cadia Rehabilitation Broadmeadow
A nursing home in Middletown, Delaware 19709
500 South Broad Street, Middletown, Delaware 19709. (302) 449-3400.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 17 health citations at the latest inspection cycle Delaware average: 10.4
- 3.84 nurse hours per resident per day Delaware average: 4.48
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
17 health citations at the latest inspection cycle
The Delaware average is 10.4.
Last standard inspection Jan 30, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on May 29, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
41 citations in 5 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 41 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 14 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 29, 2026: complaint inspection4 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
Jan 30, 2026: standard inspection12 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe and appropriate respiratory care for a resident when needed.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Implement a program that monitors antibiotic use.
Nov 14, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 7, 2025: complaint inspection4 citations
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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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.
Jan 22, 2025: standard inspection15 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure each resident receives an accurate assessment.
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Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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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.
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Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Provide and implement an infection prevention and control program.
Jan 22, 2025: standard and complaint inspection4 citations
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Provide enough food/fluids to maintain a resident’s health.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Assist a resident in gaining access to vision and hearing services.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Jan 22, 2025: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 21, 2005.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $168,373 in all.
- No Medicare payment denials in the last three years.
- 14 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 29, 2026 | Fine | $89,247 |
| Jul 7, 2025 | Fine | $17,610 |
| Jan 22, 2025 | Fine | $61,516 |
Who does the caring?
3.84 nurse hours per resident per day
The Delaware average is 4.48.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Delaware average |
|---|---|---|
| Nurse hours per resident per day | 3.84 | 4.48 |
| Of which registered nurses | 0.71 | 1.00 |
| At weekends | 3.61 | 3.99 |
| Nursing staff turnover | 45.4% | 40.4% |
| Registered nurse turnover | 48% | 40.5% |
| Administrators who left | 1 | Not given |
Who owns it?
- Silver Holdings LLC owns 50% directly since Dec 31, 2010; Schafer Family LLC owns 50% directly since Dec 31, 2010.
- Long Term Care Corp runs it.
- 29 owners or officers are people: Ron E Schafer (managing employee (under contract), 100%); Stephen S Silver (managing employee (under contract), 100%); Karen M Litwa (managing employee (under contract), 100%); Karen M Litwa (corporate officer, 100%); Stephen S Silver (owns 5% or more through other companies, 50%); Ron E Schafer (owns 5% or more through other companies, 40%); Alfred Hylton (managing employee (under contract), 10%); Eric R Schafer (owns 5% or more through other companies, 5%); Jonathan B Silver (owns 5% or more through other companies, 5%); Lauren Schafer (owns 5% or more through other companies, 5%); Stephen C Silver (owns 5% or more through other companies, 5%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Ron E Schafer (runs it (operational or managerial control)); Ron E Schafer (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen S Silver (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Laura Dittmar (runs it (operational or managerial control)); Laura Dittmar (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Price (runs it (operational or managerial control)); Elizabeth Price (additional disclosable party (controls, leases property to, or provides services to the home)); Karen M Litwa (additional disclosable party (controls, leases property to, or provides services to the home)); Alfred Hylton (runs it (operational or managerial control)); Alfred Hylton (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Cadia Healthcare (5 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Long Term Care Corp | Runs it (operational or managerial control) | 100% | Oct 1, 2005 |
| Silver Holdings LLC | Owns 5% or more directly | 50% | Dec 31, 2010 |
| Schafer Family LLC | Owns 5% or more directly | 50% | Dec 31, 2010 |
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | Owns 5% or more through other companies | 5% | Dec 31, 2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | Owns 5% or more through other companies | 5% | Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | Owns 5% or more through other companies | 5% | Dec 31, 2010 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | Owns 5% or more through other companies | 5% | Dec 31, 2010 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| Sabra Health Care Reit Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| Long Term Care Corp | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Delaware average 4.0).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 18.4 miles, this one had the 4th most health citations at the latest inspection cycle (17; the middle value was 12.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Cadia Rehabilitation Broadmeadow This nursing home | 17 | |
| Elkton Nursing and Rehabilitation Center | 11.6 | 53 |
| Delaware Hospital F/T Chronically Ill (Dhci) | 12.3 | 10 |
| Laurelwood Healthcare Center | 13.3 | 11 |
| New Castle Health and Rehabilitation Center | 14.2 | 13 |
| Evergreen Post Acute | 14.4 | 21 |
| Exceptional Care for Children | 14.5 | 2 |
| Jeanne Jugan Residence | 15.2 | 4 |
| Newark Manor Nursing Home | 16.8 | 8 |
| Excelcare at Newark LLC | 17.7 | 12 |
| Encore at West Meadow L.L.C. | 18.3 | 28 |
| Autumn Lake Healthcare at Salem County | 18.4 | 16 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.