SNF
CADIA REHABILITATION SILVERSIDE
CCN: 085056 · WILMINGTON, DE 19810 · New Castle County
Abuse citation flag
Overview
- Address
- 3322 SILVERSIDE ROAD, WILMINGTON, DE 19810
- Phone
- 3024788889
- Certified beds
- 116
- Avg daily residents
- 93 (80% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2012-12-05
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.32 | 3.68 | 4.53 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.98 | 0.64 | 1.03 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.97 | 0.82 | 1.01 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.37 | 2.22 | 2.49 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.95 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.15 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.07
hrs / resident / day
RN (weekend)
0.88
hrs / resident / day
Total nurse (adjusted, weekend)
4.27
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
45.3%
annual
RN turnover
28.6%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.30
higher acuity than avg
Case-Mix Index Ratio
0.95
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-27 | 16 | 6 | 12 | 104 | 1 | 104 |
| Cycle 2/3 (prior) | 2024-03-07 | 7 | 7 | 0 | 28 | 1 | 28 |
Total weighted health score
85.0
lower is better
Deficiencies (25)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
24 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2025-12-01 | 2026-01-15 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-12-01 | 2026-01-15 |
| 0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-12-01 | 2026-01-15 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-01 | 2026-01-15 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-03-27 | 2025-05-11 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2025-03-27 | 2024-07-17 |
| 0610 | Respond appropriately to all alleged violations. | D | 2025-03-27 | 2025-05-11 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-27 | 2025-05-11 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-27 | 2025-05-11 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-03-27 | 2025-05-11 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2025-03-27 | 2025-05-11 |
| 0625 | 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. | D | 2025-03-27 | 2025-05-11 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-03-27 | 2025-05-11 |
| 0814 | Dispose of garbage and refuse properly. | E | 2025-03-27 | 2025-05-11 |
| 0585 | 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. | E | 2025-03-27 | 2025-05-11 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-03-27 | 2025-05-11 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-03-07 | 2024-04-22 |
| 0584 | 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. | D | 2024-03-07 | 2024-04-22 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-03-07 | 2024-04-22 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-03-07 | 2024-04-22 |
| 0610 | Respond appropriately to all alleged violations. | D | 2024-03-07 | 2024-04-22 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-07 | 2024-04-22 |
| 0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2024-03-07 | 2024-04-22 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-03-27 | 2023-04-13 |
| 0791 | Provide or obtain dental services for each resident. | D | 2023-03-27 | 2023-04-13 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$10,608
| Date | Type | Fine amount |
|---|---|---|
| 2025-03-27 | Fine | $10,608 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 29.3% Medicaid 47.3% Other 23.4%
Operating performance
Operating Margin
19.7%
Total Margin
19.3%
Occupancy Rate
88.2%
Cost per Resident Day
$85
Revenue & costs
Net Patient Revenue
$20.1M
Total Costs
$3.5M
Net Income
$3.9M
Balance sheet
Total Assets
$37.0M
Total Liabilities
$27.2M
Fund Balance
$9.8M
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CADIA HEALTHCARE
- Chain ID
96- Facilities in chain
- 5
- Legal business name
- ONIX SILVERSIDE LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.2
Staffing
3.4
QM
4.4
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| LONG TERM CARE CORP | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2008 |
| ONIX GROUP LL | OPERATIONAL/MANAGERIAL CONTROL | since 01/23/2025 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| SCHAFER, RON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/18/2008 |
| SILVER, STEPHEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/18/2008 |
| DITTMAR, LAURA | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
| PRICE, ELIZABETH | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2023 |
| LITWA, KAREN | CORPORATE OFFICER | since 11/01/2012 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- Yes — last 2 cycles
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $85 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 47.3% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 29.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $3,883,193 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $20,081,391 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 88.2% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 19.7% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $37,033,581 | metrics.total_assets |
| Cost Report | Total Costs ($) | $3,498,996 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $9,824,176 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $27,209,405 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 19.3% | metrics.total_margin |
| Provider Information | Abuse Icon | Y | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.01367 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.49057 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.02727 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.53151 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.27275 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 93.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.81704 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.22053 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.64400 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.68157 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.24492 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 96 | Chain ID |
| Provider Information | Chain Name | CADIA HEALTHCARE | Chain Name |
| Provider Information | City/Town | WILMINGTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 085056 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | New Castle | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2012-12-05 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.8086 | Latitude |
| Provider Information | Legal Business Name | ONIX SILVERSIDE LLC | Legal Business Name |
| Provider Information | Location | 3322 SILVERSIDE ROAD,WILMINGTON,DE,19810 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -75.539 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 116 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 5 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.30422 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.94670 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3322 SILVERSIDE ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | CADIA REHABILITATION SILVERSIDE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 010 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 104 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 12 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 104 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 16 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-07 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 28 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 28 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.87748 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 28.6 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.94613 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.96658 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.37487 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.14770 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.97955 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.32100 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | DE | State |
| Provider Information | Telephone Number | 3024788889 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 10608.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.07426 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 45.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 85.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 19810 | ZIP Code |