Cadia Rehab Renaissance: Abuse Reporting Failures - DE
That was the situation inspectors found at Cadia Rehabilitation Renaissance during an August 2025 complaint inspection. The pills, which came from a resident identified in the report as R123, were not in their original container and carried no label. When an inspector asked a licensed practical nurse how staff determined what the pills actually were, the answer was straightforward: the resident told them.
"There were six purple pills mixed in with the bottle of oxycodone," the LPN said. "We took them for safety; we counted the medications in front of [R123]. When asked how staff determined what the six purple pills were due to the bottle being unlabeled," the nurse added, "[R123] was cooperative and telling us what the medication was."
The facility's chief nursing officer acknowledged the problem without resolving it. "We can't assume what they are," the CNO told inspectors, "but we can't get rid of them because they are the resident's property."
The unidentified pills were not the only medication storage problem inspectors documented. On August 19, nurses on two separate units confirmed that opened bottles of aspirin, Colace, and Tylenol sitting in medication carts had no open dates recorded on them, meaning staff had no way to know how long the bottles had been in use. On a third unit, an unused Humalog insulin pen was found stored in a medication cart rather than refrigerated, despite the pharmacy label directing refrigeration until opening.
Each nurse confirmed the findings immediately when inspectors pointed them out.
Inspectors reviewed the findings with the facility's nursing home administrator, chief operating officer, and chief nursing officer at the exit conference on August 25. The six purple pills of unknown identity remained in the facility's possession.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cadia Rehabilitation Renaissance from 2025-08-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
CADIA REHABILITATION RENAISSANCE in MILLSBORO, DE was cited for abuse-related violations during a health inspection on August 25, 2025.
That was the situation inspectors found at Cadia Rehabilitation Renaissance during an August 2025 complaint inspection.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.