Cadia Rehab Silverside: Communication Rights Denied - DE
Inspectors cited the facility under F0657 after reviewing records for a resident identified as R5. The facility had no documentation showing the attending physician participated in care plan meetings on June 26, 2025 or September 25, 2025. The deficiency was classified as minimal harm or potential for actual harm, and inspectors noted that a few residents were affected.
The findings were presented at a December 1 exit conference to the facility's administrator and director of nursing.
Care plan meetings exist to coordinate a resident's treatment across the people responsible for it — nursing staff, therapists, social workers, and the physician who holds primary medical responsibility. When a doctor is absent from that process twice in the same year for the same resident, the coordination the meeting is designed to produce may not happen. The physician may not know what other staff observed. Staff may not know what the physician intended. The resident, whose condition and preferences are supposed to drive the plan, may end up with a document that no one with prescribing authority ever weighed in on.
The inspection report notes that staff did provide input for the care plan meeting on the day of the survey. What the record does not show is whether the doctor ever did the same for R5 during the two meetings that preceded it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cadia Rehabilitation Silverside from 2025-12-01 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
CADIA REHABILITATION SILVERSIDE in WILMINGTON, DE was cited for violations during a health inspection on December 1, 2025.
Inspectors cited the facility under F0657 after reviewing records for a resident identified as R5.
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.