Cadia Rehab Silverside: Care Plan Failures - DE
Federal inspectors cited Cadia Rehabilitation Silverside following a December 1, 2025 complaint inspection, finding that the facility failed to document the attending physician's participation in care plan meetings held on June 26 and September 25 of this year for a resident identified in the report as R5.
The care plan meeting is where treatment goals get set, revised, and agreed upon. A physician's role in that process is not incidental. For R5, inspectors found no evidence the attending doctor was part of either conversation.
The inspection report notes that staff provided input for the day's care plan meeting, suggesting the meetings themselves took place. What was missing was any documentation that the physician responsible for the resident's medical care had weighed in.
Inspectors rated the violation as causing minimal harm or potential for actual harm, and noted that few residents were affected. The findings were presented at an exit conference with the facility's nursing home administrator and director of nursing on the afternoon of December 1.
Whether the physician was absent, participated by phone without documentation, or simply went unrecorded is not addressed in the report. The inspection does not say. What it says is that the facility could not provide the evidence.
For R5, two opportunities across roughly three months came and went.
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: 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: June 20, 2026 · Our methodology
CADIA REHABILITATION SILVERSIDE in WILMINGTON, DE was cited for violations during a health inspection on December 1, 2025.
The care plan meeting is where treatment goals get set, revised, and agreed upon.
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.