Cadia Rehabilitation Broadmeadow: Assessment Failures - DE
The resident, identified in inspection records only as R5, was assessed at 11:45 that night by a licensed practical nurse, E34. Under Delaware State Board of Nursing rules, admission assessments belong to registered nurses. An LPN may conduct assessments only after a care plan has already been established. R5 had just arrived. No care plan existed yet.
E34, interviewed by inspectors on May 29, confirmed he completed the assessment himself. He remembered R5 having multiple areas noted on both arms and both legs. He said he did not recall seeing any bruising on her abdomen when he did the assessment, and added that he would have a certified nursing assistant complete the skin assessment to make sure all areas were identified.
That last detail is worth pausing on. The admission assessment for a resident arriving with at least eight documented skin conditions was completed by a nurse not authorized to complete it, who then described a process in which a nursing assistant, not a registered nurse, would be involved in identifying what was on the resident's body.
The registered nurse who was on duty that night, E36, told inspectors she was working when R5 was admitted. Her job that evening, she said, was inputting new physician orders into the system. She confirmed she did not complete any assessments when R5 was admitted. Not the fall risk. Not the pain assessment. Not the skin evaluation. Not the full admission assessment.
A second RN, E16, explained to inspectors how the process is supposed to work. The nurse assigned to the resident's room is responsible for completing the fall risk, pain, skin, Braden scale, oral, and full admission assessments when a new resident arrives. E16 was direct about the line that had been crossed: an LPN cannot complete an admission assessment without RN oversight.
There is no indication in the inspection record that an RN reviewed or co-signed E34's work that night.
The deficiency was classified as minimal harm or potential for actual harm, affecting few residents. Inspectors identified it through a complaint investigation, reviewing six residents' records in total. R5 was the only one found to have this problem.
What the inspection record does not answer is whether the admission assessment, as completed, captured everything it needed to capture. E34 said he did not recall seeing abdominal bruising during the assessment. Whether bruising was present and missed, or simply not present, the record does not say. What it does say is that a resident arrived with a body marked by wounds and discolorations in at least eight locations, and the nurse who documented her condition on arrival was not the nurse who should have been doing it.
The findings were reviewed with the facility's nursing home administrator and director of nursing during the exit conference on May 29.
R5's skin tears, her redness, her discolorations, her scabbed forearm, the dressing on her left arm that the admitting nurse noted he was unable to assess — all of it was recorded by someone working outside his scope. Whether the picture that assessment painted was complete is a question the record leaves open.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cadia Rehabilitation Broadmeadow from 2026-05-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 BROADMEADOW in MIDDLETOWN, DE was cited for violations during a health inspection on May 29, 2026.
The resident, identified in inspection records only as R5, was assessed at 11:45 that night by a licensed practical nurse, E34.
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.