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: 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: August 9, 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.