Cadia Rehabilitation Silverside
Inspection Findings
F-Tag F0576
F 0576
be made without being overheard since April of 2024.12/1/25 3:30 PM - The findings were reviewed at the exit conference with E1(NHA) and E2 (DON).
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/01/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Silverside
3322 Silverside Road Wilmington, DE 19810
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm
also provided input for todays (sic) care plan meeting.The facility failed to provide evidence of the attending physician's participation in the 6/26/25 and 9/25/25 care plan meetings for Resident R5.12/1/25 3:30 PM - The findings were reviewed at the exit conference with E1(NHA) and E2 (DON).
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/01/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Silverside
3322 Silverside Road Wilmington, DE 19810
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0745
F 0745 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
make medical decisions and understand the consequences of those decisions). E5 replied, Not that I would recall.12/1/25 9:54 AM - During an interview, E4 (SSD) stated she has worked in the facility for two years.
E4 stated that she has not spoken to Resident R1's family members. E4 stated that E5 (SSA) and the previous SSA tried to reach out and the family never called back. E4 stated there was no discussion about the 3/20/25 positive trauma screen for Resident R1.12/1/25 10:44 AM - During an interview, E14 (ADON) stated that Resident R1 still calls
the police at the nurse's station, talks about chemicals, prostitutes and prisoners.12/1/25 11:05 AM - During
an interview, E15 (LPN) stated that she was very familiar with Resident R1. E15 stated that Resident R1 changed and became worse after Covid. E15 stated that Resident R1 had two friends in the facility that she used to attend activities with and they both died during Covid. E15 stated that Resident R1 uses tissues in her room as air fresheners. E15 stated that Resident R1 talks to friends and imaginary friends on the phone with her delusions. E15 stated that family sends flowers on Valentine's Day, Mother's Day and they brought her Christmas gifts. E15 stated that Resident R1 doesn't come out of her room except to use the phone at the nurse's station.The facility failed to provide medically-related social services for Resident R1 after multiple documented staff interactions where Resident R1's paranoia was interfering with medical care in addition to the 9/11/25 quarterly MDS assessment where her BIMS score of 00 revealed a significant decline in the resident's mental status.12/1/25 3:30 PM - The findings were reviewed at the exit conference with E1 (NHA) and E2 (DON).
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/01/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Silverside
3322 Silverside Road Wilmington, DE 19810
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Based on record review and interview, it was determined that for one (Resident R3) out of five residents reviewed resident records, the facility failed to accurately document in the EMR that Resident R3 had a responsible party who makes medical decisions. Findings include:10/30/23 - Resident R3 was admitted to the facility with diagnoses, including but not limited to, schizophrenia.7/28/25 - A quarterly MDS (Minimum Data Set) evaluation documented Resident R3 as having a BIMS (Brief Interview for Mental Status) score of 9, which was reflective of a moderate cognitive impairment.10/7/25 - F3 (Resident R3's niece/ emergency contact) signed consents for Resident R3 to receive the COVID-19 and influenza vaccinations.11/25/25 1:15 PM - A review of Resident R3's EMR revealed that Resident R3 was listed as her own responsible party despite having a documented BIMS score of 9.12/1/25 11:45 AM - During an interview, E1 (NHA) stated that a BIMS score under 12 showed a questionable cognitive status and the facility then obtains a responsible person who is willing to be the decision maker who signs all consents. E1 stated that the resident continues to be included in the conversations about care and decisions but the responsible person is the one who sings the consents.12/1/25 3:30 PM - The findings were reviewed at the exit conference with E1(NHA) and E2 (DON).
Event ID:
Facility ID:
If continuation sheet
CADIA REHABILITATION SILVERSIDE in WILMINGTON, DE inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WILMINGTON, DE, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CADIA REHABILITATION SILVERSIDE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.