Cadia Rehabilitation Silverside
CADIA REHABILITATION SILVERSIDE in WILMINGTON, DE — inspection on December 1, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Silverside
3322 Silverside Road Wilmington, DE 19810
SUMMARY STATEMENT OF DEFICIENCIES
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 R5.12/1/25 3:30 PM - The findings were reviewed at the exit conference with E1(NHA) and E2 (DON).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Silverside
3322 Silverside Road Wilmington, DE 19810
SUMMARY STATEMENT OF DEFICIENCIES
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 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 R1.12/1/25 10:44 AM -
During an interview, E14 (ADON) stated that 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 R1. E15 stated that R1 changed and became worse after Covid. E15 stated that R1 had two friends in the facility that she used to attend activities with and they both died during Covid. E15 stated that R1 uses tissues in her room as air fresheners. E15 stated that 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 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 R1 after multiple documented staff interactions where 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).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Silverside
3322 Silverside Road Wilmington, DE 19810
SUMMARY STATEMENT OF DEFICIENCIES
Based on record review and interview, it was determined that for one (R3) out of five residents reviewed resident records, the facility failed to accurately document in the EMR that R3 had a responsible party who makes medical decisions.
Findings include:10/30/23 - 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 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 (R3's niece/ emergency contact) signed consents for R3 to receive the COVID-19 and influenza vaccinations.11/25/25 1:15 PM - A review of R3's EMR revealed that 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).
Facility ID: