Cadia Rehabilitation Silverside
CADIA REHABILITATION SILVERSIDE in WILMINGTON, DE — inspection on April 27, 2026.
Found 3 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
Review of the facility's incident documentation revealed that E23 (MD) was notified of R43's blister on 4/1/26 at 8:38 AM, over 24 hours after the blister was identified. 4/23/26 2:17 PM -
During an interview, E19 (NP) stated that she was notified of R43's coffee spill on 3/30/26.
However, E19 reviewed the physician binder and confirmed that there was no evidence of R43's change of skin condition was communicated to a Provider as noted on 3/31/26.
The facility failed to notify the on-call Provider when R43 had a change in skin condition after an incident where R43 spilled coffee on his skin. 4/27/26 1:35 PM - Finding was reviewed with E1 (NHA), E2 (DON), E3 (COO), E16 (Corp.
Nurse) and E17 (Corp.
Nurse).
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
085056 04/27/2026
Cadia Rehabilitation Silverside 3322 Silverside Road Wilmington, DE 19810
post fall assessment and documentation after R12 slid off of the bed and was lowered to the floor on
Findings include: Cross Refer F689R12's clinical record revealed:1/2/19 - R12 was admitted to the facility with the following diagnoses including but not limited to anoxic brain injury, abnormal posture, multiple contractures of the upper and lower limbs and idiopathic progressive neuropathy.12/3/25 1:00 AM - A facility reported incident to the division documented [R12] sustained fall 12/3/25 complaint of ankle pain later in day.
Xray obtained, results unclear.
Repeat film obtained on 12/5/25.12/3/25 8:34 AM - A review of R12's initial post fall assessment was performed by E15 (ADON) on the 7 AM - 3 PM shift. [R12's] clinical record lacked evidence of an initial RN assessment until the next shift.04/22/2026 2:30 PM - A review of a facility form titled, Investigative Protocol Witness Summary Witness Written Summary by E14 (LPN) documented. [R12] was in a seated position s/p (sic) fall denied any pain.
Assessed completed range of motion denied pain vss (sic) assisted CNA with care returned to bed.4/23/26 1:38 PM -
During an interview E2 (DON) stated, the fall was not reported by the E24 (CNA) and E14 because they felt like it was not a fall because [R12] was assisted down to the floor.4/27/26 1:11 PM During a phone interview E14 stated and confirmed I was called by E24 saying [R14] fell we went in and provided care and assessed [R12]. I believe we called down to the RN, but I don't remember that was so long ago. I wrote what E24 said on the incident report. I wasn't there when [R12] fell.
085056 04/27/2026
Cadia Rehabilitation Silverside 3322 Silverside Road Wilmington, DE 19810
and E17 (CN).
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.