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Memory Care in Dover

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Complete Care at Silver Lake

Memory Care in Dover

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Complete Care at Silver Lake

Overview of Complete Care at Silver Lake

Located in Dover, Delaware, prioritize a hands-on approach with frequent leadership visits, creating a supportive and familiar environment where everyone feels like family. Complete Care can help to the whole person, addressing mental, physical, social, and spiritual needs. Activities are designed with resident preferences in mind, ensuring a fulfilling and engaging experience. Only the most caring individuals qualify to join the Complete Care team. Their dedication to resident well-being shines through in every interaction, fostering a sense of belonging and connection.

Complete Care offers a wide range of services to meet diverse needs. This includes short-term rehabilitation, long-term care, orthopedic rehab, subacute care, and specialized memory care services. Their expert staff provides outstanding medical and clinical care, focusing on resident well-being at every stage. Complete Care offers private and semi-private rooms with a variety of amenities to enhance comfort and well-being. Residents enjoy free Wi-Fi, cable TV, and convenient on-site beauty salon services.

(302) 734-5990

Managed by Steve Smith

Nursing Home Administrator

Steve Smith serves as the Nursing Home Administrator at Complete Care at Silver Lake. He leads the community with a commitment to building strong relationships with residents and maintaining a dedicated, long-tenured staff. His leadership reflects the community’s focus on exemplary, compassionate care that goes beyond traditional standards.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5
Delaware average: 3.3/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
Delaware average: 2.7/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
Delaware average: 4.0/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5
Delaware average: 4.2/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 15m per day

This home provides 10% less nursing time per resident than the Delaware average.

Delaware average: 4h 43m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 58m per day 1h 2m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 22m per day 2h 28m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 40m per day 4h 2m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 9m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 41m per day 43m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 120

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in Delaware
Occupancy rate 96.7%
Residents per day (avg) 114
Occupancy rate
96.7%
Residents per day (avg)
114

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

37% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

51% of new residents, often for short stays.

Typical stay 29 days

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$17.8M
Profit
$1.8M
Privately-owned community Operated by a business corporation.
Home revenue
$17.8M
Profit
$1.8M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.1M
28.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.9M
Total costs $16.0M
Bed community size
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 7 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
97%
In line with Delaware average
Occupied beds
116 / 120
Average residents 86 per day

License Details

Facility TypeNursing Home
StatusActive
IssuanceJanuary 6, 2025
ExpirationMay 31, 2026

Additional Licensing Details

License Number1116
CMS Certification Number85027

Ownership & Operating Entity

Complete Care at Silver Lake is administrated by Steven Smith.

Safety & Compliance

Hoyer Lift

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of NursingDonna Burns
Director of Nursing Email [email protected]

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

4 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Additional Services

1 service
Post-Acute Care

Amenities & Lifestyle

0 amenities
Specific ProgramsServices, What to Expect, Careers, Contact

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Complete Care at Silver Lake

Nursing Home Memory Care

Contact Complete Care at Silver Lake

Inspection History

In Delaware, the Department of Health and Social Services, Division of Health Care Quality is responsible for the oversight, unannounced inspection, and licensing of all long-term care settings.

11 visits/inspections

Latest inspection

Date October 20, 2025
Complaint Investigation

68 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Delaware average: 64 deficiencies

Inspection Report Summary for Complete Care at Silver Lake

The most recent inspection on October 20, 2025, found no deficiencies during an unannounced complaint investigation. Earlier inspections showed a mixed record, with prior reports identifying deficiencies related to residents’ rights, abuse prevention, care planning, infection control, and food safety. Complaint investigations substantiated issues such as failure to protect residents from abuse, inadequate discharge planning, and incomplete infection prevention measures, but no fines or enforcement actions were listed in the available reports. Most complaints were either unsubstantiated or addressed through corrective plans, including staff re-education and audits. The facility’s inspection history shows improvement over time, with the most recent surveys indicating compliance after earlier citations.

Health Inspection History

Inspections
Total health inspections 3

Delaware average 4.4


Last Health inspection on Jan 2025

Total health citations 30

Delaware average 38.9

Citations per inspection
10

Delaware average 8.72


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

26 of 30 citations resulted from standard inspections; 1 of 30 resulted from complaint investigations; and 3 of 30 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Delaware average

Delaware average: 0.9


Serious Health citations More info 2
67% worse than Delaware average

Delaware average: 1.2

0 critical citations More info Delaware average: 0.9

2 serious citations More info Delaware average: 1.2

27 moderate citations More info Delaware average: 35.7

1 minor citation More info Delaware average: 1
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jan 23, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jan 23, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 23, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 23, 2025
Corrected

Compare Memory Care around Dover The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.

Filter by care type
Complete Care at Silver Lake
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Dover
120
No
7
Private Rooms / Semi-Private Rooms
A+
Steven Smith
Donna Burns
Harmony at Kent
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dover
115
No
33
Private Rooms / Semi-Private Rooms
-
Rebecca Thomas - Ed
Latoya Deal
Courtland Manor
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Dover
77
No
54
Private Rooms / Semi-Private Rooms
-
-
-
A Nurturing Hand Assisted Living, LLC
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Baltimore (Pimlico)
7 Residents
No
88
Private Rooms / Semi-Private Rooms
-
-
-
Home Instead
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dover
-
No
75
Private Rooms / Semi-Private Rooms
A+
-
-

Places of interest near Complete Care at Silver Lake

Address 2 miles from city center — 0.92 miles to nearest hospital (PAM Health Rehabilitation Hospital of Dover)

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 149
Employees 122
Contractors 27
Staff to resident ratio 1.34:1
17% worse than Delaware average

Delaware average ratio: 1.61:1

Avg staff/day 66
Average shift 8.1 hours
7% better than Delaware average

Delaware average: 7.6 hours

Total staff hours (quarter) 48,602
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 60
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

14.8%

7,192 contractor hours this quarter

Licensed Practical Nurse: 7 Registered Nurse: 6 Speech Language Pathologist: 4 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 3 Physical Therapy Aide: 2 Qualified Social Worker: 2
Staff by category
Certified Nursing Assistant6006022,88291100%8.1
Licensed Practical Nurse217287,11191100%8.4
Registered Nurse136196,64191100%8.7
Nurse Aide in Training9093,57791100%7.6
Clinical Nurse Specialist9092,5306976%7.8
Other Dietary Services Staff2029687987%8.1
Nurse Practitioner4047876369%8.1
Speech Language Pathologist0446977987%8
Physical Therapy Aide0225886268%7.5
Mental Health Service Worker1015126470%8
Dietitian1014635763%8.1
Physical Therapy Assistant0334335965%7.3
Respiratory Therapy Technician0334255662%6.8
Qualified Social Worker0224115358%7.7
Administrator1014085156%8
Dental Services Staff1011713336%5.2
60 Certified Nursing Assistant
% of Days 100%
28 Licensed Practical Nurse
% of Days 100%
19 Registered Nurse
% of Days 100%
9 Nurse Aide in Training
% of Days 100%
9 Clinical Nurse Specialist
% of Days 76%
2 Other Dietary Services Staff
% of Days 87%
4 Nurse Practitioner
% of Days 69%
4 Speech Language Pathologist
% of Days 87%
2 Physical Therapy Aide
% of Days 68%
1 Mental Health Service Worker
% of Days 70%
1 Dietitian
% of Days 63%
3 Physical Therapy Assistant
% of Days 65%
3 Respiratory Therapy Technician
% of Days 62%
2 Qualified Social Worker
% of Days 58%
1 Administrator
% of Days 56%
1 Dental Services Staff
% of Days 36%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
111 residents
Residents by payment source
Medicare
15 residents (13.5%)
Medicaid
90 residents (81.1%)
Private pay or other
6 residents (5.4%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.3
13% better than Delaware average

Delaware average: 9.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.4
24% better than Delaware average

Delaware average: 19.0

Long-stay resident measures
Significantly above average Delaware avg: 4.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.8%
23% better than Delaware average

Delaware average: 15.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.2%
54% better than Delaware average

Delaware average: 19.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.1%
In line with Delaware average

Delaware average: 22.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.7%
92% worse than Delaware average

Delaware average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.1%
59% worse than Delaware average

Delaware average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
88% better than Delaware average

Delaware average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.8%
36% worse than Delaware average

Delaware average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 45.7%
659% worse than Delaware average

Delaware average: 6.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.5%
23% better than Delaware average

Delaware average: 11.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
In line with Delaware average

Delaware average: 95.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Delaware average

Delaware average: 97.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.91
In line with Delaware average

Delaware average: 1.83

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.13
18% better than Delaware average

Delaware average: 1.37

Short-stay resident measures
Above average Delaware avg: 3.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
16% better than Delaware average

Delaware average: 82.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.0%
231% worse than Delaware average

Delaware average: 0.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.4%
15% better than Delaware average

Delaware average: 83.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.1%
16% better than Delaware average

Delaware average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.6%
5% better than Delaware average

Delaware average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.9%
14% worse than Delaware average

Delaware average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 79.1%
47% better than Delaware average

Delaware average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 52.4%
In line with Delaware average

Delaware average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $48K
52% lower than Delaware average

Delaware average: $98K

Number of fines 1
46% fewer fines than Delaware average

Delaware average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Delaware average

Delaware average: 0.2

Fines amount comparison
Fines amount comparison
This facility $48K
Delaware average $98K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 23, 2025
$48K

Last updated: Jan 2026

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Financial Aid for Delaware Seniors

Get financial aid guidance

Elderly and Disabled Waiver

Delaware Medicaid E&D Waiver

Age 65+ or disabled, Delaware resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Small state, faster processing in some areas.

Delaware Caregiver Support Program

DE Caregiver Support (NFCSP)

Caregiver of someone 60+, Delaware resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural focus.

Program of All-Inclusive Care for the Elderly (PACE)

Delaware Medicaid PACE

Age 55+, Delaware resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited to specific areas (e.g., New Castle County); few providers.

Medicare Savings Program (MSP)

Delaware Medicare Savings Program

Age 65+ or disabled, Delaware resident, enrolled in Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.

$9,430 (individual), $14,130 (couple).

Three tiers; broader limits than some states.

Senior Community Service Employment Program (SCSEP)

Delaware SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Delaware resident.

~$1,983/month (125% FPL, individual).

Not specified; income-focused.

Priority for veterans, rural residents; ~400 slots/year.

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