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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Cadia Rehabilitation Renaissance is a 130-bed skilled nursing and rehabilitation facility located on Route 24 in Millsboro, Sussex County, Delaware. It is operated as a privately owned business corporation under administrator Marycolleen Rodgers. The center accepts Medicare and Medicaid and focuses on short- and long-term nursing, rehabilitation, and memory care.
CMS rates the facility 2 stars overall — below the Delaware average across all four rating categories. The health inspection score is roughly 26% below the state benchmark. Staffing is about 24% below, and quality measures about 29% below. Total nursing hours run 3 hours and 58 minutes per resident per day against a Delaware average of 4 hours and 43 minutes, placing the facility 27th of 38 Delaware SNFs. CNA hours average 2 hours and 15 minutes per day, 9% below the state figure.
The seven-year deficiency record shows 6.4 deficiencies per year — 27% better than the Delaware average of 8.8. That figure, however, is pulled down by cleaner COVID-era surveys; the pattern since 2022 is more concerning. The October 2021 annual inspection produced 26 deficiencies spanning staffing shortfalls, medication errors, infection control, care planning, and resident dignity.
The August 2023 annual inspection added 7 more, again citing minimum staffing failures. Multiple complaint investigations between 2022 and 2025 were substantiated for abuse-related deficiencies. A June 2024 survey found the facility failed to immediately protect residents from alleged sexual abuse by a CNA; a May 2024 investigation substantiated resident-to-resident physical altercation and verbal abuse by a registered nurse.
The most recent complaint survey, concluded June 2, 2025, found staff failed to report an abuse allegation and did not suspend the accused CNA during the investigation. Separate desk-audit findings in March 2024 and March 2025 found the facility fell below Delaware’s 3.28 PPD staffing-hour minimum on multiple days in both periods.
The center offers 24-hour staffing, memory care, and rehabilitation services including a structured Care Transitions and Discharge Program. The community’s occupancy rate is 82%, in line with the Delaware average of 80.7%.
Families considering Cadia Renaissance for post-acute rehabilitation or long-term nursing care should weigh the facility’s repeated staffing shortfalls and substantiated abuse findings against its geographic accessibility in southern Sussex County.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 27th out of 38 homes in Delaware for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 43m per day | ▼ 31% State avg: 1h 2m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 43m per day | ▼ 30% State avg: 1h 1m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 15m per day | ▼ 9% State avg: 2h 28m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 26m per day | ▼ 15% State avg: 4h 2m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▼ 44% State avg: 9m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ▼ 26% State avg: 43m per day · National avg: 28m per day |
Similar to the Delaware average: 80.7%Cadia Rehabilitation Renaissance is administrated by Marycolleen Rodgers.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Delaware state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | DE Average | vs. DE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 112 | 64 | This facility has 75% more total deficiencies than a typical Delaware nursing home (112 vs. DE avg 64).↑ 75% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 16 | 9.1 | This facility has 76% more deficiencies per year than a typical Delaware nursing home (16 vs. DE avg 9.1).↑ 76% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Delaware average 4.4
Last Health inspection on Aug 2025
Delaware average 38.9
Delaware average 8.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 51 citations resulted from standard inspections; 9 of 51 resulted from complaint investigations; and 17 of 51 came from combined inspections (standard and complaint).
11% worse than Delaware averageDelaware average: 0.9
100% better than Delaware averageDelaware average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Delaware average
0% compared with Delaware average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
15 total: 13 full-time employees and 2 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
25 total: 20 full-time employees and 5 contractors.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 81 CNA Staff are full-time employees. No contractors work on this role.
81
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,131 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 81 | 0 | 81 | 23,073 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 20 | 5 | 25 | 7,796 | 92 | 100% | 9.3 |
| Registered Nurse | 13 | 2 | 15 | 4,618 | 92 | 100% | 8.9 |
| Speech Language Pathologist | 7 | 0 | 7 | 2,027 | 85 | 92% | 6.9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,769 | 67 | 73% | 8 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,334 | 72 | 78% | 7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,178 | 79 | 86% | 7.1 |
| RN Director of Nursing | 2 | 0 | 2 | 957 | 66 | 72% | 8.8 |
| Qualified Social Worker | 4 | 0 | 4 | 951 | 70 | 76% | 8.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 910 | 83 | 90% | 7.9 |
| Physical Therapy Assistant | 6 | 0 | 6 | 743 | 78 | 85% | 6.8 |
| Nurse Practitioner | 2 | 0 | 2 | 656 | 65 | 71% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 517 | 51 | 55% | 8.1 |
| Dietitian | 1 | 0 | 1 | 500 | 64 | 70% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 0 | 1 | 1 | 440 | 55 | 60% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 65 | 92 | 100% | 0.7 |
| Medical Director | 0 | 1 | 1 | 64 | 14 | 15% | 4.6 |
Includes penalties issued in 2024
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)
86% lower than Delaware averageDelaware average: $98K
46% fewer fines than Delaware averageDelaware average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Delaware averageDelaware average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 2, 2024 · $14K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 2, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
22% worse than Delaware averageDelaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.2
38% worse than Delaware averageDelaware average: 19.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
23.0%
49% worse than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
21.6%
9% worse than Delaware averageDelaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.0%
54% worse than Delaware averageDelaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
51% worse than Delaware averageDelaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
2.9%
35% better than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
6.8%
18% worse than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
12.3%
12% worse than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than Delaware averageDelaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
In line with Delaware averageDelaware average: 97.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.91
In line with Delaware averageDelaware average: 1.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.60
90% worse than Delaware averageDelaware average: 1.37
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.3%
16% better than Delaware averageDelaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
79% better than Delaware averageDelaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
In line with Delaware averageDelaware average: 83.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.4%
23% worse than Delaware averageDelaware average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.6%
66% worse than Delaware averageDelaware average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.4%
53% better than Delaware averageDelaware average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.9%
6% better than Delaware averageDelaware average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.4%
17% better than Delaware averageDelaware average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
56% of new residents, usually for short-term rehab.
30% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
116Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Cadia Rehabilitation Renaissance based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #16 / 35Payroll — State benchmarkedThis home is ranked 16th out of 35 homes in Delaware for payroll. Shows total annual staff payroll benchmarked to the Delaware average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Millsboro's city center to Cadia Rehabilitation Renaissance's address, calculated via Google Maps.
Add your location
Cadia Rehabilitation Renaissance is located in Millsboro, Delaware.
Here are the financial assistance programs available to residents in Delaware.
The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
| Foulk Living |
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).
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. | Wilmington | 44
Facility
44
DE AVG
102
Rank
#67 / 73 | 92.5% | +15% | 4.66 | +51% | 0% | $19.8k | 19 | 9.5 | 1 | 43 |
33
Facility
33
DE AVG
40
Rank
#67 / 111 | Leslie Johnson | $11.5M | $7.2M | 62.9% | 85060 | ||||
| Millcroft Living |
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).
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. | Newark (Possum Park Road) | 28
Facility
28
DE AVG
102
Rank
#71 / 73 | 72.1% | -11% | 5.10 | -19% | +9% | $16.4k | 39 | 6.5 | 2 | 88 |
35
Facility
35
DE AVG
40
Rank
#62 / 111 | Kristopher Brown | $17.5M | $11.4M | 65.5% | 85021 | ||||
| Complete Care at Silver Lake |
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).
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. | Dover | 120
Facility
120
DE AVG
102
Rank
#25 / 73 | 96.7% | +20% | 4.26 | +3% | -9% | $57.3k | 30 | 10.0 | 2 | 114 |
7
Facility
7
DE AVG
40
Rank
#98 / 111 | - | $17.8M | $8.2M | 45.8% | 85027 | ||||
| Cadia Rehabilitation Renaissance |
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).
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. | Millsboro | 130
Facility
130
DE AVG
102
Rank
#21 / 73 | 82.3% | +2% | 3.96 | -28% | -15% | $13.6k | 51 | 7.3 | 1 | 107 |
52
Facility
52
DE AVG
40
Rank
#30 / 111 | - | $22.8M | $8.8M | 38.6% | 85052 | ||||
| Kutz Senior Living Campus |
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).
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. | Wilmington | 90
Facility
90
DE AVG
102
Rank
#45 / 73 | 87.8% | +9% | 5.21 | -83% | +12% | $168.0k | 59 | 14.8 | 4 | 79 |
41
Facility
41
DE AVG
40
Rank
#52 / 111 | David Bacher | $16.5M | $8.6M | 52.1% | 85043 |
Erin Clark is the Director of Nursing at Cadia Rehabilitation Renaissance.
Cadia Rehabilitation Renaissance has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to DE state health department records, Cadia Rehabilitation Renaissance's license number is 2155.
Cadia Rehabilitation Renaissance's occupancy is 82%.
The team at Cadia Rehabilitation Renaissance can be reached at [email protected].
Marycolleen Rodgers is the administrator of Cadia Rehabilitation Renaissance.
Cadia Rehabilitation Renaissance has 130 beds.
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