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Nursing Home

Cardia Healthcare Silverside

Nursing Home

Cardia Healthcare Silverside

3322 Silverside Rd, Wilmington, DE 19810 View map
Overview of Cardia Healthcare Silverside

Tucked in the picturesque Pike Creek Valley is Cardia Healthcare, a two-story house that serves as a haven for those in need of care and rehabilitation. The rehabilitation suites here are private and semi-private, offering a comfortable and peaceful atmosphere for residents to recover and heal. With advanced therapeutic technologies tailored to individual needs, they also offer extensive respiratory care in close collaboration with an interdisciplinary team.
At Cardia Healthcare, they value the importance of family and visitors, which is why they provide ample parking and a spacious outdoor setting. The team of professionals here boasts expertise and the highest quality of nursing and rehabilitation care. They prioritize helping residents transition smoothly and regain their maximum level of functioning to enable them to return home as soon as possible. Dialysis services are also available, making Cardia Healthcare a comprehensive care center.

(302) 478-8889

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.
2/5
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.
5/5
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 33m per day

This home provides 4% less nursing time per resident than the Delaware average.

Delaware average: 4h 43m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 128

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Delaware average
Occupancy rate 86.7%
Residents per day (avg) 98
Occupancy rate
86.7%
Residents per day (avg)
98

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

58% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

32% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$25.5M
Profit
$3.9M
Privately-owned community Operated by a business corporation.
Home revenue
$25,472,871.00
Profit
$3,883,193.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.2M
28.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.3M
Total costs $21.5M
Bed community size
128-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 29 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
87%
In line with Delaware average
Occupied beds
111 / 128
Average residents 86 per day

License details

Facility type
Nursing Home
Issuance January 11, 2024
Expiration November 20, 2025

Additional licensing details

License number: 2559

Ownership & operating entity

Cardia Healthcare Silverside is administrated by Nichole Nolan.

Staffing

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

Leadership

Director of Nursing: Channel Etty
Director of Nursing email: [email protected]
Administrator email: [email protected]

Care Services

Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Amenities & Lifestyle

Private & semi-private rehabilitation suites
Televisions and phones in every room
Free Wi-Fi
Large dining room and private family dining room
Numerous lounges and activity areas
Spacious outdoor seating
Ample and convenient parking for families and visitors

Programs & Activities

Activities
We offer resident-centered activity programs every day to keep you socially engaged while having fun.
Specific Programs
Rehabilitation Program, Nursing Program, Dietary Program, Activities Program, Care Transitions/Discharge Program

Dining & Nutrition

Food Description
Chef inspired nutritious entrees made from fresh and seasonal ingredients; restaurant-style dining with multiple options.

Types of Care at Cardia Healthcare Silverside

Assisted Living Independent Living Memory Care Nursing Home
Contact Cardia Healthcare Silverside

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.

9 visits/inspections

Latest inspection

Date:December 1, 2025
Type:Complaint Investigation

52 deficiencies

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

Inspection Report Summary for Cardia Healthcare Silverside

The most recent inspection on March 27, 2025 identified deficiencies related to grievances, abuse and neglect, quality of care, medication errors, infection control, and other regulatory requirements. Earlier inspections also noted issues with abuse and neglect, medication errors, infection control, and documentation, with substantiated complaints leading to staff terminations in some cases. Inspectors cited recurring themes of failure to protect residents from abuse, inadequate investigation and reporting of abuse allegations, medication administration errors, and lapses in infection control practices. Several complaint investigations were substantiated, including cases involving abuse and neglect as well as incomplete medical records contributing to adverse outcomes. The inspection history shows ongoing challenges with resident safety and care quality, with no clear improvement trend in recent years.

Health Inspection History

Inspections
Total health inspections 4

Delaware average 4.4


Last Health inspection on Mar 2025

Total health citations 22

Delaware average 38.9

Citations per inspection
5.5

Delaware average 8.72


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

13 of 22 citations resulted from standard inspections; 7 of 22 resulted from complaint investigations; and 2 of 22 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
11% worse than Delaware average

Delaware average: 0.9


Serious Health citations More info 0
100% better than Delaware average

Delaware average: 1.2

1 critical citation More info Delaware average: 0.9

0 serious citations More info Delaware average: 1.2

21 moderate citations More info Delaware average: 35.7

0 minor citations 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. Mar 27, 2025
Corrected

Abuse/Neglect critical citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Mar 27, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Mar 27, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 27, 2025
Corrected

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

5 facilities compared · CMS & DE Dept. of Health data · Updated Mar 2026

Complete Care at Hillside LLC
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.

Wilmington
106
88.5%
+10%
3.71
-7%
-20%
0
31
0
96
-
Pc De Opcos Llc
$13,2M
$4,1M
31.2%
85013
-
Cardia Healthcare Silverside
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.

Wilmington
128
88.2%
+9%
4.55
-25%
-2%
1
22
1
98
29
-
$25,5M
$7,2M
28.1%
85056
Studio / 1 Bed / 2 Bed
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
82.4%
+2%
3.96
-21%
-15%
1
51
1
109
-
-
$22,8M
$6,3M
27.6%
85052
-
Coral Springs Rehabilitation and Healthcare Center
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.

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).

Wilmington
169
90.2%
+12%
3.73
-9%
-20%
3
59
4
150
25
Coral Springs Llc
$46,9M
$7,2M
15.4%
85004
-
Delmar Nursing and Rehabilitation Center
-
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.

-
109
-
-
-
-
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-

Places of interest near Cardia Healthcare Silverside

Address 3.5 miles from city center — 0.4 miles to nearest hospital (Forrest General Hospital)

Address 3322 Silverside Rd, Wilmington, DE 19810

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Staffing Data (Q2 2025)

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

Total staff 179
Employees 175
Contractors 4
Staff to resident ratio 1.61:1
0% compared with Delaware average

Delaware average ratio: 1.61:1

Avg staff/day 70
Average shift 7.7 hours
0% compared with Delaware average

Delaware average: 7.6 hours

Total staff hours (quarter) 49,224
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 82
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1.3%

631 contractor hours this quarter

Respiratory Therapy Technician: 1 Administrator: 1 Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant8208221,00991100%7.4
Licensed Practical Nurse240247,40391100%8.6
Registered Nurse170174,65291100%8.3
Clinical Nurse Specialist110112,98691100%8.4
Physical Therapy Assistant6062,2888391%7.7
Speech Language Pathologist8081,8488189%7.4
RN Director of Nursing4041,6987886%8.2
Physical Therapy Aide6061,3967886%7.4
Respiratory Therapy Technician5161,2077279%7.6
Mental Health Service Worker2021,0076571%7.9
Other Dietary Services Staff3039068897%7.4
Qualified Social Worker3038676470%7.6
Nurse Practitioner1014836066%8.1
Dietitian1014666167%7.6
Administrator0114645864%8
Occupational Therapy Aide2024196066%7
Medical Director011672325%2.9
Occupational Therapy Assistant011601213%5
82 Certified Nursing Assistant
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 100%
11 Clinical Nurse Specialist
% of Days 100%
6 Physical Therapy Assistant
% of Days 91%
8 Speech Language Pathologist
% of Days 89%
4 RN Director of Nursing
% of Days 86%
6 Physical Therapy Aide
% of Days 86%
6 Respiratory Therapy Technician
% of Days 79%
2 Mental Health Service Worker
% of Days 71%
3 Other Dietary Services Staff
% of Days 97%
3 Qualified Social Worker
% of Days 70%
1 Nurse Practitioner
% of Days 66%
1 Dietitian
% of Days 67%
1 Administrator
% of Days 64%
2 Occupational Therapy Aide
% of Days 66%
1 Medical Director
% of Days 25%
1 Occupational Therapy Assistant
% of Days 13%

Facility Characteristics

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

Total census
111 residents
Residents by payment source
Medicare
28 residents (25.2%)
Medicaid
46 residents (41.4%)
Private pay or other
37 residents (33.3%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, 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. 5.8
40% 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. 15.2
20% better than Delaware average

Delaware average: 19.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.9%
23% better than Delaware average

Delaware average: 15.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.4%
32% 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 20.4%
8% better than Delaware average

Delaware average: 22.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.8%
40% better than Delaware average

Delaware average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.6%
86% better than Delaware average

Delaware average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
49% better than Delaware average

Delaware average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.1%
81% better than Delaware average

Delaware average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.0%
In line with Delaware average

Delaware average: 6.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 0.7%
93% better than Delaware average

Delaware average: 11.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
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%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.9%
18% better than Delaware average

Delaware average: 82.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Delaware average

Delaware average: 0.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.1%
11% better than Delaware average

Delaware average: 83.1%

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 $11K
89% 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 $11K
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. Mar 27, 2025
$11K

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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