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.
The quality of staff interaction and care at Cadia Silverside is highly variable, with some reviewers praising the compassionate, attentive care and effective therapy they received, while others report neglect and insufficient attention, leading to significant negative outcomes for patients.
Quality of lifePersonal attentionCare & staff
Cleanliness, hygiene, and facility upkeep
The facility's cleanliness and environment are generally perceived positively, with multiple reviews noting a lack of unpleasant odors and a welcoming atmosphere, which is not commonly found in similar facilities.
Cleanliness
Quality ratings
Measured by Centers for Medicare & Medicaid Services (CMS)
Nurse hours per resident4.55/day
Overall ratingOfficial CMS rating based on health inspections, staffing and quality measures.
4/5
Health InspectionOfficial CMS rating based on deficiencies found during state health inspections.
2/5
StaffingOfficial CMS rating based on nurse staffing hours per resident per day.
5/5
Quality MeasuresOfficial CMS rating based on clinical outcomes for residents.
5/5
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds128
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
58% of new residents, usually for short-term rehab.
Typical stay1 months
Private pay
32% of new residents, often for short stays.
Typical stay1 - 2 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay9 - 10 months
Finances and operations
Proprietary home
Corporation
Home revenue
$25.5M
Profit
$3.9M
Proprietary home Corporation
Home revenue
$25,472,871.00
Profit
$3,883,193.00
Payroll costsThe 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 costsAll remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.3M
Total costs$21.5M
Tooltip
Certification details
License Number:85056
Rural vs. Urban:Urban
County:NEW CASTLE
Type of Control:Proprietary — Corporation
Source: Centers for Medicare & Medicaid Services (CMS) and State data
Who this home usually serves
This view explains the types of residents this home most often serves, based on who is admitted and discharged over time. It reflects patterns, not individual cases.
Admissions
Indicate who is most often coming into the home.
Total664
PERCENTAGES
Medicare58%
Private Pay32%
Medicaid10%
Discharges
Show who is most often leaving the home, and under which coverage.
Total683
PERCENTAGES
Medicare52%
Private Pay32%
Medicaid16%
How we assess these insights
We analyze official CMS data and reported admissions information to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
What "optimal for" means
The tags you see are guidance, not recommendations. They highlight scenarios where this home's care model, stay length and payer mix may align well with certain needs.
128-bed community
A larger shared setting that may offer more common spaces and organized community services.
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 29 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility Type
Nursing Home
License Date
January 11, 2024
License 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.
Assisted Living
Independent Living
Memory Care
Nursing Home
Types of Care
Assisted Living
Definition: Residential care for older adults who need help with activities of daily living (ADLs) such as medication management, bathing, dressing and meals.Purpose: Support independence while providing daily assistance and limited medical oversight — a step below nursing home care.Focus: Safety, personal care, social engagement and a community-based lifestyle.Amenities and Services: Often include:
• Recreational activities
• Housekeeping and laundry
• Transportation
• Meal servicesCare Level: 24/7 staff availability with personalized care plans; limited clinical care compared to nursing homes.
Home Care
Home care is a type of care wherein qualified professionals assist with activities of daily living (ADLs), like personal hygiene, meal preparation, and dressing, at home. This type of care provides a wide range of services, including personal care, skilled nursing care, rehabilitation services, and companionship. This is ideal for those looking to stay at home in retirement but needing care and support for ADLs and chronic conditions. Hourly care and live-in care are often provided for flexibility, ensuring older adults receive care tailored to their needs and preferences.
Skilled Nursing
Skilled nursing care is a type of care provided by registered nurses in a medical setting under a physician’s supervision, focusing on intensive medical care and rehabilitation. It is typically provided in hospitals and purposely built skilled nursing communities and healthcare centers, usually aimed at short-term and transitional care.
Nursing Care
Nursing care is usually provided in a nursing home environment by nursing aides and licensed practical nurses. This type of care focuses on helping older adults with activities of daily living (ADLs), like personal hygiene and medication, alongside medical care. Long-term residential care is provided, helping those with complex medical needs, chronic conditions, cognitive, functional, and behavioral issues.
Respite Care
Respite care, also known as short-term stay, allows primary caregivers to rest and have time for themselves by providing care for their loved ones. This type of care is temporary and may range from a few hours to weeks, provided either at home or in a senior care community.
Memory Care
Definition: Specialized residential care for people with memory loss, Alzheimer’s disease or other forms of dementia.Purpose: Provide a safe, structured environment with trained staff and programs tailored to cognitive impairment.Focus: Secure settings, enhanced supervision and routines that support memory and reduce stress.Amenities and Services: Typically include:
• Assistance with ADLs
• Cognitive stimulation and therapeutic activities
• Secure indoor/outdoor spacesCare Level: Staff specially trained in dementia care with higher caregiver-to-resident ratios.
Independent Living
Definition: A living option typically for those 55 and over, including senior housing, retirement homes, and active adult communities.Purpose: Ideal for those seeking to live with peers of the same age without needing support for activities of daily living (ADLs) or medical care.Focus: Emphasizes convenience and recreation, eliminating the hassles of housekeeping and maintenance.Amenities and Services: Offers a variety of amenities, which may include:
• Spa
• Concierge
• Community gathering spacesLuxury Levels: Amenities vary depending on the level of luxury provided by the community.
Hospice Care
Focusing on those with life-limiting conditions or terminal illness, hospice care provides physical, emotional, social, and spiritual support. This type of care aims to ease older adults’ discomfort and pain and does not focus on finding a cure. Typically provided with a multidisciplinary team of doctors, nurses, social workers, and hospice aides, in older adults’ preferred setting, may it be at home, hospital, or senior living community. Hospice care provides care for those with a life expectancy estimated at six months or less.
Nursing Home
This type of retirement option focuses on older adults who require advanced healthcare but do not necessarily require hospital care. Nursing homes often provide a wide range of personal care, health care, and skilled nursing, tailored to older adults’ healthcare needs. This is ideal for those who cannot stay at home due to complex healthcare needs but do not need to be in a hospital setting.
Residential Care
A senior living option that focuses on providing support with activities of daily living, including personal hygiene and medication management. However, unlike assisted living, this type of care provides a smaller and more intimate environment, catering to a smaller number of residents. This is ideal for those needing assistance with daily living without extensive medical care and preferring a smaller setting.
Adult Day Care
This type of care provides curated activities for older adults in a non-residential care setting, promoting holistic well-being with health, social, nutritional, and emotional support. Adult day care promotes social interactions in a supervised manner, allowing family caregivers to rest during the day. This is beneficial in terms of preventing loneliness in older adults and providing additional support for family caregivers.
Palliative Care
This type of care focuses on providing comfort, pain relief, and emotional support for those with serious illness. Unlike hospice care, palliative care provides support at any stage of the illness, even alongside curative treatments. This can be provided at home, in nursing homes, in hospitals, and in other senior living communities.
Continuing Care Retirement Communities (CCRC)
Continuing Care Retirement Community (CCRC) is a type of senior living community that provides a wide range of care options in a residential setting. Also known as a life plan community, CCRC often provides independent living, assisted living, memory care, and skilled nursing, allowing older adults to age in place. Due to its comprehensive care, older adults do not have to transfer to communities when the level of care increases.
Source: CMS Health Citations
(Dec 2022 – Mar 2025)
4
Inspections
22
Total Citations
1
Critical (J-L)
0
Serious (G-I)
5.5
Citations/Inspection
Mar 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
21
Serious (G-I)
0
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Resident Rights
6
27% of total
Abuse, Neglect & Exploitation
6
27% of total
Quality of Life & Care
5
23% of total
Infection Control
1
5% of total
Administration
1
5% of total
Pharmacy Services
1
5% of total
Citation Sources
Standard Inspections15
Complaint Investigations9
State Comparison (DE)
Citations
22
Delaware average: 38.9
Critical Citations
1
Delaware average: 0.9
Recent Citations (Last 3 Years)
Date
Severity ?
Category
Tag
Status
Mar 27, 2025
D
Abuse/Neglect
F0600
Corrected
Mar 27, 2025
J
Abuse/Neglect
F0609
Corrected
Mar 27, 2025
D
Abuse/Neglect
F0610
Corrected
Mar 27, 2025
F
Infection Control
F0880
Corrected
Mar 27, 2025
E
Nutrition
F0814
Corrected
Mar 27, 2025
E
Pharmacy
F0759
Corrected
Mar 27, 2025
D
Quality of Care
F0684
Corrected
Mar 27, 2025
D
Quality of Care
F0689
Corrected
Mar 27, 2025
D
Quality of Care
F0690
Corrected
Mar 27, 2025
E
Resident Rights
F0585
Corrected
Mar 27, 2025
D
Resident Rights
F0623
Corrected
Mar 27, 2025
D
Resident Rights
F0625
Corrected
Mar 07, 2024
D
Abuse/Neglect
F0600
Corrected
Mar 07, 2024
D
Abuse/Neglect
F0609
Corrected
Mar 07, 2024
D
Abuse/Neglect
F0610
Corrected
Mar 07, 2024
D
Administration
F0847
Corrected
Mar 07, 2024
D
Quality of Care
F0689
Corrected
Mar 07, 2024
D
Resident Rights
F0580
Corrected
Mar 07, 2024
D
Resident Rights
F0584
Corrected
Mar 27, 2023
D
Quality of Care
F0791
Corrected
Mar 27, 2023
D
Resident Rights
F0582
Corrected
Dec 12, 2022
D
Care Planning
F0842
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
111Total Residents
Medicare28(25.2%)ⓘ
Medicaid46(41.4%)ⓘ
Private Pay/Other37(33.3%)ⓘ
Programs & Services
Residents' Groupⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents.
Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare
(Data as of Jan 2026)
High-Risk Clinical Events
5.8Score
40% better than avgDelaware avg: 9.6
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
15.2Score
20% better than avgDelaware avg: 19.0
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
11.9%
Lost Too Much Weight
1.1%
Urinary Tract Infection
1.1%
Depressive Symptoms
6.0%
Falls with Major Injury
1.8%
Pneumococcal Vaccine
98.6%
Antipsychotic Use
0.7%
Walking Ability Worsened
13.4%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
0.6%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.4%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
96.9%
18% better than avg Delaware: 82.1%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0%
100% better than avg Delaware: 0.9%
Influenza Vaccine
92.1%
11% better than avg Delaware: 83.1%
Penalties & 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
$11K Delaware avg: $98K
89% better than avg
Number of Fines1Delaware avg: 1.9
Compared to Delaware Average
Facility: $11K |
Delaware Avg: $98K
Penalty History
Showing all 1 penalties (Mar 2025 - Mar 2025)
Mar 27, 2025
Civil Money Penalty
$11K
Financial Trends
Historical financial and operational data for Cardia Healthcare Silverside based on CMS SNF Cost Reports.
Occupancy Rate88.2%↑ 3.5pp vs 2022
Net Income$3,883,193↓ ~$777K vs 2022
Total Payroll$9,670,049↑ ~$657K vs 2022
Profit Margin15.3%↓ 4.4pp vs 2022
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Occupancy Rate
Financial Performance
Payroll & Labor Costs
SalariesFixed annual pay for full-time employees.
Contract LaborPay for temporary or external contractors hired.
Wage CostsHourly pay for staff who are paid by the hour.