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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 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 11th out of 35 homes in Delaware.| Staff type | Hours / day | 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.
| 59m per day | ▼ 5% 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.
| 58m per day | ▼ 5% 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 22m per day | ▼ 4% State avg: 2h 28m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 4h 8m per day | ■ Avg 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.
| 9m per day | ■ Avg State avg: 9m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 53m per day | ▲ 23% State avg: 43m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
58% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #12 / 30Payroll — state benchmarkedThis home is ranked 12th out of 30 homes in Delaware.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Delaware average: 80.7%Cardia Healthcare Silverside is administrated by Nichole Nolan.
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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | DE Average | vs. DE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 52 | 64 | This facility has 19% fewer total deficiencies than a typical Delaware nursing home (52 vs. DE avg 64).↓ 19% better |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 7.4 | 9.1 | This facility has 19% fewer deficiencies per year than a typical Delaware nursing home (7.4 vs. DE avg 9.1).↓ 19% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsDelaware average 4.4
Last Health inspection on Mar 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.
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).
11% worse than Delaware averageDelaware average: 0.9
0
100% better than Delaware averageDelaware average: 1.2
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 27, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 27, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 27, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 27, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Cardia Healthcare Silverside is located in Wilmington, Delaware.
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3.5 miles from city center
Estimated distance in miles from Wilmington's city center to Cardia Healthcare Silverside's address, calculated via Google Maps.
— 0.4 miles to nearest hospital (Forrest General Hospital)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Delaware averageDelaware average ratio: 1.61:1
0% compared with Delaware averageDelaware average: 7.6 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Total hours from contractors
631 contractor hours this quarter
| Certified Nursing Assistant | 82 | 0 | 82 | 21,009 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 24 | 0 | 24 | 7,403 | 91 | 100% | 8.6 |
| Registered Nurse | 17 | 0 | 17 | 4,652 | 91 | 100% | 8.3 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 2,986 | 91 | 100% | 8.4 |
| Physical Therapy Assistant | 6 | 0 | 6 | 2,288 | 83 | 91% | 7.7 |
| Speech Language Pathologist | 8 | 0 | 8 | 1,848 | 81 | 89% | 7.4 |
| RN Director of Nursing | 4 | 0 | 4 | 1,698 | 78 | 86% | 8.2 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,396 | 78 | 86% | 7.4 |
| Respiratory Therapy Technician | 5 | 1 | 6 | 1,207 | 72 | 79% | 7.6 |
| Mental Health Service Worker | 2 | 0 | 2 | 1,007 | 65 | 71% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 906 | 88 | 97% | 7.4 |
| Qualified Social Worker | 3 | 0 | 3 | 867 | 64 | 70% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 483 | 60 | 66% | 8.1 |
| Dietitian | 1 | 0 | 1 | 466 | 61 | 67% | 7.6 |
| Administrator | 0 | 1 | 1 | 464 | 58 | 64% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 419 | 60 | 66% | 7 |
| Medical Director | 0 | 1 | 1 | 67 | 23 | 25% | 2.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 60 | 12 | 13% | 5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
111Residents 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.
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.
5.8
40% better than Delaware averageDelaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
20% better 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
11.9%
23% better than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
13.4%
32% better than Delaware averageDelaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
8% better than Delaware averageDelaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
40% better than Delaware averageDelaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
0.6%
86% better than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.1%
49% better than Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
1.1%
81% better than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
6.0%
In line with Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
0.7%
93% better than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with Delaware averageDelaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Delaware averageDelaware average: 97.4%
Number of hospitalizations per 1,000 long-stay resident days.
2.04
11% worse than Delaware averageDelaware average: 1.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.45
79% 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
96.9%
18% better than Delaware averageDelaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Delaware averageDelaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.1%
11% better than Delaware averageDelaware average: 83.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.6%
9% better than Delaware averageDelaware average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.8%
5% worse than Delaware averageDelaware average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.9%
151% worse than Delaware averageDelaware average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
64.6%
20% better than Delaware averageDelaware average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.7%
30% 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.
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)
89% 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
Mar 27, 2025 · $11K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2025Last updated: Jan 2026
The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
| 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 | 7.8 | - | 96 | 52 | Pc De Opcos LLC | $13.8M | $4.1M | 29.7% | 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 | 5.5 | 1 | 98 | 29 | - | $25.5M | $7.2M | 28.1% | 85056 | ||||
| Gilpin Hall Nursing Home |
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 (Highlands) | 96 | 81.8% | +1% | 5.56 | -62% | +19% | 0 | 27 | 6.8 | - | 93 | 76 | Stephen Clark | $21.0M | $5.2M | 24.9% | 85047 | ||||
| Kentmere Rehabilitation and Healthcare 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. | Wilmington (Highlands) | 104 | 88.3% | +9% | 4.28 | +12% | -8% | 0 | 40 | 13.3 | 1 | 94 | 76 | Kentmere Rehabilitation And Healthcare Center Inc | $22.2M | $6.2M | 27.9% | 85001 | ||||
| Coral Springs Rehabilitation and Healthcare 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. | Wilmington | 169 | 90.2% | +12% | 3.73 | -9% | -20% | 3 | 59 | 19.7 | 4 | 150 | 25 | Coral Springs LLC | $48.5M | $7.2M | 14.9% | 85004 |
Historical financial and operational data for Cardia Healthcare Silverside based on CMS SNF Cost Reports.
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Channel Etty is the Director of Nursing at Cardia Healthcare Silverside.
Cardia Healthcare Silverside has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to DE state health department records, Cardia Healthcare Silverside's license number is 2559.
According to DE state health department records, Cardia Healthcare Silverside's license expires on November 20, 2025.
Cardia Healthcare Silverside's occupancy is 87%.
Nichole Nolan is the administrator of Cardia Healthcare Silverside.
Cardia Healthcare Silverside has 128 beds.
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