Show Inspection Reports
Total health inspections
3
Delaware average 4.4
Last Health inspection on Jan 2025
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.
Complete Care at Silver Lake
Memory Care Home
Complete Care at Silver Lake
Memory Care Home
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.
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
93.8%
Residents per day (avg)
114
Occupancy rate
93.8%
Residents per day (avg)
114
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Proprietary home
Corporation
Home revenue
$17.8M
Profit
$1.8M
Proprietary home
Corporation
Home revenue
$17,840,503.00
Profit
$1,833,262.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$16.0M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 7 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
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
How BBB ratings work
About this community
Occupancy Rate
97%
Occupied Beds
116 of 120
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Nursing Home
License Date
January 6, 2025
License Expiration
May 31, 2026
Additional licensing details
License number:
1116
CMS Certification Number:
85027
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 Nursing:
Donna Burns
Director of Nursing email:
[email protected]
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Programs & Activities
Specific Programs
Services, What to Expect, Careers, Contact
What does this home offer?
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Complete Care at Silver Lake
Nursing Home
Memory Care
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
6 visits/inspections triggered by complaints
2 other visits
Results
7 with issues
4 without issues
Latest inspection
Date:October 20, 2025
Type:Complaint Investigation
36 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Memory Care around Dover
The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
Complete Care at Silver Lake
+1%
-9%
+16%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Dover
120
No
A+
7
-
93.8%
$16,498,363.00
$5,079,672.00
30.8%
114.40
4.2569
2
30
2
+1%-9%+16%Private Rooms / Semi-Private Rooms
Harmony at Kent
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Dover
115
No
-
33
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms / Semi-Private Rooms
Courtland Manor
-61%
-1%
+1%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Dover
77
No
-
54
SCHURMAN, DANIEL
81.7%
-
-
-
70.90
4.5989
2
38
1
-61%-1%+1%Private Rooms / Semi-Private Rooms
A Nurturing Hand Assisted Living, LLC
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Baltimore (Pimlico)
7 Residents
No
-
88
-
-
-
-
-
-
-
-
-
-
-
-
Private / Shared Rooms
Home Instead
HC
Hospice Care
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Dover
-
No
A+
75
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms / Semi-Private Rooms
Complete Care at Silver Lake
Type of care:
AL
MC
SNF
Community:
Dover
Bed Count:
120
Pets Allowed:
No
CCN:
85027
Occupancy:
93.8%
Home Revenue:
$16,498,363.00
Payroll Costs:
$5,079,672.00
Payroll %:
30.8%
Avg Residents/Day:
114.40
Overall Rating:
Adj Nurse Hours:
4.2569
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
30
Severe Citations:
2
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
-9%
-9%
Occupancy vs State Avg:
+16%
+16%
Bed Options:
Private Rooms / Semi-Private Rooms
Courtland Manor
Type of care:
AL
MC
SNF
Community:
Dover
Bed Count:
77
Pets Allowed:
No
Operator:
SCHURMAN, DANIEL
CCN:
85019
Occupancy:
81.7%
Avg Residents/Day:
70.90
Overall Rating:
Adj Nurse Hours:
4.5989
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
38
Severe Citations:
1
RN share vs State Avg:
-61%
-61%
Staffing vs State Avg:
-1%
-1%
Occupancy vs State Avg:
+1%
+1%
Bed Options:
Private Rooms / Semi-Private Rooms
Places of interest near Complete Care at Silver Lake
2 miles from city center — 0.92 miles to nearest hospital (PAM Health Rehabilitation Hospital of Dover)
1080 Silver Lake Blvd, Dover, DE 19904
Calculate Travel Distance to Complete Care at Silver Lake
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
149
Total Staff
122
Employees
27
Contractors
48,602
Total Hours (Quarter)
66
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 19 | 8.7 | Yes |
| Licensed Practical Nurse | 28 | 8.4 | Yes |
| Certified Nursing Assistant | 60 | 8.1 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
116 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
13 staff
7.9hs shift avg
Therapy Services ⓘ
12 staff
7.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
7.7hs shift avg
Dietary Services ⓘ
3 staff
8.1hs shift avg
Other Services ⓘ
2 staff
7hs shift avg
Contractor Analysis
14.8%
of total hours from contractors
7,192 contractor hours this quarter
Registered Nurse: 6
Licensed Practical Nurse: 7
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Physical Therapy Assistant: 3
Speech Language Pathologist: 4
Qualified Social Worker: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 60 | 0 | 60 | 22,882 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 21 | 7 | 28 | 7,111 | 91 | 100% | 8.4 |
| Registered Nurse | 13 | 6 | 19 | 6,641 | 91 | 100% | 8.7 |
| Nurse Aide in Training | 9 | 0 | 9 | 3,577 | 91 | 100% | 7.6 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,530 | 69 | 76% | 7.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 968 | 79 | 87% | 8.1 |
| Nurse Practitioner | 4 | 0 | 4 | 787 | 63 | 69% | 8.1 |
| Speech Language Pathologist | 0 | 4 | 4 | 697 | 79 | 87% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 588 | 62 | 68% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 463 | 57 | 63% | 8.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 433 | 59 | 65% | 7.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 425 | 56 | 62% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 411 | 53 | 58% | 7.7 |
| Administrator | 1 | 0 | 1 | 408 | 51 | 56% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 171 | 33 | 36% | 5.2 |
Health Inspection History
Inspections
Total health citations
30
Citations per inspection
10
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
0
0
100% better than Delaware averageDelaware average: 0.9
Serious Health citations
2
2
67% worse than Delaware averageDelaware average: 1.2
0 critical citations
2 serious citations
27 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Jan 23, 2025
Corrected
Abuse/Neglect moderate citation
Jan 23, 2025
Corrected
Infection Control moderate citation
Jan 23, 2025
Corrected
Infection Control moderate citation
Jan 23, 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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Complete Care Management
Resident Census by Payment Source
111
Total Residents
Medicare
15
(13.5%)
ⓘ
Medicaid
90
(81.1%)
ⓘ
Private Pay/Other
6
(5.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
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 averageDelaware average: 9.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.4
24% better than Delaware averageDelaware average: 19.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.8%
Percent of long-stay residents whose need for help with daily activities has increased
11.8%
23% better than Delaware averageDelaware average: 15.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
9.2%
Percent of long-stay residents whose ability to move independently worsened
9.2%
54% better than Delaware averageDelaware average: 19.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.1%
In line with Delaware averageDelaware average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
92% worse than Delaware averageDelaware average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.1%
Percent of long-stay high risk residents with pressure ulcers
7.1%
59% worse than Delaware averageDelaware average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
88% better than Delaware averageDelaware average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.8%
Percent of long-stay residents who lose too much weight
7.8%
36% worse than Delaware averageDelaware average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
45.7%
Percent of long-stay residents who have depressive symptoms
45.7%
659% worse than Delaware averageDelaware average: 6.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.5%
Percent of long-stay residents who received an antipsychotic medication
8.5%
23% better than Delaware averageDelaware average: 11.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
In line with Delaware averageDelaware average: 95.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Delaware averageDelaware average: 97.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.91
Number of hospitalizations per 1,000 long-stay resident days.
1.91
In line with Delaware averageDelaware average: 1.83
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.13
18% better than Delaware averageDelaware average: 1.37
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
16% better than Delaware averageDelaware average: 82.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
231% worse than Delaware averageDelaware average: 0.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
15% better than Delaware averageDelaware average: 83.1%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.1%
16% better than Delaware averageDelaware average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.6%
5% better than Delaware averageDelaware average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
14% worse than Delaware averageDelaware average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
79.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
79.1%
47% better than Delaware averageDelaware average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
52.4%
Rate of successful return to home or community from a skilled nursing facility.
52.4%
In line with Delaware averageDelaware average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 averageDelaware average: $98K
Number of fines
1
46% fewer fines than Delaware averageDelaware average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 23, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 23, 2025
$48K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Complete Care at Silver Lake based on CMS SNF Cost Reports.
Occupancy Rate
93.8%
↑ 6.3pp vs 2023
Net Income
$1,833,262
↑ ~$1.4M vs 2023
Total Payroll
$8,172,030
↑ ~$708K vs 2023
Profit Margin
11.1%
↑ 8.1pp vs 2023
Loading trend charts...
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