Complete Care at Silver Lake
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Dover, DE
CMS overall rating Info 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.

Complete Care at Silver Lake

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Dover, DE
CMS overall rating Info 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.
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Complete Care at Silver Lake accepts Medicare, Medicaid, and private pay.

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.

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.
▼ 8.5% Below DE avg. ▼ 8.5% Below DE avg.DE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 8.4% Above DE avg. ▲ 8.4% Above DE avg.DE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
At DE avg. At DE avg.DE average: 4.0Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
At DE avg. At DE avg.DE average: 4.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Delaware averages

Rank #30 / 38Nurse hours — State benchmarkedThis home is ranked 30th out of 38 homes we track in Delaware for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Delaware average, with a ranking across 38 Delaware facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 30th out of 38 homes we track 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.

3h 50m

18% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
57m
−7% State avg: 1h 2m per day · National avg: 41m per day
LPN / LVN Info 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.
51m
−17% State avg: 1h 1m per day · National avg: 52m per day
Nurse Aide Info 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 2m
−18% State avg: 2h 28m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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
−15% State avg: 4h 2m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
2m
−77% State avg: 9m per day · National avg: 4m per day
Weekend RN Info 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.
44m
Avg State avg: 43m per day · National avg: 29m per day

5 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 120 Rank #24 / 71Bed count — State benchmarkedThis home is ranked 24th out of 71 homes we track in Delaware for bed count. Shows this facility's certified or reported bed count compared to other Delaware facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking. 120-bed community

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A newer community that may feature more recent facilities and programs.
1 year
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #93 / 99Walk Score — State benchmarkedThis home is ranked 93rd out of 99 homes we track in Delaware for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Delaware facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
7 / 100
Occupancy rate Info Occupancy higher than 95% suggests steady demand, but availability may be limited. Rank #2 / 34Occupancy rate — State benchmarkedThis home is ranked 2nd out of 34 homes we track in Delaware for occupancy. Shows this facility's occupancy rate versus the Delaware average, with its Statewide rank out of 34. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
97% This home is often near full 97%
Higher than the Delaware average: 80.7%
Occupied beds
116 / 120
Average occupied beds in Delaware homes 86 beds
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
94 days
BBB Rating Info An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+ Not Accredited
How BBB ratings work

About this community

License Details

Facility TypeNursing Home
IssuanceJanuary 6, 2025
License Number1116
CMS Certification Number85027

Ownership & Operating Entity

Complete Care at Silver Lake is administered by Steven Smith.

Safety & Compliance

Hoyer Lift

Staffing

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

Leadership

Director of NursingDonna Burns
Director of Nursing Emaildburns@ccsilverlake.com

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Post-Acute Care

Amenities & Lifestyle

Specific ProgramsWhat to Expect

Contact Complete Care at Silver Lake

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.

Since 2020 · 6 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 99 deficiencies 11 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. Delaware state average
Overall vs. DE average 1 Worse Metrics worse than Delaware average:
• Total deficiencies (4% above)
1 Better Metrics better than Delaware average:
• Deficiencies per inspection (18% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityDE Averagevs. DE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 9995 This facility has 4% more total deficiencies than a typical Delaware nursing home (99 vs. DE avg 95).↑ 4% worse
Deficiencies per inspection Info Average deficiencies per inspection. 9.010.95 This facility has 18% fewer deficiencies per inspection than a typical Delaware nursing home (9 vs. DE avg 10.95).↓ 18% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityDE Averagevs. DE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 119 This facility has had 22% more total inspections than the Delaware average (11 vs. DE avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 22% more

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 3

Delaware average 4.4


Last Health inspection on Jan 2025

Total health citations
30 Rank #14 / 36Health citations — State benchmarkedThis home is ranked 14th out of 36 homes we track in Delaware for health citations. Shows this facility's total health deficiency citations benchmarked to the Delaware State average, with a ranking across all 36 DE facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Delaware average 38.9

Citations per inspection
10 Rank #23 / 36Citations per inspection — State benchmarkedThis home is ranked 23rd out of 36 homes we track in Delaware for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Delaware mean across 36 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Delaware average 8.72


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 4 years)
Critical health citations
0
100% better than Delaware average

Delaware average: 0.9


Serious health citations
2
67% worse than Delaware average

Delaware average: 1.2

0 critical citations Delaware average: 0.9

2 serious citations Delaware average: 1.2

27 moderate citations Delaware average: 35.7

1 minor citation Delaware average: 1
Citations history (last 4 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 154
Employees 133
Contractors 21
Staff to resident ratio 1.39 : 1
15% fewer staff per resident than Delaware average
Delaware average ratio: 1.63 : 1 Delaware average ratio: 1.63 : 1See full Delaware ranking
Avg staff/day 64
Average shift 8 hours
5% better than Delaware average
Delaware average: 7.6 hours Delaware average shift: 7.6 hoursSee full Delaware ranking
Total staff hours (quarter) 46,942

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 20 total: 15 full-time employees and 5 contractors. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 33 total: 27 full-time employees and 6 contractors. 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 63 CNA Staff are full-time employees. No contractors work on this role. 63
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

12.9%

6,045 contractor hours this quarter

Licensed Practical Nurse: 6 Registered Nurse: 5 Speech Language Pathologist: 3 Physical Therapy Assistant: 2 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6306322,55692100%7.8
Licensed Practical Nurse276338,15292100%8.4
Registered Nurse155206,79992100%8.6
Clinical Nurse Specialist100102,4476470%7.8
Other Dietary Services Staff2029647885%8.3
Nurse Aide in Training3039444852%8.5
Speech Language Pathologist0337477683%6.9
Physical Therapy Aide0226406571%7.5
Mental Health Service Worker3035856470%7.8
Dietitian4045536368%7.9
Administrator1015126470%8
Nurse Practitioner1014645863%8
Qualified Social Worker0114555155%8.9
Respiratory Therapy Technician0223936672%6
Dental Services Staff1013755661%6.7
Physical Therapy Assistant0222744751%5.8
Other Social Services Staff1015578%7.9
RN Director of Nursing2022933%7.2
63 Certified Nursing Assistant
% of Days 100%
33 Licensed Practical Nurse
% of Days 100%
20 Registered Nurse
% of Days 100%
10 Clinical Nurse Specialist
% of Days 70%

Penalties and fines

Includes penalties issued in 2025

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 Rank #26 / 38Federal fines — State benchmarkedThis home is ranked 26th out of 38 homes we track in Delaware for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Delaware average among facilities with fines, and where it ranks among 38 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
52% 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 $48K
Delaware average $98K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 23, 2025 · $48K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 23, 2025
$48K

Last updated: Jan 2026

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. 8.3
13% 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. 14.4
24% better than Delaware average

Delaware average: 19.0

Long-stay resident measures
Significantly above average Delaware avg: 3.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.8%
23% better than Delaware average

Delaware average: 15.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.2%
54% 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 22.1%
In line with Delaware average

Delaware average: 22.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.7%
92% worse than Delaware average

Delaware average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.1%
59% worse than Delaware average

Delaware average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
88% better than Delaware average

Delaware average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.8%
36% worse than Delaware average

Delaware average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 45.7%
659% worse than Delaware average

Delaware average: 6.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.5%
23% better than Delaware average

Delaware average: 11.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.91
In line with Delaware average

Delaware average: 1.83

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.13
18% better than Delaware average

Delaware average: 1.37

Short-stay resident measures
Above average Delaware avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
16% better than Delaware average

Delaware average: 82.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.0%
231% worse than Delaware average

Delaware average: 0.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.4%
15% better than Delaware average

Delaware average: 83.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.1%
16% better than Delaware average

Delaware average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.6%
5% better than Delaware average

Delaware average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.9%
14% worse than Delaware average

Delaware average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 79.1%
47% better than Delaware average

Delaware average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 52.4%
In line with Delaware average

Delaware average: 50.6%

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

Facility Characteristics

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

Total residents 111
Medicare
15
13.5% of residents
Medicaid
90
81.1% of residents
Private pay or other
6
5.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$491.1K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.6M Rank #14 / 31Net patient revenue — State benchmarkedThis home is ranked 14th out of 31 homes we track in Delaware. Shows this facility's net patient revenue compared to the Delaware average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$491.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.3M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #27 / 31Payroll costs — State benchmarkedThis home is ranked 27th out of 31 homes we track in Delaware. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Delaware average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$5.7M 36.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #29 / 31Payroll % of net patient revenue — State benchmarkedThis home is ranked 29th out of 31 homes we track in Delaware. Shows payroll as a percentage of net patient revenue versus the Delaware average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Delaware that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$9.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$15.1M

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Who this home usually serves

TYPE OF STAY

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.

Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 29 days.

Admissions
421 total

Coverage residents most often arrive under.

Medicare 37%
Private pay 51%
Medicaid 13%
Discharges
440 total

Coverage residents most often leave under.

Medicare 28%
Private pay 45%
Medicaid 27%

Managed by Steve Smith

Nursing Home Administrator

Places of interest near Complete Care at Silver Lake

Address 2.0 miles from city center Info Estimated distance in miles from Dover's city center to Complete Care at Silver Lake's address, calculated via Google Maps.

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Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Delaware average is: 49.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Center at Eden Hill
NH
SNF
Dover
80
Facility 80
DE AVG 101
Rank #50 / 71
90.0%
Facility 90.0%
DE AVG 81.6%
Rank #15 / 34
+10%
4.47
Facility 4.47
DE AVG 4.66
Rank #10 / 38
+16%-4%
$0
Facility $0
DE AVG $96.1k
Rank #1 / 38
21
Facility 21
DE AVG 38.9
Rank #8 / 36
5.3
Facility 5.3
DE AVG 8.7
Rank #6 / 36
-72-
48
Facility 48
DE AVG 43
Rank #37 / 99
-
$16.0MFiscal year ending 12/2023
Facility $16.0MFiscal year ending 12/2023
DE AVG $16.2M
Rank #13 / 31
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
DE AVG $7.7M
Rank #24 / 31
40.9%Fiscal year ending 12/2023
Facility 40.9%Fiscal year ending 12/2023
DE AVG 49.2%
Rank #24 / 31
85057
Westminster Village Assisted Living
NH
AL
HOS
IL
MC
RC
SNF
Dover (The Hamlet)
99
Facility 99
DE AVG 101
Rank #38 / 71
--
4.74
Facility 4.74
DE AVG 4.66
Rank #9 / 38
+37%+2%
$38.5k
Facility $38.5k
DE AVG $96.1k
Rank #24 / 38
28
Facility 28
DE AVG 38.9
Rank #12 / 36
5.6
Facility 5.6
DE AVG 8.7
Rank #8 / 36
355-
35
Facility 35
DE AVG 43
Rank #58 / 99
Phi
$19.4MFiscal year ending 12/2023
Facility $19.4MFiscal year ending 12/2023
DE AVG $16.2M
Rank #8 / 31
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
DE AVG $7.7M
Rank #13 / 31
42.3%Fiscal year ending 12/2023
Facility 42.3%Fiscal year ending 12/2023
DE AVG 49.2%
Rank #21 / 31
85032
Complete Care at Silver Lake
NH
HOS
PC
RC
SNF
Dover
120
Facility 120
DE AVG 101
Rank #24 / 71
96.7%
Facility 96.7%
DE AVG 81.6%
Rank #2 / 34
+19%
3.83
Facility 3.83
DE AVG 4.66
Rank #30 / 38
+3%-18%
$47.5k
Facility $47.5k
DE AVG $96.1k
Rank #26 / 38
30
Facility 30
DE AVG 38.9
Rank #14 / 36
10.0
Facility 10.0
DE AVG 8.7
Rank #23 / 36
2116A+
7
Facility 7
DE AVG 43
Rank #93 / 99
-
$15.6MFiscal year ending 06/2024
Facility $15.6MFiscal year ending 06/2024
DE AVG $16.2M
Rank #14 / 31
$5.7MFiscal year ending 06/2024
Facility $5.7MFiscal year ending 06/2024
DE AVG $7.7M
Rank #27 / 31
36.7%Fiscal year ending 06/2024
Facility 36.7%Fiscal year ending 06/2024
DE AVG 49.2%
Rank #29 / 31
85027
Cadia Healthcare Capitol Healthcare
NH
HOS
MC
PC
RC
SNF
Dover (Zurkow Development)
120
Facility 120
DE AVG 101
Rank #24 / 71
84.2%
Facility 84.2%
DE AVG 81.6%
Rank #22 / 34
+3%
4.32
Facility 4.32
DE AVG 4.66
Rank #15 / 38
-47%-7%
$8.0k
Facility $8.0k
DE AVG $96.1k
Rank #10 / 38
36
Facility 36
DE AVG 38.9
Rank #16 / 36
9.0
Facility 9.0
DE AVG 8.7
Rank #19 / 36
1101-
32
Facility 32
DE AVG 43
Rank #65 / 99
Eric Schafer
$14.6MFiscal year ending 12/2023
Facility $14.6MFiscal year ending 12/2023
DE AVG $16.2M
Rank #18 / 31
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
DE AVG $7.7M
Rank #17 / 31
50.8%Fiscal year ending 12/2023
Facility 50.8%Fiscal year ending 12/2023
DE AVG 49.2%
Rank #13 / 31
85048
Courtland Manor
NH
AL
MC
Dover
85
Facility 85
DE AVG 101
Rank #47 / 71
82.6%
Facility 82.6%
DE AVG 81.6%
Rank #23 / 34
+1%
4.16
Facility 4.16
DE AVG 4.66
Rank #17 / 38
-24%-11%
$42.9k
Facility $42.9k
DE AVG $96.1k
Rank #25 / 38
38
Facility 38
DE AVG 38.9
Rank #18 / 36
7.6
Facility 7.6
DE AVG 8.7
Rank #15 / 36
170-
54
Facility 54
DE AVG 43
Rank #29 / 99
Daniel Schurman---85019

Financial Assistance for
Nursing Home in Delaware

Complete Care at Silver Lake is located in Dover, Delaware.
Here are the financial assistance programs available to residents in Delaware.

Get Financial aid guidance

Elderly and Disabled Waiver

Delaware Medicaid E&D Waiver

Age 65+ or disabled
General Delaware resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
DE

Small state, faster processing in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home modifications

Delaware Caregiver Support Program

DE Caregiver Support (NFCSP)

Age Caregiver of someone 60+
General Delaware resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
DE

Limited slots; rural focus.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

Delaware Medicaid PACE

Age 55+
General Delaware resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
DE

Limited to specific areas (e.g., New Castle County); few providers.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

Medicare Savings Program (MSP)

Delaware Medicare Savings Program

Age 65+ or disabled
General Delaware resident, enrolled in Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
Asset Limits $9,430 (individual), $14,130 (couple).
DE

Three tiers; broader limits than some states.

Benefits
Covers Medicare Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20% of services)

Frequently Asked Questions about Complete Care at Silver Lake

Who is the Director of Nursing at Complete Care at Silver Lake?

Donna Burns is the Director of Nursing at Complete Care at Silver Lake.

Is Complete Care at Silver Lake in a walkable area?

Complete Care at Silver Lake has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Complete Care at Silver Lake?

According to DE state health department records, Complete Care at Silver Lake's license number is 1116.

What is the occupancy rate at Complete Care at Silver Lake?

Complete Care at Silver Lake's occupancy is 97%.

How long has Complete Care at Silver Lake been in business?

Complete Care at Silver Lake has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Complete Care at Silver Lake?

No, Complete Care at Silver Lake has a no-pet policy.

Does Complete Care at Silver Lake operate as a for-profit or non-profit?

Complete Care at Silver Lake is registered as a for-profit in DE.

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