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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.
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.
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 15th out of 38 homes in Delaware. 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.
| Staff type | Hours / Day / Resident | 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.
| 58m per day | ▼ 6% 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.
| 43m per day | ▼ 30% 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 |
|
Weekend Total Nursing
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 43m per day | ▼ 8% 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.
| 2m per day | ▼ 78% State avg: 9m per day · National avg: 4m per day |
|
Weekend RN
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.
| 41m per day | ▼ 5% State avg: 43m per day · National avg: 29m per day |
Higher than the Delaware average: 80.7%Complete Care at Silver Lake is administrated by Steven Smith.
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
| This Facility | DE Average | vs. DE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 68 | 64 | This facility has 6% more total deficiencies than a typical Delaware nursing home (68 vs. DE avg 64).↑ 6% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 11.3 | 10.7 | This facility has 6% more deficiencies per year than a typical Delaware nursing home (11.3 vs. DE avg 10.7).↑ 6% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 20, 2025, found no deficiencies during an unannounced complaint investigation. Earlier inspections showed a mixed record, with prior reports identifying deficiencies related to residents’ rights, abuse prevention, care planning, infection control, and food safety. Complaint investigations substantiated issues such as failure to protect residents from abuse, inadequate discharge planning, and incomplete infection prevention measures, but no fines or enforcement actions were listed in the available reports. Most complaints were either unsubstantiated or addressed through corrective plans, including staff re-education and audits. The facility’s inspection history shows improvement over time, with the most recent surveys indicating compliance after earlier citations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsDelaware average 4.4
Last Health inspection on Jan 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.
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).
100% better than Delaware averageDelaware average: 0.9
67% worse than Delaware averageDelaware average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% worse than Delaware average
5% better than Delaware average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,045 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 0 | 63 | 22,556 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 27 | 6 | 33 | 8,152 | 92 | 100% | 8.4 |
| Registered Nurse | 15 | 5 | 20 | 6,799 | 92 | 100% | 8.6 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 2,447 | 64 | 70% | 7.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 964 | 78 | 85% | 8.3 |
| Nurse Aide in Training | 3 | 0 | 3 | 944 | 48 | 52% | 8.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 747 | 76 | 83% | 6.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 640 | 65 | 71% | 7.5 |
| Mental Health Service Worker | 3 | 0 | 3 | 585 | 64 | 70% | 7.8 |
| Dietitian | 4 | 0 | 4 | 553 | 63 | 68% | 7.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 455 | 51 | 55% | 8.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 393 | 66 | 72% | 6 |
| Dental Services Staff | 1 | 0 | 1 | 375 | 56 | 61% | 6.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 274 | 47 | 51% | 5.8 |
| Other Social Services Staff | 1 | 0 | 1 | 55 | 7 | 8% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 29 | 3 | 3% | 7.2 |
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)
52% 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
Jan 23, 2025 · $48K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 23, 2025Last updated: Jan 2026
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.
8.3
13% better than Delaware averageDelaware average: 9.6
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
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
11.8%
23% better than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
9.2%
54% better than Delaware averageDelaware average: 19.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
92% worse than Delaware averageDelaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
7.1%
59% worse than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.3%
88% better than Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
7.8%
36% worse than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
45.7%
659% worse than Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
8.5%
23% better than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
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.
1.91
In line with Delaware averageDelaware average: 1.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.13
18% better 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
94.9%
16% better than Delaware averageDelaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
231% worse than Delaware averageDelaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
15% better than Delaware averageDelaware average: 83.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.1%
16% better than Delaware averageDelaware average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.6%
5% better than Delaware averageDelaware average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
14% worse than Delaware averageDelaware average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
79.1%
47% better than Delaware averageDelaware average: 53.7%
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.
37% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
111Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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.
Historical financial and operational data for Complete Care at Silver Lake based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 35Payroll — State benchmarkedThis home is ranked 23rd out of 35 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
2.0 miles from city center
Estimated distance in miles from Dover's city center to Complete Care at Silver Lake's address, calculated via Google Maps.
— 0.92 miles to nearest hospital (PAM Health Rehabilitation Hospital of Dover)
Add your location
Complete Care at Silver Lake is located in Dover, Delaware.
Here are the financial assistance programs available to residents in Delaware.
The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
| Westminster Village Assisted Living |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dover (The Hamlet) | 99 | 85.2% | +6% | 4.33 | +37% | -7% | $15.6k | 28 | 5.6 | 3 | 65 | - | 35 | Phi | $23.2M | $8.7M | 37.6% | 85032 | ||||
| Complete Care at Silver Lake |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dover | 120 | 96.7% | +20% | 4.26 | +3% | -9% | $57.3k | 30 | 10.0 | 2 | 114 | A+ | 7 | - | $17.8M | $8.2M | 45.8% | 85027 | ||||
| Courtland Manor |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dover | 77 | 81.7% | +1% | 4.60 | -24% | -1% | $19.9k | 38 | 7.6 | 1 | 71 | - | 54 | Daniel Schurman | - | - | - | 85019 |
Donna Burns is the Director of Nursing at Complete Care at Silver Lake.
Complete Care at Silver Lake has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to DE state health department records, Complete Care at Silver Lake's license number is 1116.
According to DE state health department records, Complete Care at Silver Lake's license expires on May 31, 2026.
Complete Care at Silver Lake's occupancy is 97%.
Steven Smith is the administrator of Complete Care at Silver Lake.
Complete Care at Silver Lake has 120 beds.
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