Federal inspection record · CMS data as of October 1, 2026
Cadia Rehabilitation Renaissance
26002 John J Williams Highway, Millsboro, DE · (302) 947-4200
- Certified beds
- 130
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- Cadia Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 29, 2008
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Delaware.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Delaware homes
Cadia Rehabilitation Renaissance carries 80 inspection points. That is fewer than 42% of Delaware's 43 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Delaware: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–57 pts
- 3★ 57–80 pts
- 2★ 80–139.25 pts
- 1★ over 139.25 pts
Bars show every rated home in Delaware by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Respond appropriately to all alleged violations.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning7D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service6D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Rights4E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Administration3E
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- E
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2025-08-25
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-09-19
18 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-08-07
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
3 h 47 min
Delaware average
4 h 29 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 54% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$13,627 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-02 | Fine | $13,627 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.1 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.3 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 99.1% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 98.9% | 98.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 2.6% | 2.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.7 pts better | 0.9% | 10.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 2.6% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts worse | 29.7% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medicationAbout the same | 10.6% | 10.6% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts better | 10.3% | 12.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts worse | 12.8% | 12.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.5% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 0.3% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts worse | 21.1% | 19.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 1.5% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.9 pts better | 97.4% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.1 pts worse | 13.9% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 0.7% | 0.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.4 pts worse | 86.0% | 88.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts worse | 26.8% | 22.7% | 23.4% |
·
Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Schafer Family LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 4 facilities |
| Silver Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 4 facilities |
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | 5% Or Greater Indirect Ownership Interest · Organization | 5% | 4 facilities |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | 5% Or Greater Indirect Ownership Interest · Organization | 5% | 4 facilities |
| Schafer, Eric | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 10 facilities |
| Schafer, Lauren | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 4 facilities |
| Silver, Jonathan | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 4 facilities |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | 5% Or Greater Indirect Ownership Interest · Organization | 5% | 4 facilities |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | 5% Or Greater Indirect Ownership Interest · Organization | 5% | 4 facilities |
| Dittmar, Laura | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Dittmar, Laura | Adp Of The SNF · Individual | 0% | 5 facilities |
| Litwa, Karen | Corporate Officer · Individual | 0% | 5 facilities |
| Litwa, Karen | Adp Of The SNF · Individual | 0% | 5 facilities |
| Long Term Care Corp | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Long Term Care Corp | Adp Of The SNF · Organization | 0% | 5 facilities |
| Onix Group Ll | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Onix Group Ll | Adp Of The SNF · Organization | 0% | 2 facilities |
| Price, Elizabeth | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Price, Elizabeth | Adp Of The SNF · Individual | 0% | 5 facilities |
| Rodgers, Mary | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sabra Health Care Reit Inc | Adp Of The SNF · Organization | 0% | 35 facilities |
| Schafer, Ron | Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Schafer, Ron | Adp Of The SNF · Individual | 0% | 5 facilities |
| Silver, Stephen | Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Silver, Stephen | Adp Of The SNF · Individual | 0% | 5 facilities |
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