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Home / Delaware / Middletown

Cadia Rehabilitation Broadmeadow

500 South Broad Street, Middletown, DE 19709 · New Castle County · (302) 449-3400

120 certified beds, about 112 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2005

Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 085050 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 30, 2026, inspectors cited 12 health deficiencies (the Delaware average is 10.9, the national average 9.2).

Of 41 health citations since January 2024, 5 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 3 fines totaling $216,429 in the last three years; the largest was $137,303, and the latest is dated May 29, 2026.

Nurses and nurse aides worked 3.88 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.

44.9% of nursing staff left within the year CMS measured (Delaware average 41.3%).

CMS links it to Cadia Healthcare, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
34D
0E
2F
Potential for minimal harm
0A
0B
0C
May 29, 2026Complaint inspection · 4 citations
  1. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026
    Inspectors wroteBased on interviews, clinical record review, and review of other pertinent records, it was determined that for one (R1) out of four residents reviewed for dysphagia, the facility failed to provide the necessary care and services to R1 when the facility failed to identify R1 as high risk for choking and aspiration. On 5/15/26, R1 was served breakfast in bed and left unsupervised. Approximately 20 minutes later, staff found R1 unresponsive. EMS (Emergency Medical Services) documents revealed severe airway obstruction with large quantities of food (ham and eggs) removed from the airway and difficulty ventilating/intubating due to obstruction. The death certificate listed the immediate cause of death as airway obstruction by food bolus while consuming food. [...]
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026
    Inspectors wroteBased on record review and interview, it was determined that for one (R5) out of two (2) residents reviewed for abuse and injury of unknown origin, the facility failed to recognize and consequently report an injury of unknown origin.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026
    Inspectors wroteBased on interview and record review, it was determined that for one (R1) out of four residents reviewed for dysphagia, the failed to develop a person - centered care plan to address R1's identified eating behaviors.
  4. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026
    Inspectors wroteBased on record review and interview, it was determined that for one (R5) out of six residents in the investigative sample, the facility failed to provide services that meet professional standards of quality by having Licensed Practical Nurses (LPN) complete admission assessments.
January 30, 2026Standard inspection · 12 citations
  1. F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the Facility Assessment included an accurate and comprehensive review of the facility's resident population, including an identified population of residents receiving Comfort Care. The failure to update the Facility Assessment to accurately reflect resident needs for this specific resident population receiving care and services meant the facility assessment plan had potentially missed critical care needs specific and unique to this population. This failure had the potential to affect the care provided to the facility population and the training required for both direct and indirect care staff. [...]
  2. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure residents were informed of psychotropic medication side effects and the associated risks versus benefits for two out of five residents (Resident (R) 58 and R5) reviewed for unnecessary medications of 31 sample residents. This failure had the potential for residents to be uninformed of potential outcomes related to psychotropic medications.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interviews, and policy review, the facility failed to notify the correct emergency contact of a change in condition for one of one resident (Resident (R) 122) reviewed for change in condition out of a total of 31 sampled residents. This failure had the potential to delay timely notification of R122's representative regarding the resident's condition change.
  4. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that one of 31 sampled residents (Resident (R) 28) was free from physical restraints when staff failed to identify a seatbelt worn on a motorized wheelchair as a physical restraint, restricting the resident's freedom of movement and access to their body. This failure created the potential for facility residents to receive inappropriate care and services, or a lack of, due to unidentified care needs and interventions from an unassessed lower extremity restraint.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to report an injury of unknown origin to the State Agency for one resident (Resident (R) 21) reviewed for injuries of unknown origin out of 31 sampled residents. The facility's failure to promptly report injuries of unknown origin limited regulatory oversight and had the potential to delay protective interventions.
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to investigate an injury of unknown origin for one resident (Resident (R) 21) out of a total sample of 31 residents. The facility's failure to promptly investigate injuries of unknown origin had the potential to delay protective interventions for residents.
  7. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure one of 31 sampled residents (Resident (R) 28) care plans were reviewed and revised to identify the regular use of a wheelchair seatbelt. This failure created the potential for facility residents to receive inappropriate care and services, or a lack of, due to unidentified care needs and interventions. Cross-reference to F604, Physical Restraints.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure residents who are unable to conduct activities of daily living (ADLs) receive the necessary services for one resident (Resident (R) 73) out of a total sample of 31 residents. R73 reported that she has not received help with oral care, and she was observed to have a buildup of debris on her teeth and gums. This failure had the potential to affect nutritional status, cause dental cavities, and gum diseaseFindings include:Review of R73's admission Record, located under the admission tab of the electronic medical record (EMR) revealed R73 was admitted to the facility on [DATE] with diagnoses that included dysphagia, cognitive communication deficit, bipolar disorder, and osteoarthritis. [...]
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interviews, and policy review, the facility failed to assess and monitor comfort care (end of life) for one of three residents (Resident (R)122) reviewed for comfort care out of 31 total sampled residents and failed to follow physician orders for an ordered medication (Hyoscyamine Sulfate) for one of 31 residents. These failures had the potential for R122 not to receive the comfort care measures that she deserved at the end of life and not to receive physician ordered medication to control increased secretions which would cause R122 to have difficulty breathing.
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observations, record review, interviews, and policy review, the facility failed to administer oxygen in accordance with physician orders for one of one resident (Resident (R) 4) reviewed for oxygen therapy out of a total of 31 residents sampled. This failure had the potential to cause R4 to retain carbon dioxide and increased the risk of oxygen toxicity. Findings Include:Review of R4's undated Face Sheet located under the Profile tab in the electronic medical record (EMR) indicated R4 was admitted to the facility on [DATE] with the diagnosis of chronic obstructive pulmonary disease (COPD). Review of R4's quarterly Minimum Data Set (MDS) located under the MDS tab in the EMR, with an Assessment Reference Date (ARD) of 01/01/26 indicated R4 had a Brief Interview for Mental Status (BIMS) score of 13 out of 15, which indicated R4 was cognitively intact. [...]
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to ensure the medical record was complete and accurate for one resident (Resident (R) 48) out of 31 total sampled residents. The facility failed to ensure current Physician Orders reflected an active order for R48's Comfort Care Program. This failure had the potential for residents to have unmet care needs.
  12. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review, interviews, document review, and review of McGeer's criteria, the facility failed to have an Antibiotic Stewardship Program consistent with current standards of practice for the prescribing of an antibiotic for one of five residents (Resident (R) 71) reviewed for antibiotic stewardship out of a total sample of 31 residents. This failure had the potential to result in the unnecessary use of antibiotics, increasing the risk of antibiotic resistance and adverse medication-related side effects for residents.
November 14, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on observation, interview, record review and review of other facility documentation, it was determined that for one (R1) out of three residents sampled for accidents, the facility failed to ensure that R1received adequate supervision to prevent accidents. R1, a completely dependent resident, fell on her face from the bed to the floor while receiving care from a staff member and sustained multiple rib fractures, clavicle fracture and splenic laceration. The facility's failure to provide adequate supervision caused harm to R1.
July 7, 2025Complaint inspection · 4 citations
  1. J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on observation, interview, record review and review of other documentation as indicated, it was determined for one (R1) out of three residents reviewed for change of condition, the facility failed to initiate CPR for R1, who was choking and became hypoxic and unresponsive. The RN supervisor did not assess R1's airway or respiratory status after choking and only delegated applying a non-rebreather mask and preparing for transfer without initiating CPR or further emergency intervention. The facility's failure resulted in R1 death. Due to this failure an Immediate Jeopardy (IJ) was called at 1:58 PM on 7/3/25.
  2. J
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined that for one (R1) out of three residents reviewed for change in condition the facility failed to ensure that licensed nursing staff had the skill set to recognize an emergent situation. R1 had a choking episode that progressed to respiratory distress which compromised R1's breathing. Nursing staff failed to provide competent nursing care for R1 that included assessments and interventions for a resident that had a change in respiratory status. Additionally, R1 was a full code and staff failed to initiate CPR on R1's behalf. The facility's failure resulted in R1's in death. Due to this failure an Immediate Jeopardy (IJ) was called at 2:20 PM on 7/3/25.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R1) out of three residents reviewed for Neglect, the facility failed to identify and report an allegation of neglect when on [DATE], R1 had a choking episode and the present staff failed to provide essential services (airway clearance, assess lung air movement and initiate CPR) required to intervene on behalf of R1.
  4. D
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R1) out three residents reviewed for emergency care, the facility failed to ensure that the facility's assessment included nursing staff competencies, and the skill sets necessary to provide the level and types of care that are needed for the resident population.
January 22, 2025Standard inspection, Complaint inspection · 20 citations
  1. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on record review, observation and interview, it was determined that for two (R97 and R114) out of two residents reviewed for hydration, the facility failed to offer R97 sufficient fluid intake in an accessible manner for her to maintain proper hydration. For R114, the facility failed to ensure that R114 received sufficient fluids to maintain proper hydration or provide additional interventions when R114's oral intake significantly dropped. This failure resulted in harm with R114 being transferred to the hospital on 2/28/24 with a BUN of 100.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure food was stored and served in a manner that prevents food borne illness to the residents.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on observation and interview, it was determined that that for one (R1) out of four residents reviewed for ______,the facility failed to ensure residents were treated with respect and dignity.
  4. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on interview, record review and review of other facility documents, it was determined that for one (R66) out of six residents reviewed for abuse, the facility failed to ensure that that R66 was free from resident to resident physical abuse by R78.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on interview and record review, it was determined that for two (R69 and R98) out of 27 sampled residents reviewed for assessments, the facility failed to accurately reflect each residents' status.
  6. D
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    F646 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review and interview, it was determined that for two (R39, R62) out of two residents reviewed for PASARR, the facility failed to notify the appropriate state-designated authority when the resident's new diagnosis of mental disorder was identified. For R62, the facility failed to request a new PASARR after R62 was diagnosed with visual hallucinations. Additionally, for R39, the facility failed to notify the state-designated authority of a new order for an antipsychotic medication.
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on interview and record review, it was determined that for two (R28, R97 and R165) out of twenty seven residents reviewed for care plans, it was determined that the facility failed to develop and implement comprehensive, person centered care plans. For R97, the facility failed to implement R97's need for an adaptive cup during non-meal times. For R28 and R165 the facility failed to ensure care plans included non pharmacological interventions prior to the use of PRN antianxiety medication.
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R78) out of twenty seven sampled residents, the facility failed to ensure that R78's comprehensive care plan was reviewed and revised based on preferences and needs of the resident and in response to current interventions.
  9. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R113) out of one resident reviewed for discharge, the facility failed to have a discharge summary that included a reconciliation of medications.
  10. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R31) out of three residents reviewed for quality of care, the facility failed to treat a urinary tract infection for twenty hours, after receiving a positive result of infection.
  11. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review, observation and interview, it was determined that for one (R101) out of three sampled residents, the facility failed to ensure that care was provided to support R101's hearing loss.
  12. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review, observation and interview, it was determined that for two (R73 and R66) out of three residents reviewed for bowel and bladder, the facility failed to provide appropriate treament and services to achieve or maintain as much nomal bladder function as possible. For R73, the facility failed to ensure that R73's urinary catheter care was monitored in a manner to prevent infection. For R66, the facility failed to maintain or restore continence.
  13. D
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R91) out of twenty-seven residents reviewed for physician services, the facility failed to ensure that R91's required visits were coordinated and alternated between the physician and the NP.
  14. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review and interview, it was determined that for two (R78 and R90) out of five residents reviewed for medication review, the facility failed to ensure the provider documented that irregularities were reviewed. In addition, the facility failed to ensure the Drug Regimen Review policy included all of the time frame requirements.
  15. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on interview and record review, it was determined that for one (R28) out of five residents sampled for unneccary medication review, it was determined that the facility failed to ensure that the targeted behaviors were documented and non- pharmacological interventions were implemented prior to the use administration of PRN antianxiety medication.
  16. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R90) out of five residents reviewed for unnecessary medications, the facility failed to ensure that laboratory services were obtained only when ordered by a provider.
  17. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review, observation and interview, it was determined that for one (R97) out of four residents reviewed for ADLs (activities of daily living), the facility failed to supply R97's bedside water in a [NAME] adaptive cup.
  18. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R109) out of twenty seven residents reviewed, the facility failed to ensure that the electronic health record was complete and readily accessible.
  19. D
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review and interview, it was determined that for two (R3 and R31) out of five residents reviewed for arbitration agreements, the facility failed to ensure that R3 and R31 were capable of understanding the arbitration agreement prior to signing it.
  20. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on record review, observation and interview, it was determined that for one (R98) out of four residents reviewed for medication administration, the facility failed to ensure the staff wore appropriate PPE while administering R98's medications via her PEG tube.
January 12, 2024Standard inspection · 0 citations

Fire safety inspections

1 fire safety citation on file: 1 on January 30, 2026.

Every fire safety citation1 citation
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 30, 2026 · no revisit needed

Fines and payment denials

DatePenaltyAmount or length
May 29, 2026Fine $137,303
July 7, 2025Fine $17,610
January 22, 2025Fine $61,516

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeDelawareUnited States
All nursing staff (RN, LPN and aides)3.884.353.86
Registered nurses0.710.970.69
All nursing staff on weekends3.593.893.42
Nurse aides2.18
Licensed practical nurses0.99
Nursing staff turnover (share who left in a year)44.9%41.3%45.8%
Registered nurse turnover39.1%41.2%42.9%
Administrators who left1

CMS expects 3.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.00 on weekdays and 3.59 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.88 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.880.714.003.59 0.0%0 of 90112
Oct to Dec 20253.770.813.893.45 0.5%0 of 92115
Jul to Sep 20253.720.793.843.42 0.0%0 of 92114
Apr to Jun 20253.800.843.923.50 0.0%0 of 91112
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Delaware, Jan to Mar 20264.050.794.213.675.7%0% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Delaware

JobMedianMiddle halfEmployed
Delaware, all employers
CNAs (nursing assistants)$20.21$18.51 to $21.745,530
LPNs and LVNs$33.03$30.97 to $36.072,240
Registered nurses$47.85$41.30 to $53.7114,290
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeDelawareUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.112.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.62.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.93.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.21.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.913.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.73.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.610.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.423.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.311.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cadia Rehabilitation Broadmeadow's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (67.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

67.4% this home

Better than the national rate

US median of homes 51.5% · Delaware: 17 better, 1 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 390 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Delaware: 1 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 383 eligible stays.

Infections that led to a hospital stay

7.8% this home

No different from the national rate

US median of homes 7.1% · Delaware: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 266 eligible stays.

Self-care and mobility at discharge

63.7% this home

Median of homes: Delaware59.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 146 residents counted.

Falls with major injury

1.7% this home

Median of homes: Delaware0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 236 residents counted.

New or worsened pressure ulcers

4.6% this home

Median of homes: Delaware2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 236 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Delaware98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: BROADMEADOW INVESTMENT LLC. CMS links this home to Cadia Healthcare, a group of 5 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Schafer Family LLC5% or greater direct ownership interestOrganization50%12/31/2010
Silver Holdings LLC5% or greater direct ownership interestOrganization50%12/31/2010
Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer5% or greater indirect ownership interestOrganization5%12/31/2010
Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer5% or greater indirect ownership interestOrganization5%12/31/2010
Stephen Silver Irrevocable Trust Fbo Casey Silver5% or greater indirect ownership interestOrganization5%12/31/2010
Stephen Silver Irrevocable Trust Fbo Jonathan Silver5% or greater indirect ownership interestOrganization5%12/31/2010
Schafer, Eric5% or greater indirect ownership interestIndividual5%12/31/2010
Schafer, Lauren5% or greater indirect ownership interestIndividual5%12/31/2010
Silver, Jonathan5% or greater indirect ownership interestIndividual5%12/31/2010
Hylton, AlfredContracted managing employeeIndividual10/23/2023
Litwa, KarenContracted managing employeeIndividual10/01/2005
Schafer, RonContracted managing employeeIndividual10/01/2005
Silver, StephenContracted managing employeeIndividual10/01/2005
Litwa, KarenCorporate officerIndividual10/01/2005
Long Term Care CorpOperational/managerial controlOrganization10/01/2005
Dittmar, LauraOperational/managerial controlIndividual01/24/2025
Hylton, AlfredOperational/managerial controlIndividual01/24/2025
Price, ElizabethOperational/managerial controlIndividual01/24/2025
Schafer, RonOperational/managerial controlIndividual01/24/2025
Silver, StephenOperational/managerial controlIndividual01/24/2025
Long Term Care CorpAdp of the SNFOrganization01/24/2025
Sabra Health Care Reit IncAdp of the SNFOrganization01/24/2025
Dittmar, LauraAdp of the SNFIndividual01/24/2025
Hylton, AlfredAdp of the SNFIndividual01/24/2025
Litwa, KarenAdp of the SNFIndividual01/24/2025
Price, ElizabethAdp of the SNFIndividual01/24/2025
Schafer, RonAdp of the SNFIndividual01/24/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on May 29, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on May 29, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on May 29, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 4 problems in this area, most recently on January 30, 2026: "Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.59 hours per resident per day, below the Delaware average of 3.89.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Cadia Rehabilitation Broadmeadow's Medicare star rating?
CMS rates Cadia Rehabilitation Broadmeadow 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cadia Rehabilitation Broadmeadow get at its last inspection?
12 health deficiencies at the standard inspection on January 30, 2026. The Delaware average is 10.9.
Has Cadia Rehabilitation Broadmeadow been fined?
Yes. CMS lists 3 fines totaling $216,429 in the last three years.
Does Cadia Rehabilitation Broadmeadow accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Cadia Rehabilitation Broadmeadow?
CMS lists 27 owners and managers, and links the home to Cadia Healthcare. Legal business name: BROADMEADOW INVESTMENT LLC.

Sources

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