Cadia Rehabilitation Capitol
1225 Walker Road, Dover, DE 19904 · Kent County · (302) 734-1199
120 certified beds, about 104 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 085048 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 27, 2026, inspectors cited 6 health deficiencies (the Delaware average is 10.9, the national average 9.2).
Of 31 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,018 in the last three years; the largest was $8,018, and the latest is dated July 16, 2024.
Nurses and nurse aides worked 3.87 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
45.8% 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.
1711/23
107/24
712/24
601/26
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 31 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
17D
11E
1F
Potential for minimal harm
0A
0B
0C
January 27, 2026Standard inspection, Complaint inspection · 6 citations
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, it was determined that for one (R5) out of nine residents reviewed for medication administration, the facility failed to ensure that R5 received the correct dose of morphine sulfate for pain when R5 erroneously received 15 mL (milliliter) of the concentrated morphine sulfate oral solution instead of the physician prescribed dose of 0.25 mL on 12/7/25 at 10:58 AM. With this significant medication error, R5 was at risk of a severe, life-threatening respiratory depression or death. R5 was administered Naloxone 0.4 mg/mL intramuscularly two times to reverse R5's overdosage on 12/7/25 at 4:13 PM and 8:02 PM. An immediate Jeopardy (IJ) was identified starting 12/7/25. Due to the facility's corrective measures following the last incident, this is being cited as immediate jeopardy, past non - compliance with an abatement date of 12/11/25.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, it was determined that for two (R30 and R108) out of nine residents sampled for abuse, the facility failed to report an allegation of abuse to the state agency within two hours.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, it was determined that for one (R5) out of three residents reviewed for PASRR (Preadmission Screening and Resident Review), the facility failed to refer R5 for a PASRR evaluation as required when a resident experiences a significant change in mental health status.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review it was determined for one (R6) out three residents sampled for respiratory care the facility failed to provide professional standards of practice by ensuring R6's BiPap equipment was stored in a protective plastic bag when not in use.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interview it was determined that for one (R81) out of five residents reviewed for unnecessary medication review the facility failed to implement the MRR policies when recommendations made by the pharmacist and agreed by the provider were not completed by the facility.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview it was determined that the facility failed to maintain accurate and complete records for one (R119) out of three residents reviewed for beneficiary notification.
December 12, 2024Standard inspection, Complaint inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure that beard guards were worn during food production in accordance with professional standards for food service safety and failed to store food in accordance with professional standards for service safety with the potential to affect 109 of 109 residents who consumed food from the kitchen. This failure had the potential for physical contamination of the food in the facility.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure one of 29 residents (Resident (R) 39 reviewed had their call light accessible for use creating the potential for needs not to be met.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure two (Residents (R) R71 and R37 ) of six residents reviewed for abuse, were free from resident-to resident abuse for two separate incidents. This had the potential to affect resident safety at the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, interview and policy review, the facility failed to ensure an incident of resident-to-resident abuse was reported to the State Agency (SA) within two hours of the incident as required for one residents (R)71) from six residents reviewed for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, interview and policy review, the facility failed to complete a through investigation of an allegation of abuse for one of six residents (Resident (R) 11) reviewed for abuse and neglect out of a total sample of 29. This failed practice had the potential to affect resident safety at the facility.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure one of 29 residents (Resident (R) 29 reviewed had a mattress that fit the bed frame. The failure created the potential for an injury if R29 's feet became tangled in the gap between the mattress and the footboard of the bed.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of 29 sample residents (Resident (R) 50 had an alternative call light device available when the call light system malfunctioned. The failure created the potential for the resident's care needs to be unmet.
July 16, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, record review and review of other facility documentation it was determined that for one (R1) out of three residents reviewed for accidents the facility failed to provide adequate supervision to prevent an accident. R1, a totally dependent resident was rolled out of bed when a staff person lost grip on R1 during care. R1 rolled from the bed and fell three (3) feet to the floor sustaining a laceration to the head and was emergently transported to the hospital, this resulted in harm to R1. 6/6/17 - R1 was admitted to the facility with diagnoses of but not limited to unspecified dementia (a brain disorder with memory loss), sarcoidosis (an inflammatory disease) and aphasia (neurological condition affecting language). 5/20/24 - An annual MDS documented R1 as totally dependent for self-care, bed mobility and was severely impaired cognition. [...]
November 8, 2023Standard inspection, Complaint inspection · 17 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, it was determined that for two (R98 and R417) out of twenty-nine residents reviewed for resident assessment, the facility failed to accurately complete MDS assessments to reflect resident status.
- E Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, it was determined that for four (R30, R38, R40 and R74) out of five residents reviewed for PASARR, the facility failed to ensure that a referral for a PASARR screening was completed following a new diagnosis of psychotic disorder which was not listed on the previous PASARR.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, it was determined that for three (3) (R40, R89, and R514) out of twenty nine residents reviewed for care plans, the facility failed to develop and implement a comprehensive person-centered care plan for an identified need.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, it was determined that for four (R7, R20, R56, and R87) out of twenty-nine residents reviewed for care plans, the facility failed to ensure the care plan was revised to reflect current care needs. For R7 and R20, the facility failed to have the required members present for the IDT (interdisciplinary team) meeting.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, it was determined that for one, (R7), out of three residents reviewed for (ADLs) for activities of daily living, the facility failed to ensure that residents who are unable to carry out ADLs received the necessary services to maintain good grooming.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review, it was determined that for two (R58 and R87) out of twenty-nine (29) residents reviewed for quality of care, the facility failed to follow physician orders.
- E 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.
Inspectors wroteBased on record review and interview, it was determined that for one (R58) out of six residents reviewed for unnecessary medications, the facility lacked evidence of a gradual dose reduction (GDR) and qualifying diagnosis for R58's physician prescribed antidepressant.
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview and record review, it was determined that for four (R5, R39, R40 and R66) out of six sampled residents for dental services, the facility failed to assist the residents in obtaining routine dental services.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and document review, it was determined that the facility failed to ensure safe sanitary storage of food, maintain food preparation equipment and kitchen area in a sanitary condition, and maintain food temperature logs.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on document review, it was determined that the facility failed to have acceptable measures in place to prevent the growth of Legionella and other opportunistic waterborne pathogens.
- E Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on record review and interview, it was determined that for one (E18) out of twelve staff being sampled for abuse training, the facility failed to ensure that E18 received the annual abuse training.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, it was determined that for one (R90) out of two residents reviewed for dignity, the facility failed to ensure care was provided in a way that promoted dignity and respect.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on interview and record review, it was determined that, for one (R87) out of one resident sampled for activities, the facility failed to ensure that R76 was provided their activity of interest.
- 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.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R66) of four residents reviewed for ROM/mobility, the facility failed to provide appropriate services, equipment, and assistance to maintain function/mobility.
- D Provide routine and 24-hour emergency dental care for each resident.
Inspectors wroteBased on interview and record review, it was determined that for one (R56) out of one sampled resident for dental services, the facility failed to assist the resident in obtaining routine dental services.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, interview and record review, it was determined that for one (R34) out of three residents reviewed for food preferences, the facility failed to accommodate R34's food preferences or choices.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview, record review and review of other facility documentation, it was determined that the facility failed to ensure, in accordance with professional standards and practices, that medical records for one (R66) out of twenty nine (29) of the investigative sampled residents were accurate.
Fire safety inspections
1 fire safety citation on file: 1 on November 8, 2023.
Every fire safety citation1 citation
- E Establish staff and initial training requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 16, 2024 | Fine | $8,018 |
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.
| Measure | This home | Delaware | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.87 | 4.35 | 3.86 |
| Registered nurses | 0.71 | 0.97 | 0.69 |
| All nursing staff on weekends | 3.43 | 3.89 | 3.42 |
| Nurse aides | 2.15 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 45.8% | 41.3% | 45.8% |
| Registered nurse turnover | 42.9% | 41.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.43 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 4.05 on weekdays and 3.43 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.81 in April to June 2025 to 3.87 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.87 | 0.71 | 4.05 | 3.43 | 1.3% | 0 of 90 | 104 |
| Oct to Dec 2025 | 3.78 | 0.57 | 3.87 | 3.55 | 0.4% | 0 of 92 | 104 |
| Jul to Sep 2025 | 3.91 | 0.68 | 4.04 | 3.59 | 0.5% | 0 of 92 | 103 |
| Apr to Jun 2025 | 3.81 | 0.68 | 3.95 | 3.46 | 0.1% | 0 of 91 | 105 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Delaware, Jan to Mar 2026 | 4.05 | 0.79 | 4.21 | 3.67 | 5.7% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Delaware | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.2 | 12.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.0 | 13.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.3 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.6 | 23.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.4 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.4 | 1.8 |
Owners and operators
Legal business name: CAPITOL NURSING AND REHABILITATION CENTER LLC. CMS links this home to Cadia Healthcare, a group of 5 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | 5% or greater indirect ownership interest | Organization | 12/31/2010 | |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | 5% or greater indirect ownership interest | Organization | 12/31/2010 | |
| Schafer Family LLC | 5% or greater indirect ownership interest | Organization | 12/31/2010 | |
| Silver Holdings LLC | 5% or greater indirect ownership interest | Organization | 12/31/2010 | |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | 5% or greater indirect ownership interest | Organization | 12/31/2010 | |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | 5% or greater indirect ownership interest | Organization | 12/31/2010 | |
| Schafer, Eric | 5% or greater indirect ownership interest | Individual | 12/31/2010 | |
| Schafer, Lauren | 5% or greater indirect ownership interest | Individual | 12/31/2010 | |
| Silver, Jonathan | 5% or greater indirect ownership interest | Individual | 12/31/2010 | |
| Litwa, Karen | Corporate officer | Individual | 02/01/1997 | |
| Long Term Care Corp | Operational/managerial control | Organization | 02/01/1997 | |
| Dittmar, Laura | Operational/managerial control | Individual | 11/13/2024 | |
| Makoyi, Freddy | Operational/managerial control | Individual | 03/01/2021 | |
| Price, Elizabeth | Operational/managerial control | Individual | 11/13/2024 | |
| Silver, Stephen | Operational/managerial control | Individual | 02/01/1997 | |
| Litwa, Karen | Trustee of the SNF | Individual | 02/01/1997 | |
| Long Term Care Corp | Adp of the SNF | Organization | 02/01/1997 | |
| Sabra Health Care Reit Inc | Adp of the SNF | Organization | 08/01/2011 | |
| Dittmar, Laura | Adp of the SNF | Individual | 11/13/2024 | |
| Litwa, Karen | Adp of the SNF | Individual | 02/01/1997 | |
| Makoyi, Freddy | Adp of the SNF | Individual | 03/01/2023 | |
| Price, Elizabeth | Adp of the SNF | Individual | 11/13/2024 | |
| Schafer, Ron | Adp of the SNF | Individual | 02/01/1997 | |
| Silver, Stephen | Adp of the SNF | Individual | 02/01/1997 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on January 27, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on January 27, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on January 27, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on January 27, 2026: "Ensure that residents are free from significant medication errors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.43 hours per resident per day, below the Delaware average of 3.89.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Westminster Village Health Dover, 0.5 mi · 4 of 5 stars · 33 citations
- Complete Care at Silver Lake LLC Dover, 1.1 mi · 3 of 5 stars · 30 citations
- Center at Eden Hill, LLC Dover, 1.5 mi · 5 of 5 stars · 21 citations
- Bay Terrace Rehabilitation and Health Center Dover, 2.9 mi · 3 of 5 stars · 38 citations
- Evergreen Post Acute Smyrna, 6.8 mi · 2 of 5 stars · 69 citations
- Delaware Hospital F/T Chronically Ill (dhci) Smyrna, 8.9 mi · 2 of 5 stars · 11 citations
- Delaware Veterans Home Milford, 16.9 mi · 4 of 5 stars · 21 citations
- Milford Center Milford, 19 mi · 2 of 5 stars · 60 citations
Delaware contacts for a concern about a nursing home
These are the official offices in Delaware. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Delaware Division of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Delaware Long-Term Care Ombudsman Program, 1-855-773-1002. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Delaware Licensed Nursing Homes, survey reports, where Delaware publishes its own records on licensed homes.
Common questions
- What is Cadia Rehabilitation Capitol's Medicare star rating?
- CMS rates Cadia Rehabilitation Capitol 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cadia Rehabilitation Capitol get at its last inspection?
- 6 health deficiencies at the standard inspection on January 27, 2026. The Delaware average is 10.9.
- Has Cadia Rehabilitation Capitol been fined?
- Yes. CMS lists 1 fine totaling $8,018 in the last three years.
- Does Cadia Rehabilitation Capitol 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 Capitol?
- CMS lists 24 owners and managers, and links the home to Cadia Healthcare. Legal business name: CAPITOL NURSING AND REHABILITATION CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.