nursing home in Dover, DE
Complete Care at Silver Lake LLC
1080 Silver Lake Blvd, Dover, DE 19904 · (302) 734-5990
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at Silver Lake LLC at a glance
Complete Care at Silver Lake LLC is a 120-bed for-profit nursing home in Dover, Delaware (Kent County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Delaware average of 3.2.
Residents receive about 3.7 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 4.3 hours.
Its most recent standard health inspection (January 23, 2026) found 11 health citations. The Delaware average is 10.9.
Federal regulators fined it 1 time in the past three years, totaling $47,541.
Nursing staff turnover is 34.5% per year (state average 41.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- May 10, 1984
- Resident/family council
- Both
- County
- Kent County
- CMS Certification Number
- 085027
Ratings
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.75 hrs | 4.35 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.94 hrs | 0.97 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.98 hrs | 2.40 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.35 hrs | 3.89 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 34.5% | 41.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 41.9% | 41.2% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 77 | 98 | 80.6 | Average |
Penalties
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $47,541 | $67,512 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 107 | 107 | |
| Average residents per day | 117 | 90 | 86 | |
| Occupancy | 97.3% | 81.1% | 80.9% |
Long-stay residents
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.8% | 3.2% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.2% | 3.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 7.4% | 10.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 2.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.8% | 12.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 3.9% | 13.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.5% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 78.5% | 10.3% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.1% | 21.8% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 20% | 20.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 97.4% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.4% | 1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 95.4% | 83.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.7% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 30 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 23, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 11, 2026 |
| January 23, 2026 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | F Potential harm, widespread | Corrected March 11, 2026 |
| January 23, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2026 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 11, 2026 |
| January 23, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 6, 2025 |
| January 23, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected March 6, 2025 |
| January 23, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 6, 2025 |
| January 23, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 6, 2025 |
| January 23, 2025 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected March 6, 2025 |
| January 23, 2025 Standard | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | D Potential harm, isolated | Corrected March 6, 2025 |
| January 23, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0742 | D Potential harm, isolated | Corrected March 6, 2025 |
| January 23, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected March 6, 2025 |
| January 23, 2025 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected March 6, 2025 |
| January 23, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 6, 2025 |
| January 23, 2025 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected March 6, 2025 |
| January 23, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 12, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 25, 2024 |
| February 12, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected March 25, 2024 |
| February 12, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected March 25, 2024 |
| February 12, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected March 25, 2024 |
| February 12, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 6, 2024 |
| February 12, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 6, 2024 |
| February 12, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 6, 2024 |
| February 12, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected March 6, 2024 |
| February 12, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 6, 2024 |
| February 12, 2024 Complaint | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | C No harm, widespread | Corrected March 6, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $47,541 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 23, 2025 | Fine | $47,541 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PC DE OPCOS LLC Organization | 5% or greater direct ownership interest | 100% | 06/01/2021 |
| PC WTA OPCO HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 06/01/2021 |
| SMS 2021 TRUST Organization | 5% or greater indirect ownership interest | — | 06/01/2021 |
| WELLTOWER INC Organization | 5% or greater security interest | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN HOLDCO II CO-BORROWER, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN HOLDCO II, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN II REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN PARTNERS II LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| BURNS, DONNA Individual | adp of the snf | NOT APPLICABLE | 04/18/2024 |
| HILLSIDE CENTER REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| J & R FAMILY INVESTMENTS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| LANDAU FAMILY INVESTMENT TRUST Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| L FRIEDMAN 2018 FAMILY TRUST Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| L FRIEDMAN FAMILY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| MANSFIELD, MELISSA Individual | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| M FRIEDMAN 2018 FAMILY TRUST Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| PC WTA ACQUISITION LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| PC WTA MULTI-STATE LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| PEACE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| RASTOGI, RITU Individual | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| R&J FAMILY INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| SMITH, STEVEN Individual | adp of the snf | NOT APPLICABLE | 05/29/2022 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 06/01/2021 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 06/01/2021 |
| STEIN, SHALOM Individual | managing control - governing body | NOT APPLICABLE | 06/01/2021 |
| COX, VICKIE Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| MANSFIELD, MELISSA Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| RASTOGI, RITU Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| SILVERBERG, NISANEL Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| SMITH, STEVEN Individual | operational/managerial control | NOT APPLICABLE | 05/29/2022 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 06/01/2021 |
Other nursing homes near Complete Care at Silver Lake LLC
Westminster Village Health
1175 McKee Road, Dover, DE 19904 · under 1 mi
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★★★★★4Above averageCadia Rehabilitation Capitol
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For-profit · 120 beds · Part of Cadia Healthcare
★★★★★3AverageCenter at Eden Hill, LLC
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- CMS high performer
★★★★★5Much above averageBay Terrace Rehabilitation and Health Center
889 South Little Creek Road, Dover, DE 19901 · 2.5 mi
For-profit · 85 beds · Part of Prestige Healthcare Administrative Services
★★★★★3AverageEvergreen Post Acute
3034 South Dupont Blvd, Smyrna, DE 19977 · 6.3 mi
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★★★★★2Below averageDelaware Hospital F/T Chronically Ill (Dhci)
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Government · 175 beds
- Special Focus candidate
★★★★★2Below average
Frequently asked questions
What is Complete Care at Silver Lake LLC's rating?
Complete Care at Silver Lake LLC has 3 out of 5 stars on the CMS overall star rating. The average for Delaware nursing homes is 3.2 stars.
How many inspection citations did Complete Care at Silver Lake LLC receive?
Its most recent standard health inspection found 11 citations, compared with a Delaware average of 10.9. Every citation is listed on this page with its severity.
Does Complete Care at Silver Lake LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Complete Care at Silver Lake LLC?
It is for profit - limited liability company and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Complete Care at Silver Lake LLC and how do I contact it?
Complete Care at Silver Lake LLC is at 1080 Silver Lake Blvd, Dover, DE 19904. Phone: (302) 734-5990.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.