nursing home in Middletown, DE
Cadia Rehabilitation Broadmeadow
500 South Broad Street, Middletown, DE 19709 · (302) 449-3400
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★4
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cadia Rehabilitation Broadmeadow at a glance
Cadia Rehabilitation Broadmeadow is a 120-bed for-profit nursing home in Middletown, Delaware (New Castle County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Delaware average of 3.2.
Residents receive about 3.9 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.3 hours.
Its most recent standard health inspection (January 30, 2026) found 17 health citations. The Delaware average is 10.9.
Federal regulators fined it 3 times in the past three years, totaling $216,429.
Nursing staff turnover is 44.9% 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
- Cadia Healthcare
- Medicare-certified since
- December 21, 2005
- Resident/family council
- Resident
- County
- New Castle County
- CMS Certification Number
- 085050
Ratings
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| 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) | 4 / 5 | 4.4 / 5 | 3.8 / 5 | Average |
| 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) | 3.88 hrs | 4.35 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.71 hrs | 0.97 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.18 hrs | 2.40 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.59 hrs | 3.89 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 44.9% | 41.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 39.1% | 41.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 17 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 215.8 | 98 | 80.6 | Worse |
Penalties
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $216,429 | $67,512 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 107 | 107 | |
| Average residents per day | 112 | 90 | 86 | |
| Occupancy | 93.5% | 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) | 2.9% | 3.2% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 3.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.6% | 10.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.1% | 12.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.9% | 13.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.4% | 5.4% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 1.3% | 10.3% | 12.8% | Better |
| 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) | 23.1% | 21.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 11.5% | 20.2% | 19% | Better |
| 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) | 0.2% | 1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 77.1% | 83.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.5% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 5 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 29, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected July 13, 2026 |
| May 29, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 13, 2026 |
| May 29, 2026 Complaint | 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 July 13, 2026 |
| May 29, 2026 Complaint | 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 July 13, 2026 |
| January 30, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected April 17, 2026 |
| January 30, 2026 Standard | 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. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected March 17, 2026 |
| January 30, 2026 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 17, 2026 |
| January 30, 2026 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 17, 2026 |
| January 30, 2026 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected March 17, 2026 |
| January 30, 2026 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 17, 2026 |
| January 30, 2026 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 17, 2026 |
| January 30, 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 17, 2026 |
| January 30, 2026 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected March 17, 2026 |
| January 30, 2026 Standard | 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 17, 2026 |
| January 30, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 17, 2026 |
| January 30, 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 17, 2026 |
| January 30, 2026 Standard | 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 | D Potential harm, isolated | Corrected March 17, 2026 |
| November 14, 2025 Complaint | 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 December 29, 2025 |
| July 7, 2025 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | J Immediate jeopardy, isolated | Corrected July 29, 2025 |
| July 7, 2025 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected July 29, 2025 |
| July 7, 2025 Complaint | 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 July 29, 2025 |
| July 7, 2025 Complaint | 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. Administration Deficiencies · Tag F0838 | D Potential harm, isolated | Corrected July 29, 2025 |
| January 22, 2025 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected April 14, 2025 |
| January 22, 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 8, 2025 |
| January 22, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Standard | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected April 14, 2025 |
| January 22, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Standard | 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 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Standard | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Complaint | 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 8, 2025 |
| January 22, 2025 Complaint | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 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 April 14, 2025 |
| January 22, 2025 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 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 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 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 8, 2025 |
| January 22, 2025 Standard | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Complaint | 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 8, 2025 |
| January 22, 2025 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 8, 2025 |
| January 22, 2025 Standard | 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 8, 2025 |
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 3 federal penalties in the past three years, including $216,429 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 29, 2026 | Fine | $137,303 |
| July 7, 2025 | Fine | $17,610 |
| January 22, 2025 | Fine | $61,516 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SCHAFER FAMILY LLC Organization | 5% or greater direct ownership interest | 50% | 12/31/2010 |
| SILVER HOLDINGS LLC Organization | 5% or greater direct ownership interest | 50% | 12/31/2010 |
| RONALD E SCHAFER IRREV TR FBO ERIC ROBERT SCHAFER Organization | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| RONALD E SCHAFER IRREV TRFBO LAUREN ELIZABETH MARIE SCHAFER Organization | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| SCHAFER, ERIC Individual | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| SCHAFER, LAUREN Individual | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| SILVER, JONATHAN Individual | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| STEPHEN SILVER IRREVOCABLE TRUST FBO CASEY SILVER Organization | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| STEPHEN SILVER IRREVOCABLE TRUST FBO JONATHAN SILVER Organization | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| DITTMAR, LAURA Individual | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| HYLTON, ALFRED Individual | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| LITWA, KAREN Individual | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| LONG TERM CARE CORP Organization | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| PRICE, ELIZABETH Individual | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| SABRA HEALTH CARE REIT INC Organization | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| SCHAFER, RON Individual | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| HYLTON, ALFRED Individual | contracted managing employee | NOT APPLICABLE | 10/23/2023 |
| LITWA, KAREN Individual | contracted managing employee | NOT APPLICABLE | 10/01/2005 |
| SCHAFER, RON Individual | contracted managing employee | NOT APPLICABLE | 10/01/2005 |
| SILVER, STEPHEN Individual | contracted managing employee | NOT APPLICABLE | 10/01/2005 |
| LITWA, KAREN Individual | corporate officer | NOT APPLICABLE | 10/01/2005 |
| DITTMAR, LAURA Individual | operational/managerial control | NOT APPLICABLE | 01/24/2025 |
| HYLTON, ALFRED Individual | operational/managerial control | NOT APPLICABLE | 01/24/2025 |
| LONG TERM CARE CORP Organization | operational/managerial control | NOT APPLICABLE | 10/01/2005 |
| PRICE, ELIZABETH Individual | operational/managerial control | NOT APPLICABLE | 01/24/2025 |
| SCHAFER, RON Individual | operational/managerial control | NOT APPLICABLE | 01/24/2025 |
| SILVER, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 01/24/2025 |
Other nursing homes near Cadia Rehabilitation Broadmeadow
Elkton Nursing and Rehabilitation Center
1 Price Drive, Elkton, MD 21921 · 11.6 mi
For-profit · 182 beds · Part of Lifeworks Rehab
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageDelaware Hospital F/T Chronically Ill (Dhci)
100 Sunnyside Road, Smyrna, DE 19977 · 12.3 mi
Government · 175 beds
- Special Focus candidate
★★★★★2Below average- ★★★★★3Average
New Castle Health and Rehabilitation Center
32 Buena Vista Drive, New Castle, DE 19720 · 14.2 mi
For-profit · 120 beds · Part of Saber Healthcare Group
- Special Focus candidate
★★★★★2Below averageEvergreen Post Acute
3034 South Dupont Blvd, Smyrna, DE 19977 · 14.4 mi
For-profit · 151 beds · Part of Prestige Healthcare Administrative Services
★★★★★2Below average- ★★★★★5Much above average
Frequently asked questions
What is Cadia Rehabilitation Broadmeadow's rating?
Cadia Rehabilitation Broadmeadow has 1 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 Cadia Rehabilitation Broadmeadow receive?
Its most recent standard health inspection found 17 citations, compared with a Delaware average of 10.9. Every citation is listed on this page with its severity.
Does Cadia Rehabilitation Broadmeadow 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 Cadia Rehabilitation Broadmeadow?
It is for profit - limited liability company and part of Cadia Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cadia Rehabilitation Broadmeadow and how do I contact it?
Cadia Rehabilitation Broadmeadow is at 500 South Broad Street, Middletown, DE 19709. Phone: (302) 449-3400.
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.