Cadia Rehabilitation Broadmeadow, Middletown, Delaware

41
Citations from health inspectionsDelaware average: 37 a home: 5
Residents harmed or put in dangerDelaware average: 2.4 a home: $216,429
Fines from the federal governmentDelaware average: $67,512 a home: 1 out of 5
Overall rating in starsDelaware average: 3.2

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Five inspection visits produced 41 citations. Residents were in immediate danger in three findings. Residents were found hurt in two cases. Federal fines came to $216,429 (three fines).

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 4 out of 5
Rating for quality of care: 4 out of 5
Nurse time for each resident: 3.88 hours each dayThe Delaware average is 4.35 hours
Time from registered nurses: 0.71 hours each dayThe Delaware average is 0.97 hours
Nursing staff who left during one year: 44.9%against the Delaware average of 41.3%
Beds that are certified: 120
Ownership: Limited Liability company (for profit)
Chain: Cadia Healthcare, with five homes
Street address: 500 South Broad Street, Middletown, Delaware 19709
County: New Castle

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Four citations dated May 29, 2026

F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

12 citations dated Jan. 30, 2026

F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.

One citation dated Nov. 14, 2025

F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.

Four citations dated July 7, 2025

F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F726 Nurses and Aides Have Needed Skills: immediate danger to residents, one or a few residents, found on a complaint visit.
F678 CPR and Basic Life Support: immediate danger to residents, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

20 citations dated Jan. 22, 2025

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F847 Right to Refuse Binding Arbitration: risk of harm, no one found hurt, one or a few residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
F773 Order Laboratory Tests and Report Results Promptly: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
F712 Face to Face Doctor Visits: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: residents were harmed, one or a few residents, found on a complaint visit.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F685 Help Getting Vision and Hearing Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F646 Report Major Changes in Mentally Ill or Disabled Residents: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
May 29, 2026	Fine	$137,303
July 7, 2025	Fine	$17,610
Jan. 22, 2025	Fine	$61,516

Ownership and Management of the Home

The home is run by Long Term Care Corp (operational or managerial control).
The direct 50% owner is Schafer Family LLC.
The direct 50% owner is Silver Holdings LLC.
Owns 5% through another company: Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer.
Owns 5% through another company: Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer.
Owns 5% through another company: Stephen Silver Irrevocable Trust Fbo Casey Silver.
Owns 5% through another company: Stephen Silver Irrevocable Trust Fbo Jonathan Silver.

Three people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 085050. Other homes in Delaware.