Complete Care At Silver Lake LLC
Dover, Kent County, Delaware · CCN 085027 · For-profit (LLC) · part of Complete Care (85 facilities, chain average 3.1 stars)
CMS rates Complete Care At Silver Lake LLC 3 of 5 overall as of August 2026. 120 certified beds, 117 residents a day on average. 30 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $47,541.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 3.74717 hours per resident per day |
|---|---|
| Registered nurses | 0.93606 hours per resident per day |
| Weekend total | 3.35261 hours per resident per day |
| Nursing staff turnover | 34.5% (registered nurses 41.9%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-23 complaint survey |
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 No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2026-01-23 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-11 |
| 2025-01-23 | 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 that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | 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 No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · tag F0660 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2025-01-23 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-06 |
| 2024-02-12 complaint survey |
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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-12 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-12 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-12 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-12 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-12 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-12 complaint survey |
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 actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-03-06 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-23 | Fine | $47,541 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| PC De Opcos LLC Organization | 5% or greater direct ownership interest | 100% | 2021-06-01 |
| PC Wta Opco Holdco LLC Organization | 5% or greater indirect ownership interest | — | 2021-06-01 |
| Sms 2021 Trust Organization | 5% or greater indirect ownership interest | — | 2021-06-01 |
| Welltower Inc. Organization | 5% or greater security interest | — | 2021-07-30 |
| Aurora Guardian Holdco II Co-Borrower, LLC Organization | adp of the snf | — | 2021-07-30 |
| Aurora Guardian Holdco II, LLC Organization | adp of the snf | — | 2021-07-30 |
| Aurora Guardian II Realty, LLC Organization | adp of the snf | — | 2021-07-30 |
| Aurora Guardian Partners II LLC Organization | adp of the snf | — | 2021-07-30 |
| Hillside Center Realty, LLC Organization | adp of the snf | — | 2021-07-30 |
| J & R Family Investments, LLC Organization | adp of the snf | — | 2021-07-30 |
| L Friedman 2018 Family Trust Organization | adp of the snf | — | 2021-07-30 |
| L Friedman Family Holdings LLC Organization | adp of the snf | — | 2021-07-30 |
| Landau Family Investment Trust Organization | adp of the snf | — | 2021-07-30 |
| M Friedman 2018 Family Trust Organization | adp of the snf | — | 2021-07-30 |
| PC Wta Acquisition LLC Organization | adp of the snf | — | 2021-06-01 |
| PC Wta Multi-State LLC Organization | adp of the snf | — | 2021-06-01 |
| Peace Capital Holdings LLC Organization | adp of the snf | — | 2021-06-01 |
| R&J Family Investments LLC Organization | adp of the snf | — | 2021-07-30 |
| Sms 2021 Trust Organization | adp of the snf | — | 2021-06-01 |
| Welltower Inc. Organization | adp of the snf | — | 2021-07-30 |
| Burns, Donna Individual | adp of the snf | — | 2024-04-18 |
| Mansfield, Melissa Individual | adp of the snf | — | 2021-06-01 |
| Rastogi, Ritu Individual | adp of the snf | — | 2021-06-01 |
| Smith, Steven Individual | adp of the snf | — | 2022-05-29 |
| Stein, Shalom Individual | corporate officer | — | 2021-06-01 |
| Stein, Shalom Individual | indirect ownership interest | — | 2021-06-01 |
| Stein, Shalom Individual | managing control - governing body | — | 2021-06-01 |
| Cox, Vickie Individual | operational/managerial control | — | 2021-06-01 |
| Mansfield, Melissa Individual | operational/managerial control | — | 2021-06-01 |
| Rastogi, Ritu Individual | operational/managerial control | — | 2021-06-01 |
| Silverberg, Nisanel Individual | operational/managerial control | — | 2021-06-01 |
| Smith, Steven Individual | operational/managerial control | — | 2022-05-29 |
| Stein, Shalom Individual | trustee of the snf | — | 2021-06-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Complete Care At Silver Lake LLC.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Kent County.