Nursing Care Index

Cadia Rehabilitation Capitol

Dover, Kent County, Delaware · CCN 085048 · For-profit (LLC) · part of Cadia Healthcare (5 facilities, chain average 3.2 stars)

CMS rates Cadia Rehabilitation Capitol 3 of 5 overall as of August 2026. 120 certified beds, 104 residents a day on average. 31 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $8,018.

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-stay5 / 3 of 5

Staffing

Total nurse staffing3.86898 hours per resident per day
Registered nurses0.70641 hours per resident per day
Weekend total3.43254 hours per resident per day
Nursing staff turnover45.8% (registered nurses 42.9%)
Administrators who left1

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.

SurveyFindingSeverityStatus
2026-01-27
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2025-12-11
2026-01-27
complaint survey
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
2026-03-13
2026-01-27 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
2026-03-13
2026-01-27 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-13
2026-01-27 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-13
2026-01-27 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
2026-03-13
2024-12-12
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
2025-01-24
2024-12-12
complaint survey
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
2025-01-24
2024-12-12
complaint survey
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
2025-01-24
2024-12-12
complaint survey
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
2025-01-24
2024-12-12
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-24
2024-12-12
complaint survey
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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-24
2024-12-12
complaint survey
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-24
2024-07-16
complaint survey
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 Past Non-Compliance
2024-06-14
2023-11-08
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08
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
2023-12-08
2023-11-08 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08
complaint survey
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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08
complaint survey
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · tag F0791
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08 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
2023-12-08
2023-11-08 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-08
2023-11-08 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-08
2023-11-08 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-08
2023-11-08 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
2023-12-08
2023-11-08 Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · tag F0790
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-08
2023-11-08 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-08
2023-11-08 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
2023-12-08

Fines and payment denials

DatePenaltyAmount
2024-07-16Fine$8,018

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.

NameRoleShareSince
Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer
Organization
5% or greater indirect ownership interest2010-12-31
Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer
Organization
5% or greater indirect ownership interest2010-12-31
Schafer Family LLC
Organization
5% or greater indirect ownership interest2010-12-31
Silver Holdings LLC
Organization
5% or greater indirect ownership interest2010-12-31
Stephen Silver Irrevocable Trust Fbo Casey Silver
Organization
5% or greater indirect ownership interest2010-12-31
Stephen Silver Irrevocable Trust Fbo Jonathan Silver
Organization
5% or greater indirect ownership interest2010-12-31
Long Term Care Corp
Organization
adp of the snf1997-02-01
Sabra Health Care Reit Inc.
Organization
adp of the snf2011-08-01
Long Term Care Corp
Organization
operational/managerial control1997-02-01
Schafer, Eric
Individual
5% or greater indirect ownership interest2010-12-31
Schafer, Lauren
Individual
5% or greater indirect ownership interest2010-12-31
Silver, Jonathan
Individual
5% or greater indirect ownership interest2010-12-31
Dittmar, Laura
Individual
adp of the snf2024-11-13
Litwa, Karen
Individual
adp of the snf1997-02-01
Makoyi, Freddy
Individual
adp of the snf2023-03-01
Price, Elizabeth
Individual
adp of the snf2024-11-13
Schafer, Ron
Individual
adp of the snf1997-02-01
Silver, Stephen
Individual
adp of the snf1997-02-01
Litwa, Karen
Individual
corporate officer1997-02-01
Dittmar, Laura
Individual
operational/managerial control2024-11-13
Makoyi, Freddy
Individual
operational/managerial control2021-03-01
Price, Elizabeth
Individual
operational/managerial control2024-11-13
Silver, Stephen
Individual
operational/managerial control1997-02-01
Litwa, Karen
Individual
trustee of the snf1997-02-01

What changed

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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.