COMPLETE CARE AT SILVER LAKE LLC
1080 SILVER LAKE BLVD, DOVER, DE 19904 · CCN 085027
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 115.9
- Phone
- 3027345990
Inspection history vs Delaware & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Delaware avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-23 | 15 | 13.5 | 9.5 | +1.5 worse |
| 2 | 2024-02-12 | 6 | 13.6 | 9.8 | -7.6 better |
| 3 | 2022-12-09 | 11 | 12.6 | 9.3 | -1.6 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 3 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.05 | 35.7% |
| RN staffing (reported) | 0.96 | 44.1% |
| Total nurse staffing (adjusted) | 4.12 | — |
Fines & penalties
- Total fines
- $47,541
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (32)2 actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-23 · Health · corrected 2026-03-11
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2026-01-23 · Health · corrected 2026-03-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-23 · Health · corrected 2026-03-11
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0625Notify 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.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-23 · Health · corrected 2025-03-06
Actual harm
- DF0742Provide 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.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2025-01-23 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-12 · Health · corrected 2024-03-06
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-12 · Health · corrected 2024-03-06
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-12 · Health · corrected 2024-03-06
Potential for more than minimal harm
- DF0688Provide 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.2024-02-12 · Health · corrected 2024-03-06
Potential for more than minimal harm
- CF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-12 · Health · corrected 2024-03-06
Potential for minimal harm
- DF0791Provide or obtain dental services for each resident.2024-02-12 · Health · corrected 2024-03-06
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-12 · Health · corrected 2024-03-06
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-09 · Health · corrected 2023-01-23
Actual harm
- DF0688Provide 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.2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2022-12-09 · Health · corrected 2023-01-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | 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 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-06-01 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 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 | CORPORATE OFFICER | — | 2021-06-01 |
| WELLTOWER INC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2021-07-30 |
Other facilities in DOVER
| Name | Overall | Beds |
|---|---|---|
| CENTER AT EDEN HILL, LLC | ★★★★★ | 80 |
| WESTMINSTER VILLAGE HEALTH | ★★★★☆ | 75 |
| BAY TERRACE REHABILITATION AND HEALTH CENTER | ★★★☆☆ | 77 |
| CADIA REHABILITATION CAPITOL | ★★★☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.