Starfile

Starfile / Delaware

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.

CycleInspection dateThis facilityDelaware avgNational avgvs state
12025-01-231513.59.5+1.5 worse
22024-02-12613.69.8-7.6 better
32022-12-091112.69.3-1.6 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation4
Quality of life and care2
Resident assessment and care planning1
Resident rights3
Nutrition and dietary3
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.0535.7%
RN staffing (reported)0.9644.1%
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

  1. 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

  2. DF0610Respond appropriately to all alleged violations.2026-01-23 · Health · corrected 2026-03-11

    Potential for more than minimal harm

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. EF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  15. FF0881Implement a program that monitors antibiotic use.2025-01-23 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  21. DF0791Provide or obtain dental services for each resident.2024-02-12 · Health · corrected 2024-03-06

    Potential for more than minimal harm

  22. 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

  23. DF0637Assess the resident when there is a significant change in condition2022-12-09 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  24. 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

  25. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-09 · Health · corrected 2023-01-23

    Actual harm

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. EF0908Keep all essential equipment working safely.2022-12-09 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  32. 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

OwnerTypeRolePercentSince
PC DE OPCOS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-06-01
PC WTA OPCO HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-06-01
PEACE CAPITAL HOLDINGS LLC (DE)Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-06-01
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-06-01
COX, VICKIEIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
MANSFIELD, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
RASTOGI, RITUIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
SILVERBERG, NISANELIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
SMITH, STEVENIndividualOPERATIONAL/MANAGERIAL CONTROL2022-05-29
STEIN, SHALOMIndividualCORPORATE OFFICER2021-06-01
WELLTOWER INCOrganization5% OR GREATER SECURITY INTEREST2021-07-30

Other facilities in DOVER

NameOverallBeds
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.