Cadia Rehabilitation Renaissance

26002 John J Williams Highway · Millsboro, DE · 19966 · 3029474200

130 certified beds For profit - Limited Liability company Chain: Cadia Healthcare

  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 84
Staffing 20% 72
Federal penalties 15% 74
Trend 10% 75
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.753.48 min · 4.1 strong
RN hours / resident-day0.680.55–0.75
Weekend hours / resident-day3.46≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $13,627

Inspection citations (39 in the current record)

  • Potential for harm · E August 25, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected October 9, 2025 · Resident Rights

  • Potential for harm · D August 25, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected October 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 25, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected October 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 25, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 9, 2025 · Quality of Life and Care

  • Potential for harm · D August 25, 2025

    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.

    Corrected October 9, 2025 · Quality of Life and Care

  • Potential for harm · D August 25, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected October 9, 2025 · Pharmacy Service

  • Potential for harm · D August 25, 2025

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected October 9, 2025 · Administration

  • Potential for harm · F August 25, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 9, 2025 · Nutrition and Dietary

  • Potential for harm · D August 25, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 25, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 9, 2025 · Pharmacy Service

  • Potential for harm · D August 25, 2025 · found via complaint

    Ensure 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.

    Corrected October 9, 2025 · Pharmacy Service

  • Potential for harm · D June 2, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 2, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 19, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 23, 2024 · Resident Rights

  • Potential for harm · D September 19, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected October 23, 2024 · Resident Rights

  • Potential for harm · D September 19, 2024 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected October 23, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 19, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 19, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected October 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 19, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · D September 19, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · D September 19, 2024 · found via complaint

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · D September 19, 2024 · found via complaint

    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.

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · D September 19, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 23, 2024 · Pharmacy Service

  • Potential for harm · D September 19, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected October 23, 2024 · Pharmacy Service

  • Potential for harm · D September 19, 2024 · found via complaint

    Ensure 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.

    Corrected October 23, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 2, 2024Fine$13,627

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085052 · certified since January 29, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.