Complete Care at Silver Lake LLC

CMS star ratings

Overall★★★★★ 3/5

State avg 3.3

Health inspections★★★★★ 3/5

State avg 2.7

Staffing★★★★★ 4/5

State avg 4.0

Quality measures★★★★★ 4/5

State avg 4.0

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.75 (state 4.35 · U.S. 3.86)
Registered nurses (RN): 0.94 (state 0.97 · U.S. 0.69)
Licensed practical nurses: 0.83 (state 0.98 · U.S. 0.86)
Nurse aides: 1.98 (state 2.40 · U.S. 2.32)
Weekend total: 3.35 (state 3.89 · U.S. 3.42)
Nursing staff turnover: 34.5 (state 41.3 · U.S. 45.8)%
RN turnover: 41.9 (state 41.2 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: January 23, 2026
Health deficiencies (last cycle): 11.0 (state 10.5 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 30 health · 4 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-01-23	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2026-03-11
2026-01-23	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2026-03-11
2026-01-23	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-11
2026-01-23	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-11
2026-01-23	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-11
2026-01-23	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-11
2026-01-23	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-11
2025-01-23	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 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. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-03-06
2025-01-23	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-03-06
2025-01-23	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-03-06
2025-01-23	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-06
2025-01-23	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-06
2025-01-23	Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0742 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-06
2025-01-23	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-06
2024-02-12	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-06
2024-02-12	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-06
2024-02-12	Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-06
2024-02-12	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-06
2024-02-12	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies · complaint inspection	C No actual harm, potential for minimal harm	Corrected 2024-03-06

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $47,541 in fines.

Date	Type	Amount
2025-01-23	Fine	$47,541

Ownership & management

Name	Role	Since
PC De Opcos LLC (organization)	5%+ Direct Ownership Interest · 100%
PC Wta Opco Holdco LLC (organization)	5%+ Indirect Ownership Interest
SMS 2021 Trust (organization)	5%+ Indirect Ownership Interest
Welltower INC (organization)	5%+ Security Interest · NOT APPLICABLE
Aurora Guardian Holdco II Co-Borrower, LLC (organization)	Administrator · NOT APPLICABLE
Aurora Guardian Holdco II, LLC (organization)	Administrator · NOT APPLICABLE
Aurora Guardian II Realty, LLC (organization)	Administrator · NOT APPLICABLE
Aurora Guardian Partners II LLC (organization)	Administrator · NOT APPLICABLE
Burns, Donna (individual)	Administrator · NOT APPLICABLE
Hillside Center Realty, LLC (organization)	Administrator · NOT APPLICABLE
J & R Family Investments, LLC (organization)	Administrator · NOT APPLICABLE
L Friedman 2018 Family Trust (organization)	Administrator · NOT APPLICABLE
L Friedman Family Holdings LLC (organization)	Administrator · NOT APPLICABLE
Landau Family Investment Trust (organization)	Administrator · NOT APPLICABLE
M Friedman 2018 Family Trust (organization)	Administrator · NOT APPLICABLE
Mansfield, Melissa (individual)	Administrator · NOT APPLICABLE
PC Wta Acquisition LLC (organization)	Administrator · NOT APPLICABLE
PC Wta Multi-State LLC (organization)	Administrator · NOT APPLICABLE
Peace Capital Holdings LLC (organization)	Administrator · NOT APPLICABLE
R&J Family Investments LLC (organization)	Administrator · NOT APPLICABLE
Rastogi, Ritu (individual)	Administrator · NOT APPLICABLE
Smith, Steven (individual)	Administrator · NOT APPLICABLE
SMS 2021 Trust (organization)	Administrator · NOT APPLICABLE
Welltower INC (organization)	Administrator · NOT APPLICABLE
Stein, Shalom (individual)	Corporate Officer · NOT APPLICABLE
Stein, Shalom (individual)	Indirect Ownership Interest · NOT APPLICABLE
Stein, Shalom (individual)	Managing Control - Governing Body · NOT APPLICABLE
Cox, Vickie (individual)	Operational/managerial Control · NOT APPLICABLE
Mansfield, Melissa (individual)	Operational/managerial Control · NOT APPLICABLE
Rastogi, Ritu (individual)	Operational/managerial Control · NOT APPLICABLE
Silverberg, Nisanel (individual)	Operational/managerial Control · NOT APPLICABLE
Smith, Steven (individual)	Operational/managerial Control · NOT APPLICABLE
Stein, Shalom (individual)	Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Complete Care at Silver Lake LLC?

Complete Care at Silver Lake LLC has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Delaware.

How many beds does Complete Care at Silver Lake LLC have?

It has 120 certified beds and cares for about 117 residents per day.

Has Complete Care at Silver Lake LLC been fined?

Yes. CMS lists 1 penalty totaling $47,541 in the last three years.

Who owns Complete Care at Silver Lake LLC?

It is part of Complete Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Complete Care at Silver Lake LLC?

(302) 734-5990. The facility is located at 1080 Silver Lake Blvd, Dover, DE 19904.

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Contact & location

Facility details