Cadia Rehabilitation Broadmeadow

500 South Broad Street · Middletown, DE · 19709 · 3024493400

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

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $79,126 in fines in the last 24 months.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$79,126 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 26
Serious harm & abuse 20% 28
Staffing 20% 76
Federal penalties 15% 49
Trend 10% 49
Context 5% 35

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.773.48 min · 4.1 strong
RN hours / resident-day0.810.55–0.75
Weekend hours / resident-day3.45≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)2 · $79,126

Inspection citations (37 in the current record)

  • Potential for harm · D January 30, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected March 17, 2026 · Resident Rights

  • Potential for harm · D January 30, 2026

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 17, 2026 · Resident Rights

  • Potential for harm · D January 30, 2026

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

    Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 30, 2026

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

    Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 30, 2026

    Respond appropriately to all alleged violations.

    Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 30, 2026

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

    Corrected March 17, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 30, 2026

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

    Corrected March 17, 2026 · Quality of Life and Care

  • Potential for harm · D January 30, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 17, 2026 · Quality of Life and Care

  • Potential for harm · D January 30, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 17, 2026 · Quality of Life and Care

  • Potential for harm · F January 30, 2026

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected March 17, 2026 · Administration

  • Potential for harm · D January 30, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 17, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 30, 2026

    Implement a program that monitors antibiotic use.

    Corrected March 17, 2026 · Infection Control

  • Actual harm · G November 14, 2025 · found via complaint

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

    Corrected December 29, 2025 · Quality of Life and Care

  • Immediate jeopardy · J July 7, 2025 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected July 29, 2025 · Quality of Life and Care

  • Immediate jeopardy · J July 7, 2025 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected July 29, 2025 · Nursing and Physician Services

  • Potential for harm · D July 7, 2025 · found via complaint

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

    Corrected July 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 7, 2025 · found via complaint

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected July 29, 2025 · Administration

  • Actual harm · G January 22, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 14, 2025 · Quality of Life and Care

  • Potential for harm · D January 22, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 8, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 22, 2025

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

    Corrected March 8, 2025 · Resident Rights

  • Potential for harm · D January 22, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 22, 2025

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected March 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 22, 2025

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

    Corrected March 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 22, 2025

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected March 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 22, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 14, 2025 · Quality of Life and Care

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

Federal penalties

DateTypeAmount / length
July 7, 2025Fine$17,610
January 22, 2025Fine$61,516

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085050 · certified since December 21, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.