Complete Care at Silver Lake LLC
1080 Silver Lake Blvd · Dover, DE · 19904 · 3027345990
120 certified beds For profit - Limited Liability company Chain: Complete Care
- Staffing hours comfortably above national benchmarks.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
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.
Score breakdown
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-day | 3.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.92 | 0.55–0.75 |
| Weekend hours / resident-day | 3.61 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 1 · $47,541 |
Inspection citations (30 in the current record)
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Potential for harm · D January 23, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected March 11, 2026 · Resident Rights
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Potential for harm · D January 23, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide and implement an infection prevention and control program.
Corrected March 11, 2026 · Infection Control
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Potential for harm · F January 23, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected March 11, 2026 · Environmental
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Potential for harm · F January 23, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2026 · Nutrition and Dietary
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Actual harm · G January 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2025 · Quality of Life and Care
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Potential for harm · D January 23, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 6, 2025 · Resident Rights
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Potential for harm · D January 23, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 6, 2025 · Resident Rights
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Potential for harm · D January 23, 2025
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.
Corrected March 6, 2025 · Resident Rights
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Potential for harm · D January 23, 2025
Plan the resident's discharge to meet the resident's goals and needs.
Corrected March 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2025
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 March 6, 2025 · Quality of Life and Care
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Potential for harm · D January 23, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 6, 2025 · Nutrition and Dietary
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Potential for harm · F January 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 6, 2025 · Nutrition and Dietary
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Potential for harm · E January 23, 2025
Provide and implement an infection prevention and control program.
Corrected March 6, 2025 · Infection Control
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Potential for harm · F January 23, 2025
Implement a program that monitors antibiotic use.
Corrected March 6, 2025 · Infection Control
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Potential for harm · D February 12, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 6, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 23, 2025 | Fine | $47,541 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085027 · certified since May 10, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.