• CMS rates this facility 4/5 stars (above average)
• Has 120 certified beds with an average of 115.9 residents per day (97% occupancy)
• Last health inspection found 12 deficiencies (inspected Jan 23, 2025)
• Has been fined a total of $47,541 across 1 fine(s)
• Total nursing staff: 4.05 hours per resident per day
• Staff turnover rate: 35.7%
• Part of the Complete Care chain (85 facilities)
Complete Care at Silver Lake LLC is a 4-star Medicare and Medicaid certified nursing home in Dover, Delaware with 120 certified beds. It has been operating since 1984. The facility scored above average compared to Delaware facilities.
Ensure that residents are fully informed and understand their health status, care and treatments.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Plan the resident's discharge to meet the resident's goals and needs.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Implement a program that monitors antibiotic use.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Provide or obtain dental services for each resident.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Assess the resident when there is a significant change in condition
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Ensure 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.
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.
Ensure 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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Keep all essential equipment working safely.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PC DE OPCOS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jun 1, 2021 |
| PC WTA OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 1, 2021 |
| PEACE CAPITAL HOLDINGS LLC (DE) | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 1, 2021 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 1, 2021 |
| COX, VICKIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2021 |
| MANSFIELD, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2021 |
| RASTOGI, RITU | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2021 |
| SILVERBERG, NISANEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2021 |
| SMITH, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 29, 2022 |
| STEIN, SHALOM | CORPORATE OFFICER | Individual | N/A | Jun 1, 2021 |
| WELLTOWER OP LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jul 30, 2021 |
This chain operates 85 facilities. View all →