PlainNursing
CMS Nursing Home Compare · August 2026

Complete Care at Silver Lake LLC

1080 Silver Lake Blvd, Dover, DE 19904

Complete Care at Silver Lake LLC, a 120-bed for profit - limited liability company nursing facility in Dover, DE, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #24 of 43 rated homes in DE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3027345990

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3 / 5
Average · CMS overall · nat'l 3.0
#24 of 43
In-state rank among rated DE homes
3.75
About average · nurse hrs/day · nat'l 3.86
30
Inspection findings · 1 serious

The verdict

Complete Care at Silver Lake LLC, a 120-bed for profit - limited liability company nursing facility in Dover, DE, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #24 of 43 rated homes in DE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#24 of 43
In-state rank among rated DE homes
3.75
Nurse hrs/resident-day · national 3.86
30
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 44 DE nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
085027
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
117
In Hospital
No
County
Kent
Last Inspection
Jan 23, 2026

Staffing Data

How the 3.75 total nursing hours per resident-day are staffed:

RN Hours
0.94 (nat'l avg: 0.69)
LPN Hours
0.83
CNA Hours
1.98
Total Nursing Hours
3.75 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
34.5%
RN Turnover
41.9%

What the CMS Record Reveals About Complete Care at Silver Lake LLC

According to CMS Nursing Home Compare, Complete Care at Silver Lake LLC ranks #24 of 43 rated nursing homes in DE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Complete Care at Silver Lake LLC operates 120 certified beds in Dover, DE with approximately 117 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 4★ · quality 4★).

The inspection file contains 30 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $48K. Reported nurse staffing runs 3.75 total hours per resident day (national average 3.86); RN hours specifically are 0.94 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Complete Care at Silver Lake LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 34.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (30 most recent)

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2026

F - Widespread - Minimal harm Jan 23, 2026 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Mar 11, 2026

F - Widespread - Minimal harm Jan 23, 2026 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 11, 2026

D - Isolated - Minimal harm Jan 23, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 6, 2025

D - Isolated - Minimal harm Jan 23, 2025 Tag: 0742

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2025

D - Isolated - Minimal harm Jan 23, 2025 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2025

D - Isolated - Minimal harm Jan 23, 2025 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Mar 6, 2025

D - Isolated - Minimal harm Jan 23, 2025 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Mar 6, 2025

D - Isolated - Minimal harm Jan 23, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 6, 2025

D - Isolated - Minimal harm Jan 23, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 6, 2025

D - Isolated - Minimal harm Jan 23, 2025 Tag: 0552

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

Category: Resident Rights Deficiencies

Corrected: Mar 6, 2025

E - Pattern - Minimal harm Jan 23, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 6, 2025

F - Widespread - Minimal harm Jan 23, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Mar 6, 2025

F - Widespread - Minimal harm Jan 23, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 6, 2025

G - Isolated - Actual harm Jan 23, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2025

C - Widespread - No harm Feb 12, 2024 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Mar 6, 2024

D - Isolated - Minimal harm Feb 12, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2024

D - Isolated - Minimal harm Feb 12, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2024

D - Isolated - Minimal harm Feb 12, 2024 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2024

D - Isolated - Minimal harm Feb 12, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2024

D - Isolated - Minimal harm Feb 12, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2024

E - Pattern - Minimal harm Feb 12, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 6.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 3.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 78.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 91.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.4% No

Penalty History 1 penalties totaling $48K

Date Type Amount
Jan 23, 2025 Fine $48K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Complete Care at Silver Lake LLC, both outside DE so the neighborhoods are not the same-state geography list below.

What the CMS records show for Complete Care at Silver Lake LLC

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The DE registry aggregates state averages and the highest-rated homes in this cohort. View DE registry
  • Peer homes near 120 beds show how CMS stars vary at a similar scale in DE. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Complete Care at Silver Lake LLC?
Complete Care at Silver Lake LLC has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (4★).
Where does Complete Care at Silver Lake LLC rank among nursing homes in DE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Complete Care at Silver Lake LLC ranks 24th among 43 rated nursing homes in DE (#24 of 43). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Complete Care at Silver Lake LLC?
Complete Care at Silver Lake LLC reports 3.75 total nursing hours per resident day (national average: 3.86). RN hours are 0.94 per resident day (national average: 0.69). Nursing staff turnover is 34.5%.
How many beds does Complete Care at Silver Lake LLC have?
Complete Care at Silver Lake LLC has 120 certified beds with approximately 117 residents. The facility is located at 1080 Silver Lake Blvd, Dover, DE 19904.
Does Complete Care at Silver Lake LLC have any deficiencies on record?
Yes, Complete Care at Silver Lake LLC has 30 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Complete Care at Silver Lake LLC received any fines or penalties?
Yes, Complete Care at Silver Lake LLC has received 1 penalties totaling $48K.
Who owns Complete Care at Silver Lake LLC?
Complete Care at Silver Lake LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Complete Care at Silver Lake LLC last inspected?
The most recent health inspection for Complete Care at Silver Lake LLC was on Jan 23, 2026. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Complete Care at Silver Lake LLC?
Complete Care at Silver Lake LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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