D

CADIA REHABILITATION RENAISSANCE

26002 JOHN J WILLIAMS HIGHWAY, MILLSBORO, DE 19966
Score: 41 / 100

Cadia Rehabilitation Renaissance faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 30th percentile among Delaware nursing homes, suggesting significant room for improvement.

Staffing at Cadia Rehabilitation Renaissance is near the national average, with 3.70 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 51 deficiencies at Cadia Rehabilitation Renaissance, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.70 3.8 Average
Registered Nurses (RN) 0.72 0.7 Average
Licensed Practical Nurses (LPN) 0.72 0.7 Average
Certified Nursing Assistants (CNA) 2.26 2.4 Average
Weekend Total Nursing 3.44 3.8 Average
Weekend RN Hours 0.53 0.7 Below Average

🔍 Inspection & Deficiency History

51
Total Deficiencies
Aug 24, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 48 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Aug 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Aug 24, 2025 · Pharmacy Service Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Aug 24, 2025 · Pharmacy Service Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jun 1, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Jun 1, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.1% 4.5% Better
Falls with major injury 4.7% 3.0% Worse
On antipsychotic medication 13.9% 14.5% Average
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 19.7% 14.0% Worse
Excessive weight loss 4.0% 7.5% Better
New/worsened incontinence 27.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $13,627

How This Grade Was Calculated

This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
130
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 18, 2024
Deficiencies (Cycle 1)
21