Cadia Healthcare Broadmeadow in Middletown, DE has a 1 out of 5 overall rating, with a 1-star health inspection rating but stronger 4-star staffing and quality scores. It is a Special Focus Facility candidate/flagged as a special focus facility, has $79,126 in fines in the last 24 months, and reported nurse staffing of 3.88 hours per resident day versus the 4.1-hour federal benchmark.
Last inspection: May 29, 2026Penalties, last 24 months: $79,126special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8775.
Staffing detail
Registered nurses
0.71
Licensed practical nurses
0.99
Nurse aides
2.18
Weekend nursing
3.59
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 39%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.9%6.9%Improving
Residents with a fall causing major injury
2.2%3.4%Worsening
Residents with pressure ulcers (bedsores)
3.9%2.9%Improving
Residents with a urinary tract infection
2.3%0%Improving
Residents who lost too much weight
3.6%11.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.7%21.6%Worsening
Residents whose ability to walk got worse
16.7%19.5%Worsening
Long-stay residents on antianxiety or sleep medication
27.6%20.5%Improving
Short-stay residents newly given an antipsychotic
0%0.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.9%7.6%Improving
Residents with depressive symptoms
1.3%2.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—77.1%—
Short-stay residents given the pneumonia vaccine
96.3%94.4%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $17,610 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $61,516 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $79,126 in total fines.
Federal fine
Jul 7, 2025
$17,610
Federal fine
Jan 22, 2025
$61,516
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CADIA HEALTHCARE · 5 homes · 2.8 stars avg
Occupancy
112.2 residents on an average day (94% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 20 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.