The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
COMPLETE CARE AT SILVER LAKE LLC
DOVER, DE · Medicare-certified · 120 beds
Needs attention
For-profitChain member
3 of 5 overall
Complete Care at Silver Lake LLC in Dover, DE has an overall 3 out of 5 stars, with 3-star health inspections and stronger 4-star staffing and quality scores. It also has a recent federal penalty, $47,541 in fines over the last 24 months, and reported nurse staffing of 3.94 hours per resident per day, slightly below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.9397 hrs/resident/day
Quality measures
Last inspection: January 23, 2026Penalties, last 24 months: $47,541recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9397.
Staffing detail
- Registered nurses
- 0.92
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.24
- Weekend nursing
- 3.61
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.6%Improving
Residents with a fall causing major injury
4.3%Improving
Residents with pressure ulcers (bedsores)
6.8%Improving
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
8.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9%Steady
Residents whose ability to walk got worse
5.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.3%Improving
Short-stay residents newly given an antipsychotic
3.3%Improving
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
19.4%Worsening
Residents with depressive symptoms
67%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
95.4%Steady
Short-stay residents given the pneumonia vaccine
92.8%Worsening
What the inspectors found
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to monitor antibiotic use properly. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $47,541 was recorded.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $47,541 in total fines.
- $47,541
Federal fine
Jan 23, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of COMPLETE CARE · 85 homes · 3.2 stars avg
- Occupancy
- 114.2 residents on an average day (95% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 42 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.