CCN 085056 · New Castle County, Delaware

Cadia Rehabilitation Silverside

3322 Silverside Road, Wilmington, DE 19810

Cadia Rehabilitation Silverside is a 116-bed for-profit nursing home in Wilmington, Delaware, first certified for Medicare or Medicaid in 2012. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 99.9 residents a day, about 86% of its certified beds. It has an active FHA-insured Section 232 loan: $14.8 million originally, at 2.94%, with $12.1 million outstanding as of September 30, 2026 and maturity in October 2051.

Facility facts

Certified beds
116
Average residents per day
99.9 (86.1% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Onix Silverside LLC
Certified since
Dec 5, 2012
Chain or affiliated group
Cadia Healthcare (5 facilities, chain average 3.2 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityDelaware medianUS median
Overall rating5 of 5State spread: 2 at 1, 14 at 2, 10 at 3, 8 at 4, 9 at 5
Health inspections3 of 5
Quality measures5 of 5
Staffing5 of 5
Total nurse hours per resident per day3.993.923.68
RN hours per resident per day0.910.820.58
Weekend nurse hours per resident per day3.80
Nursing staff turnover48.1%41.7%44.9%
Occupancy (residents / beds)86.1%86.6%85.7%
Fines reported by CMS1 totaling $10,608
Health deficiencies, latest standard survey10 (Apr 27, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Cadia Rehabilitation Silverside meets that part today: 5 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Long Term Care CorpOrganizationOperational / Managerial Controln/a09/01/2008
Onix Group LlOrganizationOperational / Managerial Controln/a01/23/2025
Dittmar, LauraIndividualOperational / Managerial Controln/a01/01/2020
Price, ElizabethIndividualOperational / Managerial Controln/a06/01/2023

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Sep 15, 2016223(f) refinance or purchaseHUD project name: Cadia Rehabilitation Silverside, 120 beds. Lender at endorsement: M and T Realty Capital Corporation$14,780,300Active: 2.94%, $12,069,686 balanceMatures Oct 1, 2051. Servicer: M and T Realty Capital Corpora03222024

Watch this facility

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.