Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $27,365 per patient, against a typical $17,623 for the same kind of provider in DE. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9
Owners and managing parties of record
STEPHEN S SILVER
CONTRACTED MANAGING EMPLOYEE · I · 100% ownership · since Nov 28, 2009
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
LONG TERM CARE CORP
OPERATIONAL/MANAGERIAL CONTROL · O · 100% ownership · since Nov 28, 2009
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KAREN M LITWA
CORPORATE OFFICER · I · 100% ownership · since Nov 28, 2009
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KAREN M LITWA
CONTRACTED MANAGING EMPLOYEE · I · 100% ownership · since Nov 28, 2009
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BRANDI WILSON
CONTRACTED MANAGING EMPLOYEE · I · 100% ownership · since Nov 1, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RON E SCHAFER
CONTRACTED MANAGING EMPLOYEE · I · 100% ownership · since Nov 28, 2009
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SILVER HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 50% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SCHAFER FAMILY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 50% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN S SILVER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 40% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RONALD E SCHAFER IRREV TRFBO LAUREN ELIZABETH MARIE SCHAFER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RONALD E SCHAFER IRREV TR FBO ERIC ROBERT SCHAFER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
LAUREN SCHAFER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN C SILVER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN C SILVER
INDIRECT OWNERSHIP INTEREST · I · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN SILVER IRREVOCABLE TRUST FBO JONATHAN SILVER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN SILVER IRREVOCABLE TRUST FBO CASEY SILVER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ERIC R SCHAFER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JONATHAN B SILVER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 5% ownership · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SABRA HEALTH CARE REIT INC
OTHER · O · 0% ownership · since Aug 1, 2011
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ELIZABETH PRICE
OPERATIONAL/MANAGERIAL CONTROL · I · since Dec 5, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ELIZABETH PRICE
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KAREN M LITWA
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
LONG TERM CARE CORP
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN S SILVER
INDIRECT OWNERSHIP INTEREST · I · since Dec 31, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SABRA HEALTH CARE REIT INC
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BRANDI WILSON
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
LAURA DITTMAR
OPERATIONAL/MANAGERIAL CONTROL · I · since Dec 5, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
LAURA DITTMAR
ADP OF THE SNF · I · since Jan 8, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Medicare paid far more per patient than peers
Weekly refreshes
- 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026
Records read from this file
- PIKE CREEK HEALTHCARE SERVICES LLCNPI 1467680561 · certification 085054 · 3540 THREE LITTLE BAKERS BLVD, WILMINGTON, DE
CMS Skilled Nursing Facility All Owners
Weekly refreshes
- 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026
Records read from this file
- STEPHEN S SILVERCONTRACTED MANAGING EMPLOYEE · 100% share · since 2009-11-28
- LONG TERM CARE CORPOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2009-11-28
- KAREN M LITWACORPORATE OFFICER · 100% share · since 2009-11-28
- KAREN M LITWACONTRACTED MANAGING EMPLOYEE · 100% share · since 2009-11-28
- BRANDI WILSONCONTRACTED MANAGING EMPLOYEE · 100% share · since 2024-11-01
- RON E SCHAFERCONTRACTED MANAGING EMPLOYEE · 100% share · since 2009-11-28
- SILVER HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% share · since 2010-12-31
- SCHAFER FAMILY LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% share · since 2010-12-31
cms_snf_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Cadia Rehabilitation Pike Creek — 2024$13,791,908 paid · 504 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | PIKE CREEK HEALTHCARE SERVICES LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Trading name | CADIA REHABILITATION PIKE CREEK | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| NPI | 1467680561 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Medicare certification number | 085054 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| CMS associate ID | 6204974314 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Organisation type | LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Street address | 3540 THREE LITTLE BAKERS BLVD, CADIA REHABILITATION PIKE CREEK | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| City | WILMINGTON | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State | DE | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| ZIP | 198081754 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.