Nursing Homes · Wilmington, DE
Nursing Homes · Medicare certified
Pike Creek Nursing & Rehabilitation Center
5651 Limestone Road · Wilmington, DE 19808 · 177 certified beds
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About Pike Creek Nursing & Rehabilitation Center
Pike Creek Nursing & Rehabilitation Center is a nursing home in Wilmington, Delaware. Its capacity is 177 beds, above the New Castle County median of 104 for nursing homes. It is run by a for-profit operator and is part of Lifeworks Rehab. It is Medicare certified. Its public inspection record shows 97 citations, the most recent on May 19, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 3.96 hours per resident per day. It is one of 15 nursing homes listed in Wilmington. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
4.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (97)
Records from May 2022 to May 2026.
May 19, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
May 19, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 19, 2026.
August 13, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
August 13, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
August 13, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
August 13, 2025
Tag F0732Post nurse staffing information every day.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected September 26, 2025.
September 10, 2024
Tag F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0791Provide or obtain dental services for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity J: isolated, immediate jeopardy. Corrected November 11, 2024.
September 10, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
September 10, 2024
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 20, 2024.
September 10, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2024.
Penalties (4)
Total fines: $484,596
September 10, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting October 17, 2024, lasting 64 days (triggered by inspection on September 10, 2024).
September 10, 2024 · Fine
CMS recorded a civil money penalty of $221,208 against this nursing home on September 10, 2024.
September 25, 2023 · Fine
CMS recorded a civil money penalty of $263,388 against this nursing home on September 25, 2023.
September 25, 2023 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting November 14, 2023, lasting 114 days (triggered by inspection on September 25, 2023).
Staffing
3.96 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Lifeworks Rehab, a chain of 64 nursing homes.
Average CMS star ratings across the chain: 2.2 overall, 2.0 for health inspections, 1.8 for staffing, 4.1 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Delaware.
Nearby alternatives
Other licensed providers in Wilmington.
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Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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