Nursing Homes · Wilmington, DE
Cadia Rehabilitation Pike Creek
Cost data not yet available
SOURCE DATA AUG 2026
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, in New Castle County. Public records list 177 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Lifeworks Rehab. We hold 97 inspection citations for this listing, the most recent dated 19 May 2026. CMS also lists 4 fine or payment denial actions against it. Reported staffing works out to 3.88 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
3.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
89
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
3.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
89
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
3.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
87
Inspection history (97)
Records from May 2022 to May 2026.
September 10, 2024 · D
Citation F0686Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0842Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · E
Citation F0800Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0800 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · J
Citation F0760Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0760 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · E
Citation F0946Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0946 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide training in compliance and ethics. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0947Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0947 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0688Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0550Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0730Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0730 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0806Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0600Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0697Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0943Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0943 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0609Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0552Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0691Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0691 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0580Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · E
Citation F0941Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0941 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · D
Citation F0887Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0887 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. The deficiency was recorded as corrected on 2024-11-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOV
Penalties (4)
Total fines on file: $484,596
September 10, 2024 · Payment Denial
Citation PAYDEN-2024-10-17CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-10-17, lasting 64 days (triggered by inspection on 2024-09-10). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 10, 2024 · Fine
Citation FINE-6105CMS recorded a civil money penalty of $221,208 against this nursing home on 2024-09-10 (Fine ID: 6105). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOVSeptember 25, 2023 · Fine
Citation FINE-6071CMS recorded a civil money penalty of $263,388 against this nursing home on 2023-09-25 (Fine ID: 6071). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · Payment Denial
Citation PAYDEN-2023-11-14CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2023-11-14, lasting 114 days (triggered by inspection on 2023-09-25). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOV
Staffing
Latest: 3.88 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.93 hrs/resident/day
- 2026-06-013.93 hrs/resident/day
- 2026-07-013.88 hrs/resident/day
- 2026-08-013.88 hrs/resident/day
- 2026Q13.88 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Lifeworks Rehab
Chain ID 768 · 64 facilities in chain (CMS)
- Chain average overall rating: 2.1
- Chain average health inspection rating: 2
- Chain average staffing rating: 1.6
- Chain average quality measure rating: 3.9
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Individual".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Individual".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical DE range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · DE$14,494/moSee full DE cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nearby alternatives
Other licensed providers in Wilmington, with their own public records.
Nursing Homes · Wilmington, DE
Cadia Rehabilitation Silverside
Cost data not yet available
Nursing Homes · Wilmington, DE
Complete Care at Hillside LLC
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.