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 · E
Citation F0804Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 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 F0944Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0944 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. 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 25, 2023 · E
Citation F0677Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · E
Citation F0726Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0726 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · F
Citation F0585Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0585 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Honor 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. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · D
Citation F0600Federal surveyors cited this nursing home on 2023-09-25 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 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · E
Citation F0578Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0578 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · E
Citation F0868Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0868 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · D
Citation F0609Federal surveyors cited this nursing home on 2023-09-25 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 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · C
Citation F0577Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0577 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · D
Citation F0645Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · C
Citation F0732Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · D
Citation F0695Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-01-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · E
Citation F0849Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0849 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2024-01-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-01-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · H
Citation F0684Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0684 (CMS scope/severity H: pattern, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · D
Citation F0773Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0773 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · E
Citation F0730Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0730 (CMS scope/severity E: pattern, 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 2024-01-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · D
Citation F0758Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 25, 2023 · C
Citation F0607Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0607 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.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
Check availability and pricing at Pike Creek Nursing & Rehabilitation Center
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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.