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 25, 2023 · F
Citation F0756Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0756 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. 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 F0657Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 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 · G
Citation F0697Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0697 (CMS scope/severity G: isolated, actual harm) for Provide safe, appropriate pain management for a resident who requires such services. 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 F0710Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0710 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. 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 F0804Federal surveyors cited this nursing home on 2023-09-25 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 2024-01-29. 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 · F
Citation F0812Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 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 F0580Federal surveyors cited this nursing home on 2023-09-25 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 2024-01-29. 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 F0761Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. 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 F0679Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0679 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. 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.GOVMay 12, 2022 · D
Citation F0806Federal surveyors cited this nursing home on 2022-05-12 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 2022-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-12.GOVMay 12, 2022 · D
Citation F0657Federal surveyors cited this nursing home on 2022-05-12 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2022-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-12.GOVMay 12, 2022 · D
Citation F0761Federal surveyors cited this nursing home on 2022-05-12 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2022-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-12.GOVMay 12, 2022 · D
Citation F0558Federal surveyors cited this nursing home on 2022-05-12 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2022-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-12.GOVMay 12, 2022 · B
Citation F0842Federal surveyors cited this nursing home on 2022-05-12 under CMS tag F0842 (CMS scope/severity B: pattern, no actual harm, potential for 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 2022-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-12.GOVMay 12, 2022 · E
Citation F0812Federal surveyors cited this nursing home on 2022-05-12 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-12.GOVMay 12, 2022 · D
Citation F0810Federal surveyors cited this nursing home on 2022-05-12 under CMS tag F0810 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide special eating equipment and utensils for residents who need them and appropriate assistance. The deficiency was recorded as corrected on 2022-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-12.GOVMay 12, 2022 · D
Citation F0684Federal surveyors cited this nursing home on 2022-05-12 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2022-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-05-12.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.