Delaware › New Castle County › Wilmington
Cadia Rehabilitation Pike Creek
3540 Three Little Bakers Blvd, Wilmington, DE 19808
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 177 beds, Cadia Rehabilitation Pike Creek serves Wilmington in New Castle County, Delaware and has taken Medicare and Medicaid residents since 2009.
CMS gives it 4 of 5 stars overall, above the Delaware median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (6, 16, 13 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 19.8 per 100 beds, fewer than the state median of 35.0.
CMS lists 5 penalties in the period covered: fines totalling $106K and 1 payment denial.
Reported nurse staffing is 4.5 hours per resident per day (0.7 RN), close to the Delaware median of 3.9; nursing staff turnover is 48.2%.
Compared with county, state and nation
| Measure | This facility | New Castle Co. median | Delaware median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 35 | 33 | 33 | 28.7 |
| Citations per 100 beds | 19.8 | 35.7 | 35.0 | 26.8 |
| Total nurse hours per resident day | 4.5 | 3.9 | 3.9 | 3.9 |
| RN hours per resident day | 0.7 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 48.2% | 44.9% | 41.7% | 45.8% |
| Fines listed | $105,729 | $32,394 | $34,838 | — |
County and state figures are medians across facilities (25 in the county, 44 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Delaware average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 May 2026, 18 Apr 2025.
Severity mix: J ×4 G ×1 D ×22 E ×7 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 12 Jun 2026 |
| 1 Jul 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Aug 2026 |
| 15 May 2026 | F0578 | 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. | E | Standard survey | 29 Jun 2026 |
| 15 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 29 Jun 2026 |
| 15 May 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 29 Jun 2026 |
| 15 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 29 Jun 2026 |
| 18 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation (under dispute review) | 2 Jun 2025 |
| 18 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 21 Mar 2025 |
| 18 Apr 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 2 Jun 2025 |
| 18 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Jun 2025 |
| 18 Apr 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 2 Jun 2025 |
| 18 Apr 2025 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint investigation (under dispute review) | 2 Jun 2025 |
| 18 Apr 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 21 Mar 2025 |
| 18 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 2 Jun 2025 |
| 18 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 2 Jun 2025 |
| 18 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 Jun 2025 |
| 18 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 Jun 2025 |
| 18 Apr 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 2 Jun 2025 |
| 18 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 2 Jun 2025 |
| 17 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 7 Apr 2025 |
| 17 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Apr 2025 |
| 17 Feb 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 7 Apr 2025 |
| 21 Mar 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 12 May 2024 |
| 21 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 May 2024 |
| 21 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 May 2024 |
| 21 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 12 May 2024 |
| 21 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 12 May 2024 |
| 21 Mar 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 12 May 2024 |
| 21 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 12 May 2024 |
| 17 Oct 2023 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | J | Complaint investigation | 19 Apr 2023 |
| 17 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 8 Sep 2023 |
| 17 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Nov 2023 |
| 17 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Nov 2023 |
| 17 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Nov 2023 |
| 17 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 May 2026 | Fine | $27,378 | |
| 18 Apr 2025 | Payment denial | — | 5 days |
| 18 Apr 2025 | Fine | $52,305 | |
| 17 Oct 2023 | Fine | $13,397 | |
| 17 Oct 2023 | Fine | $12,649 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 48.2%, RNs 53.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Delaware median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.7% | 11.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.1% | 0.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.1% | 14.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.9% | 10.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Pike Creek Healthcare Services Llc. Chain: Cadia Healthcare (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Silver Holdings LLC | 5% or greater direct ownership interest | 50% | 12/31/2010 |
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | 5% or greater indirect ownership interest | 5% | 12/31/2010 |
| Long Term Care Corp | Operational/managerial control | NOT APPLICABLE | 11/28/2009 |
| Long Term Care Corp | Adp of the snf | NOT APPLICABLE | 01/08/2025 |
| Sabra Health Care Reit Inc | Adp of the snf | NOT APPLICABLE | 01/08/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in New Castle County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cadia Rehabilitation Silverside | Wilmington | 116 | 5 | 3 | 5 | 29 | 25.0 | $11K | 27 Apr 2026 |
| Encore At Foulk | Wilmington | 46 | 5 | 5 | 5 | 12 | 26.1 | $14K | 13 Apr 2026 |
| Exceptional Care For Children | Newark | 46 | 5 | 5 | — | 5 | 10.9 | — | 19 May 2026 |
| Jeanne Jugan Residence | Newark | 40 | 5 | 4 | 5 | 14 | 35.0 | — | 10 Apr 2026 |
| Willowbrooke Court At Cokesbury Village | Hockessin | 10 | 5 | 4 | 5 | 11 | 110.0 | — | 29 Jul 2025 |
| Willowbrooke Court At Country House | Wilmington | 14 | 5 | 5 | 5 | 5 | 35.7 | — | 26 Feb 2025 |
| Complete Care At Brackenville LLC | Hockessin | 104 | 4 | 3 | 3 | 30 | 28.8 | $17K | 5 Mar 2026 |
| Complete Care At Hillside LLC | Wilmington | 106 | 4 | 3 | 3 | 35 | 33.0 | — | 30 Jan 2026 |
All 25 facilities in New Castle County
Questions and answers
How many deficiencies has Cadia Rehabilitation Pike Creek been cited for?
35 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Delaware median is 33 per facility.
Has Cadia Rehabilitation Pike Creek been fined?
Yes. CMS lists fines totalling $106K in the period covered, plus 1 payment denial.
How does staffing at Cadia Rehabilitation Pike Creek compare?
Reported total nurse staffing is 4.5 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.
Who operates Cadia Rehabilitation Pike Creek?
It is part of the Cadia Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Silver Holdings LLC, Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer and Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer. Individual owners and managers are not listed on this site.
When was Cadia Rehabilitation Pike Creek last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 15 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.