Elder Care Record

Delaware › New Castle County › Wilmington

Pike Creek Nursing & Rehabilitation Center

5651 Limestone Road, Wilmington, DE 19808

CCN 085033 · For-profit, individual · 177 certified beds · chain Lifeworks Rehab

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Pike Creek Nursing & Rehabilitation Center, in Wilmington, Delaware, is certified for 177 beds under for-profit, individual ownership and belongs to the Lifeworks Rehab chain.

CMS gives it 2 of 5 stars overall, below the Delaware median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.

Inspectors recorded 97 health deficiencies across the three most recent survey cycles (32, 54, 11 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 54.8 per 100 beds, more than the state median of 35.0.

CMS lists 4 penalties in the period covered: fines totalling $485K and 2 payment denials.

Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the Delaware median of 3.9; nursing staff turnover is 45.3%.

CMS flags that the facility is a Special Focus Facility candidate.

97health deficiencies, 3 survey cycles6 at actual harm or worse
$485Kfines listed by CMS4 penalties in period
3.9nurse hours per resident per daystate median 3.9
97%occupancy (residents ÷ beds)171 residents a day

Compared with county, state and nation

MeasureThis facilityNew Castle Co. medianDelaware medianUS average
Overall star rating2333.0
Health citations, 3 cycles97333328.7
Citations per 100 beds54.835.735.026.8
Total nurse hours per resident day3.93.93.93.9
RN hours per resident day0.50.80.80.7
Nursing staff turnover45.3%44.9%41.7%45.8%
Fines listed$484,596$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

Cycle 1 (latest)32
Cycle 254
Cycle 311

Dark bar: this facility. Grey bar: Delaware average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Sep 2024, 25 Sep 2023.

Severity mix: J ×3 G ×2 H ×1 D ×57 E ×21 F ×7 B ×1 C ×5

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
19 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation11 May 2026
19 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Jun 2026
13 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation26 Sep 2025
13 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation26 Sep 2025
13 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation26 Sep 2025
13 Aug 2025F0732Post nurse staffing information every day.CComplaint investigation26 Sep 2025
10 Sep 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JComplaint investigation11 Nov 2024
10 Sep 2024F0760Ensure that residents are free from significant medication errors.JComplaint investigation11 Nov 2024
10 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey11 Nov 2024
10 Sep 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey11 Nov 2024
10 Sep 2024F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard survey11 Nov 2024
10 Sep 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation11 Nov 2024
10 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey11 Nov 2024
10 Sep 2024F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EComplaint investigation11 Nov 2024
10 Sep 2024F0946Provide training in compliance and ethics.EComplaint investigation11 Nov 2024
10 Sep 2024F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint investigation11 Nov 2024
10 Sep 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey11 Nov 2024
10 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Nov 2024
10 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation11 Nov 2024
10 Sep 2024F0688Provide 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.DStandard survey11 Nov 2024
10 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation11 Nov 2024
10 Sep 2024F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation11 Nov 2024
10 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey11 Nov 2024
10 Sep 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey11 Nov 2024
10 Sep 2024F0730Observe each nurse aide's job performance and give regular training.DStandard survey11 Nov 2024
10 Sep 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey11 Nov 2024
10 Sep 2024F0791Provide or obtain dental services for each resident.DStandard survey11 Nov 2024
10 Sep 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey11 Nov 2024
10 Sep 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint investigation11 Nov 2024
10 Sep 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey11 Nov 2024
10 Sep 2024F0887Educate 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.DStandard survey11 Nov 2024
10 Sep 2024F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard survey11 Nov 2024
10 Sep 2024F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EComplaint investigation11 Nov 2024
10 Sep 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation11 Nov 2024
10 Sep 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation11 Nov 2024
10 Sep 2024F0585Honor 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.DComplaint investigation11 Nov 2024
10 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation11 Nov 2024
10 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation11 Nov 2024
10 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation11 Nov 2024
10 Sep 2024F0761Ensure 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.DComplaint investigation20 Dec 2024
10 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation11 Nov 2024
10 Sep 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint investigation11 Nov 2024
25 Sep 2023F0880Provide and implement an infection prevention and control program.JStandard survey30 Nov 2023
25 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HComplaint investigation7 Mar 2024
25 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation30 Nov 2023
25 Sep 2023F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation30 Nov 2023
25 Sep 2023F0585Honor 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.FStandard survey30 Nov 2023
25 Sep 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.FComplaint investigation29 Jan 2024
25 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation30 Nov 2023
25 Sep 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation30 Nov 2023
25 Sep 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey30 Nov 2023
25 Sep 2023F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard survey30 Nov 2023
25 Sep 2023F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard survey30 Nov 2023
25 Sep 2023F0578Honor 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.EStandard survey30 Nov 2023
25 Sep 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation29 Jan 2024
25 Sep 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation30 Nov 2023
25 Sep 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey30 Nov 2023
25 Sep 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation30 Nov 2023
25 Sep 2023F0730Observe each nurse aide's job performance and give regular training.EStandard survey29 Jan 2024
25 Sep 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation29 Jan 2024
25 Sep 2023F0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.EStandard survey30 Nov 2023
25 Sep 2023F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard survey29 Jan 2024
25 Sep 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey30 Nov 2023
25 Sep 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation30 Nov 2023
25 Sep 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation30 Nov 2023
25 Sep 2023F0610Respond appropriately to all alleged violations.DComplaint investigation30 Nov 2023
25 Sep 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey30 Nov 2023
25 Sep 2023F0641Ensure each resident receives an accurate assessment.DComplaint investigation30 Nov 2023
25 Sep 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey30 Nov 2023
25 Sep 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey30 Nov 2023
25 Sep 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation30 Nov 2023
25 Sep 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation29 Jan 2024
25 Sep 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation29 Jan 2024
25 Sep 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey30 Nov 2023
25 Sep 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey29 Jan 2024
25 Sep 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey29 Jan 2024
25 Sep 2023F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint investigation30 Nov 2023
25 Sep 2023F0758Implement 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 limited.DStandard survey30 Nov 2023
25 Sep 2023F0761Ensure 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.DComplaint investigation29 Jan 2024
25 Sep 2023F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint investigation30 Nov 2023
25 Sep 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation29 Jan 2024
25 Sep 2023F0887Educate 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.DStandard survey30 Nov 2023
25 Sep 2023F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey30 Nov 2023
25 Sep 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.CComplaint investigation30 Nov 2023
25 Sep 2023F0732Post nurse staffing information every day.CComplaint investigation30 Nov 2023
25 Sep 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.CComplaint investigation30 Nov 2023
25 Sep 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation29 Jan 2024
25 Sep 2023F0679Provide activities to meet all resident's needs.DComplaint investigation30 Nov 2023
25 Sep 2023F0760Ensure that residents are free from significant medication errors.DComplaint investigation30 Nov 2023
12 May 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey30 Jun 2022
12 May 2022F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey30 Jun 2022
12 May 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey30 Jun 2022
12 May 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 Jun 2022
12 May 2022F0761Ensure 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.DStandard survey30 Jun 2022
12 May 2022F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey30 Jun 2022
12 May 2022F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey30 Jun 2022
12 May 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BStandard survey30 Jun 2022

Penalties

DateTypeAmountDetail
10 Sep 2024Payment denial—64 days
10 Sep 2024Fine$221,208
25 Sep 2023Payment denial—114 days
25 Sep 2023Fine$263,388

Staffing

Total nursing3.88 h
Nurse aides2.23 h
LPN1.12 h
RN0.53 h
Weekend total3.56 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Delaware average. Turnover: nursing staff 45.3%, RNs 34.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityDelaware medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.8%11.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.4%1.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%2.8%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%0.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.6%14.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.6%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay13.4%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, individual. Chain: Lifeworks Rehab (64 facilities).

OrganisationRole in the CMS recordInterestSince
Pike Creek SNF Operator Holdings LLC5% or greater direct ownership interest100%08/01/2023
Glen Holdco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED08/01/2023
Highland De Holdings LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED08/01/2023
Mimi Holdco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED08/01/2023
Panther De Partners LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED08/01/2023
Vh Wpc SNF Operations Holdings LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED08/01/2023
Wpc SNF Operations Holdings LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED08/01/2023

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Cadia Rehabilitation SilversideWilmington1165352925.0$11K27 Apr 2026
Encore At FoulkWilmington465551226.1$14K13 Apr 2026
Exceptional Care For ChildrenNewark4655—510.9—19 May 2026
Jeanne Jugan ResidenceNewark405451435.0—10 Apr 2026
Willowbrooke Court At Cokesbury VillageHockessin1054511110.0—29 Jul 2025
Willowbrooke Court At Country HouseWilmington14555535.7—26 Feb 2025
Cadia Rehabilitation Pike CreekWilmington1774323519.8$106K1 Jul 2026
Complete Care At Brackenville LLCHockessin1044333028.8$17K5 Mar 2026

All 25 facilities in New Castle County

Questions and answers

How many deficiencies has Pike Creek Nursing & Rehabilitation Center been cited for?

97 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Delaware median is 33 per facility.

Has Pike Creek Nursing & Rehabilitation Center been fined?

Yes. CMS lists fines totalling $485K in the period covered, plus 2 payment denials.

How does staffing at Pike Creek Nursing & Rehabilitation Center compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Delaware median of 3.9 and a national average of 3.9.

Who operates Pike Creek Nursing & Rehabilitation Center?

It is part of the Lifeworks Rehab chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Pike Creek SNF Operator Holdings LLC, Glen Holdco LLC and Highland De Holdings LLC. Individual owners and managers are not listed on this site.

When was Pike Creek Nursing & Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 19 May 2026; the most recent standard health survey was 10 Sep 2024.

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.