Pike Creek Nursing & Rehabilitation Center
5651 Limestone Road, Wilmington, DE 19808 · (302) 239-8583
For profit - Individual · 177 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Pike Creek Nursing & Rehabilitation Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2024, found 26 citations, 2 for actual harm or immediate jeopardy (the Delaware average is 10.9). It was fined 2 times in the last three years, $484,596 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on September 10, 2024 found 26 citations. What an inspection citation means
- 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.September 10, 2024 · F0726 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that residents are free from significant medication errors.September 10, 2024 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.September 10, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.September 10, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.September 10, 2024 · F0800 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.September 10, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 10, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.September 10, 2024 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide training in compliance and ethics.September 10, 2024 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.September 10, 2024 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.September 10, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.September 10, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.September 10, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 10, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 10, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.September 10, 2024 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.September 10, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.September 10, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Observe each nurse aide's job performance and give regular training.September 10, 2024 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.September 10, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain dental services for each resident.September 10, 2024 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.September 10, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.September 10, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.September 10, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 10, 2024 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.September 10, 2024 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 27 citations.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 19, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 19, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 13, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 13, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 13, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.August 13, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Ensure that residents are fully informed and understand their health status, care and treatments.September 10, 2024 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.September 10, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 10, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 10, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.September 10, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.September 10, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.September 10, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.September 10, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 10, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.September 10, 2024 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 10, 2024 · F0726 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that residents are free from significant medication errors.September 10, 2024 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.September 10, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.September 10, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.September 10, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.September 10, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.September 10, 2024 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.September 10, 2024 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide training in compliance and ethics.September 10, 2024 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.September 10, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.September 10, 2024 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $221,208September 10, 2024
- Fine of $263,388September 25, 2023
- Medicare payment denial for 64 daysStarting October 17, 2024
- Medicare payment denial for 114 daysStarting November 14, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Delaware average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.88 | 4.35 | 3.86 |
| Registered nurses (RN) | 0.53 | 0.97 | 0.69 |
| Licensed practical nurses (LPN) | 1.12 | 0.98 | 0.86 |
| Nurse aides | 2.23 | 2.40 | 2.32 |
| Total nursing staff turnover | 45.3% | 41.3% | 45.8% |
About this home
| Ownership | For profit - Individual |
| Certified beds | 177 |
| Average residents per day | 171.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Encore at Foulk Wilmington · ★★★★★ 5 out of 5 stars
- Willowbrooke Court at Country House Wilmington · ★★★★★ 5 out of 5 stars
- Cadia Rehabilitation Silverside Wilmington · ★★★★★ 5 out of 5 stars
- Cadia Rehabilitation Pike Creek Wilmington · ★★★★★ 4 out of 5 stars
- Complete Care at Hillside LLC Wilmington · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Pike Creek Nursing & Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.