Nursing HomeInspections

Pike Creek Nursing & Rehabilitation Center

Nursing home in Wilmington, DE

Medicare & Medicaid certified2★ overall (CMS)SFF candidate (CMS)

Call (302) 239-8583Send a messageMap ↗

Public-record details

Address
5651 Limestone Road, Wilmington, DE 19808
Phone
(302) 239-8583
Listed under
For-profit
Medicare CCN
085033
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
177
Average residents per day
171
Ownership
For-profit, individual
Legal business name
Pike Creek SNF Operator LLC
Chain
Lifeworks Rehab (64 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 11, 1988
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 085033. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 10, 2024. CMS lists 97 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 12, 2022 to May 19, 2026): 54 from complaint inspections, 6 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
May 19, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 19, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
C
Potential for minimal harm, widespread
Aug 13, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Sep 10, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 10, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 10, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 10, 2024Provide 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.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Sep 10, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 10, 2024Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 97. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $484,596 and 2 denials of Medicare payment for new admissions in the last three years.

Sep 10, 2024Fine: $221,208
Sep 10, 2024Payment denial for 64 days from Oct 17, 2024
Sep 25, 2023Fine: $263,388
Sep 25, 2023Payment denial for 114 days from Nov 14, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.88 hours
Registered nurse (RN) time per resident per day
0.53 hours
Nurse aide time per resident per day
2.23 hours
Total nurse staffing on weekends
3.56 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
35%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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