Nursing HomeInspections

Cadia Rehabilitation Pike Creek

Nursing home in Wilmington, DE

Medicare & Medicaid certified4★ overall (CMS)

Call (302) 455-0808Send a messageMap ↗

Public-record details

Address
3540 Three Little Bakers Blvd, Wilmington, DE 19808
Phone
(302) 455-0808
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
085054
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
177
Average residents per day
153
Ownership
For-profit, corporation
Legal business name
Pike Creek Healthcare Services LLC
Chain
Cadia Healthcare (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 23, 2009
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 085054. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 15, 2026. CMS lists 35 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 17, 2023 to Jul 1, 2026): 21 from complaint inspections, 5 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 1, 2026Timely 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
Jul 1, 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
J
Immediate jeopardy, isolated
May 15, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2026Honor 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…
Resident Rights
E
Potential for more than minimal harm, pattern
May 15, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 18, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights
C
Potential for minimal harm, widespread
Apr 18, 2025Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights · complaint inspection · under dispute review
D
Potential for more than minimal harm, isolated
Apr 18, 2025Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 18, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 18, 2025Develop 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
D
Potential for more than minimal harm, isolated
Apr 18, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 35. 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 4 fines totalling $105,729 and 1 denial of Medicare payment for new admissions in the last three years.

May 15, 2026Fine: $27,378
Apr 18, 2025Fine: $52,305
Apr 18, 2025Payment denial for 5 days from May 28, 2025
Oct 17, 2023Fine: $12,649
Oct 17, 2023Fine: $13,397

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
4.52 hours
Registered nurse (RN) time per resident per day
0.68 hours
Nurse aide time per resident per day
2.27 hours
Total nurse staffing on weekends
3.98 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
54%
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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