nursing home in Wilmington, DE
Pike Creek Nursing & Rehabilitation Center
5651 Limestone Road, Wilmington, DE 19808 · (302) 239-8583
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★5
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pike Creek Nursing & Rehabilitation Center at a glance
Pike Creek Nursing & Rehabilitation Center is a 177-bed for-profit nursing home in Wilmington, Delaware (New Castle County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Delaware average of 3.2.
Residents receive about 3.9 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4.3 hours.
Its most recent standard health inspection (September 10, 2024) found 28 health citations. The Delaware average is 10.9.
Federal regulators fined it 2 times in the past three years, totaling $484,596.
Nursing staff turnover is 45.3% per year (state average 41.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 177
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Lifeworks Rehab
- Medicare-certified since
- August 11, 1988
- Resident/family council
- Resident
- County
- New Castle County
- CMS Certification Number
- 085033
Ratings
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 4 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.88 hrs | 4.35 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.53 hrs | 0.97 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.23 hrs | 2.40 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.56 hrs | 3.89 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 45.3% | 41.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 34.8% | 41.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 28 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 13 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 395.5 | 98 | 80.6 | Worse |
Penalties
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $484,596 | $67,512 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 177 | 107 | 107 | |
| Average residents per day | 171 | 90 | 86 | |
| Occupancy | 96.8% | 81.1% | 80.9% |
Long-stay residents
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.5% | 3.2% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 3.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.4% | 10.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.4% | 2.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.8% | 12.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 13.6% | 13.6% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 6.5% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 58.6% | 10.3% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26.3% | 21.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 27.4% | 20.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.4% | 97.4% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.8% | 95.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Delaware avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 75.4% | 83.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 51.9% | 83.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 97 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 19, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 19, 2026 |
| May 19, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 11, 2026 |
| August 13, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected September 26, 2025 |
| August 13, 2025 Complaint | Develop 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 26, 2025 |
| August 13, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 26, 2025 |
| August 13, 2025 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected September 26, 2025 |
| September 10, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected November 8, 2024 |
| September 10, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | J Immediate jeopardy, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Standard | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Standard | Develop 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 Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 20, 2024 |
| September 10, 2024 Complaint | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 10, 2024 Complaint | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected November 11, 2024 |
| September 25, 2023 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 25, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | J Immediate jeopardy, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | H Actual harm, pattern | Corrected March 7, 2024 |
| September 25, 2023 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0585 | F Potential harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | F Potential harm, widespread | Corrected January 29, 2024 |
| September 25, 2023 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | F Potential harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | F Potential harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected November 30, 2023 |
| September 25, 2023 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected January 29, 2024 |
| September 25, 2023 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected November 30, 2023 |
| September 25, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected January 29, 2024 |
| September 25, 2023 Complaint | Develop 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 Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected January 29, 2024 |
| September 25, 2023 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | E Potential harm, pattern | Corrected January 29, 2024 |
| September 25, 2023 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | E Potential harm, pattern | Corrected November 30, 2023 |
| September 25, 2023 Standard | Have 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. Administration Deficiencies · Tag F0843 | E Potential harm, pattern | Corrected November 30, 2023 |
| September 25, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected January 29, 2024 |
| September 25, 2023 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 29, 2024 |
| September 25, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Standard | Implement 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Tag F0710 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected January 29, 2024 |
| September 25, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected January 29, 2024 |
| September 25, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Develop 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 29, 2024 |
| September 25, 2023 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 29, 2024 |
| September 25, 2023 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected January 29, 2024 |
| September 25, 2023 Complaint | Ensure 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. Nutrition and Dietary Deficiencies · Tag F0803 | C No harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected November 30, 2023 |
| September 25, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | C No harm, widespread | Corrected November 30, 2023 |
| May 12, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 27, 2022 |
| May 12, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected September 27, 2022 |
| May 12, 2022 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected September 27, 2022 |
| May 12, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected September 27, 2022 |
| May 12, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 30, 2022 |
| May 12, 2022 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 12, 2022 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 12, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 12, 2022 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 12, 2022 Standard | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 12, 2022 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 30, 2022 |
| May 12, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | B No harm, pattern | Corrected June 30, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $484,596 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 10, 2024 | Payment Denial | 64 days from October 17, 2024 |
| September 10, 2024 | Fine | $221,208 |
| September 25, 2023 | Payment Denial | 114 days from November 14, 2023 |
| September 25, 2023 | Fine | $263,388 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PIKE CREEK SNF OPERATOR HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 08/01/2023 |
| GLEN HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| HIGHLAND DE HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| JK 2022 FAMILY TRUST Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| J & R FAMILY INVESTMENTS, LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| LANDAU FAMILY INVESTMENT TRUST Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| MIMI HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| PANTHER DE PARTNERS LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| VH WPC SNF OPERATIONS HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| WPC SNF OPERATIONS HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2023 |
| RAJCHENBACH, MOSHE Individual | corporate officer | NOT APPLICABLE | 08/01/2023 |
| WHITE, REBECCA Individual | w-2 managing employee | NOT APPLICABLE | 08/01/2023 |
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★★★★★2Below averageCoral Springs Rehab & Healthcare
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Frequently asked questions
What is Pike Creek Nursing & Rehabilitation Center's rating?
Pike Creek Nursing & Rehabilitation Center has 2 out of 5 stars on the CMS overall star rating. The average for Delaware nursing homes is 3.2 stars.
How many inspection citations did Pike Creek Nursing & Rehabilitation Center receive?
Its most recent standard health inspection found 28 citations, compared with a Delaware average of 10.9. Every citation is listed on this page with its severity.
Does Pike Creek Nursing & Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pike Creek Nursing & Rehabilitation Center?
It is for profit - individual and part of Lifeworks Rehab. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pike Creek Nursing & Rehabilitation Center and how do I contact it?
Pike Creek Nursing & Rehabilitation Center is at 5651 Limestone Road, Wilmington, DE 19808. Phone: (302) 239-8583.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.