nursing home in Wilmington, DE

Pike Creek Nursing & Rehabilitation Center

5651 Limestone Road, Wilmington, DE 19808 · (302) 239-8583

★★★★★2
Below average
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

MeasureThis facilityDelaware avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 54 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)5 / 54 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)5 / 53.7 / 53.3 / 5Better

Staffing

This facility3.88 hrsDelaware average4.35 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Delaware and U.S. averages
MeasureThis facilityDelaware avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.88 hrs4.35 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.53 hrs0.97 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.23 hrs2.40 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.56 hrs3.89 hrs3.42 hrsAverage
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)011Better

Inspections

This facility28Delaware average11U.S. average9
Health citations in the most recent inspection: this facility vs. Delaware and U.S. averages
MeasureThis facilityDelaware avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)28119Worse
Citations from complaint investigations (latest cycle) (lower is better)1343Worse
Weighted health inspection score ⓘ (lower is better)395.59880.6Worse

Penalties

This facility2Delaware average1U.S. average1
Fines in the past 3 years: this facility vs. Delaware and U.S. averages
MeasureThis facilityDelaware avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$484,596$67,512$30,972Worse
All federal penalties in the past 3 years (lower is better)421Worse

Size

MeasureThis facilityDelaware avg.U.S. avg.vs. U.S.
Certified beds177107107
Average residents per day1719086
Occupancy96.8%81.1%80.9%

Long-stay residents

This facility1.5%Delaware average3.2%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Delaware and U.S. averages
MeasureThis facilityDelaware 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

This facility0.8%Delaware average1%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Delaware and U.S. averages
MeasureThis facilityDelaware 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".

DateCitationSeverityStatus
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.

DatePenaltyAmount / length
September 10, 2024Payment Denial64 days from October 17, 2024
September 10, 2024Fine$221,208
September 25, 2023Payment Denial114 days from November 14, 2023
September 25, 2023Fine$263,388

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
PIKE CREEK SNF OPERATOR HOLDINGS LLC
Organization
5% or greater direct ownership interest100%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 officerNOT APPLICABLE08/01/2023
WHITE, REBECCA
Individual
w-2 managing employeeNOT APPLICABLE08/01/2023

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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.