Federal inspection record · CMS data as of October 1, 2026
Pike Creek Nursing & Rehabilitation Center
5651 Limestone Road, Wilmington, DE · (302) 239-8583
- Special Focus Facility
- Certified beds
- 177
- Residents per day
- 171
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 11, 1988
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Delaware.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Delaware homes
Pike Creek Nursing & Rehabilitation Center carries 164.25 inspection points. That is fewer than 9% of Delaware's 43 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Delaware: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–57 pts
- 3★ 57–80 pts
- 2★ 80–139.25 pts
- 1★ over 139.25 pts
Bars show every rated home in Delaware by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
101 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
J
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.
-
J
Ensure that residents are free from significant medication errors.
-
J
Provide and implement an infection prevention and control program.
-
H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care19E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Administration13F
- D
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E
Provide training in compliance and ethics.
- E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E
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.
- E
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.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Resident Assessment and Care Planning12E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation11F
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- F
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights11F
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- F
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.
- E
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Nutrition and Dietary9F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- C
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.
Nursing and Physician Services8E
- C
Post nurse staffing information every day.
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
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.
- E
Observe each nurse aide's job performance and give regular training.
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- C
Post nurse staffing information every day.
Pharmacy Service7F
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- F
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
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.
Infection Control4D
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- D
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.
Environmental1F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2025-08-13
21 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-09-10
26 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-09-25
54 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 57 min
Delaware average
4 h 29 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 35% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$221,208 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-10 | Fine | $221,208 |
| 2024-09-10 | Payment Denial · 64 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.6 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 1.5 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts worse | 90.5% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.5 pts worse | 96.3% | 98.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 1.4% | 2.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms42.7 pts worse | 53.3% | 10.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 6.4% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts worse | 27.3% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.7 pts worse | 11.3% | 10.6% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.2 pts worse | 13.3% | 12.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts better | 10.7% | 12.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.4% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 2.3% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts worse | 25.8% | 19.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 2.8% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.2 pts worse | 61.3% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better | 9.9% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 0.6% | 0.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.6 pts worse | 84.8% | 88.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts better | 22.0% | 22.7% | 23.4% |
·
Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pike Creek SNF Operator Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Glen Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Highland De Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| J & R Family Investments, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 31 facilities |
| Jk 2022 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Landau Family Investment Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 31 facilities |
| Mimi Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Panther De Partners LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Rajchenbach, Moshe | Corporate Officer · Individual | 0% | 10 facilities |
| Vh Wpc SNF Operations Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| White, Rebecca | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Wpc SNF Operations Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install corridor and hallway doors that block smoke.
Emergency Preparedness1F
- F
Establish staff and initial training requirements.
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Other homes nearby
-
Complete Care At Brackenville LLC
Hockessin, DE · Complete Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 53 min
- Fines
- $16,801
-
Cadia Rehabilitation Pike Creek
Wilmington, DE · Cadia Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 24 min
- Fines
- $105,729
-
Willowbrooke Court At Cokesbury Village
Hockessin, DE · Acts Retirement-Life Communities
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 35 min
- Fines
- $0