Pike Creek Nursing & Rehabilitation Center
5651 Limestone Road · Wilmington, DE · 19808 · 3022398583
177 certified beds For profit - Individual Chain: Lifeworks Rehab
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $221,208 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$221,208 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.58 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $484,596 |
Inspection citations (95 in the current record)
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Potential for harm · E August 13, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2025 · Resident Rights
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Potential for harm · D August 13, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 26, 2025 · Quality of Life and Care
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No harm found · C August 13, 2025 · found via complaint
Post nurse staffing information every day.
Corrected September 26, 2025 · Nursing and Physician Services
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Immediate jeopardy · J September 10, 2024 · found via 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.
Corrected November 11, 2024 · Nursing and Physician Services
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Immediate jeopardy · J September 10, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 11, 2024 · Pharmacy Service
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Potential for harm · D September 10, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 11, 2024 · Resident Rights
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Potential for harm · E September 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 10, 2024
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.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · E September 10, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · D September 10, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · D September 10, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · D September 10, 2024
Observe each nurse aide's job performance and give regular training.
Corrected November 11, 2024 · Nursing and Physician Services
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Potential for harm · D September 10, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 11, 2024 · Pharmacy Service
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Potential for harm · D September 10, 2024
Provide or obtain dental services for each resident.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · E September 10, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected November 11, 2024 · Nutrition and Dietary
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Potential for harm · D September 10, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected November 11, 2024 · Nutrition and Dietary
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Potential for harm · E September 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 11, 2024 · Nutrition and Dietary
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Potential for harm · D September 10, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected November 11, 2024 · Infection Control
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Potential for harm · D September 10, 2024
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.
Corrected November 11, 2024 · Infection Control
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Potential for harm · D September 10, 2024
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · D September 10, 2024 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected November 11, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 10, 2024 | Fine | $221,208 |
| September 10, 2024 | Payment Denial | 64 days |
| September 25, 2023 | Fine | $263,388 |
| September 25, 2023 | Payment Denial | 114 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085033 · certified since August 11, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.