Nursing home
Pike Creek Nursing & Rehabilitation Center
5651 Limestone Road, Wilmington, DE 19808 · Map
For profit - Individual · Part of Lifeworks Rehab (59 facilities) · 177 certified beds
Pike Creek Nursing & Rehabilitation Center is a Medicare-certified nursing home in Wilmington, Delaware. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.79 hours per resident per day, below the Delaware average of 4.51. Its most recent inspection on Sep 10, 2024 cited 30 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $484,596In CMS records: 4 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pike Creek Nursing & Rehabilitation Center compares
This facility vs. the Delaware and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Delaware avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.79 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.58 | 1.03 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.09 | 2.47 | 2.34 | below avg |
| Nursing staff turnover | 66.8% | 41.8% | 46.4% | above avg |
| Deficiencies cited, last inspection | 30.0 | 13.5 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $484,596, 4 total penalties, 2 Medicare payment denials.
What inspectors found at Pike Creek Nursing & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Aug 13, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 13, 2025 · Full report (PDF) - Potential for harm
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 · Aug 13, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Aug 13, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 10, 2024 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
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 · Sep 10, 2024 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Sep 10, 2024 · Full report (PDF) - Potential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Sep 10, 2024 · Full report (PDF) - Potential for harm
Provide training in compliance and ethics.
Administration Deficiencies · Sep 10, 2024 · Full report (PDF) - Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Sep 10, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Sep 10, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 10, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5651 Limestone Road
Wilmington, DE 19808 - CMS certification #
- 085033
- Ownership
- For profit - Individual
- Certified beds
- 177
- Avg residents/day
- 157.3
- Provider type
- Medicare and Medicaid
- First certified
- 1988-08-11
- Chain
- Lifeworks Rehab (59 facilities)
- Setting
- Urban
Part of Lifeworks Rehab
Lifeworks Rehab operates 59 nursing facilities across the United States. View all Lifeworks Rehab facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pike Creek Nursing & Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Christiana Hospital, Newark. 4.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Complete Care at Brackenville LLC, Hockessin. 1.3 miles away, straight line.
- Nearest home health agency office
- Aston Home Health, Inc, Wilmington. 2.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Acme Pharmacy. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 19808 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Innovative Renal Care Hockessin, Hockessin, 0.7 miles away, straight line (CMS rating 2 of 5 stars)
Fkc Lantana, Hockessin, 2.7 miles away, straight line (CMS rating 4 of 5 stars)
Fkc Main Street, Newark, 3.2 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 19808.
Acts Signature Hospice Delaware, office in Hockessin, 2.6 miles away, straight line
Heartland Hospice, office in Newark, 4.8 miles away, straight line
Christianacare Accentcare Hosp & Palliative Care, office in Newark, 4.8 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Christiana Care Health Services Inc, Newark. 4.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Delaware Division of Public Health, Office of Food Protection kitchen inspections | Oct 15, 2026 | No kitchen matched |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Pike Creek Nursing & Rehabilitation Center a good nursing home?
CMS gives Pike Creek Nursing & Rehabilitation Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pike Creek Nursing & Rehabilitation Center staffed?
Pike Creek Nursing & Rehabilitation Center reports 3.79 total nurse hours per resident per day, compared with the Delaware average of 4.51.
Has Pike Creek Nursing & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 30 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Pike Creek Nursing & Rehabilitation Center have?
Pike Creek Nursing & Rehabilitation Center is certified for 177 beds.