PIKE CREEK NURSING & REHABILITATION CENTER

5651 LIMESTONE ROAD, WILMINGTON, DE 19808 · CCN 085033 · 177 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2024-09-10 — IMMEDIATE JEOPARDY (tag F0760, severity J)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2024-09-10 — IMMEDIATE JEOPARDY (tag F0726, severity J)

Nursing and Physician Services Deficiencies · correction not recorded in CMS data

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.

2023-09-25 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe, appropriate pain management for a resident who requires such services.

2023-09-25 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-09-25 — ACTUAL HARM (tag F0684, severity H)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-09-25 — IMMEDIATE JEOPARDY (tag F0880, severity J)

Infection Control Deficiencies · correction not recorded in CMS data

Provide and implement an infection prevention and control program.

Staffing, from payroll records

Nursing hours / resident / day

3.59

state median 3.58

Weekend staffing gap

−4%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.24

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

45%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $484,596 in fines.

Date	Type	Amount
2024-09-10	Fine	$221,208
2024-09-10	Payment Denial	payment denial
2023-09-25	Fine	$263,388
2023-09-25	Payment Denial	payment denial

Ownership

Ownership type: For profit - Individual. Part of the LIFEWORKS REHAB chain.

Other facilities under the same ownership, with their CMS overall ratings:

WILMINGTON NURSING & REHABILITATION CENTER (WILMINGTON, DE) — CMS overallnot rated
WHITE OAK REHABILITATION AND NURSING CENTER (HYATTSVILLE, MD) — CMS overall1 of 5
POTOMAC VALLEY REHABILITATION AND HEALTHCARE (ROCKVILLE, MD) — CMS overall4 of 5
ADELPHI NURSING AND REHABILITATION CENTER (ADELPHI, MD) — CMS overall2 of 5
SHADY GROVE NURSING AND REHABILITATION CENTER (ROCKVILLE, MD) — CMS overall2 of 5
LAYHILL NURSING AND REHABILITATION CENTER (SILVER SPRING, MD) — CMS overall1 of 5
WILLIAMSPORT HEALTH AND REHABILITATION CENTER (WILLIAMSPORT, MD) — CMS overall1 of 5
ELKTON NURSING AND REHABILITATION CENTER (ELKTON, MD) — CMS overall1 of 5

Full citation history

By severity: No harm, potential for minimal harm: 6 · Actual harm: 3 · Potential for more than minimal harm: 85 · Immediate jeopardy: 3

Survey date	Tag	Category	Severity	Corrected
2026-05-19	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-05-19	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-08-13	F0550	Resident Rights Deficiencies	E	not recorded
2025-08-13	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-08-13	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-08-13	F0732	Nursing and Physician Services Deficiencies	C	not recorded
2024-09-10	F0550	Resident Rights Deficiencies	D	not recorded
2024-09-10	F0552	Resident Rights Deficiencies	D	not recorded
2024-09-10	F0580	Resident Rights Deficiencies	D	not recorded
2024-09-10	F0585	Resident Rights Deficiencies	D	not recorded
2024-09-10	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-10	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-10	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-09-10	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-10	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-09-10	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-09-10	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-09-10	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-09-10	F0690	Quality of Life and Care Deficiencies	E	not recorded
2024-09-10	F0691	Quality of Life and Care Deficiencies	D	not recorded
2024-09-10	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-09-10	F0697	Quality of Life and Care Deficiencies	D	not recorded
2024-09-10	F0726	Nursing and Physician Services Deficiencies	J	not recorded
2024-09-10	F0730	Nursing and Physician Services Deficiencies	D	not recorded
2024-09-10	F0756	Pharmacy Service Deficiencies	D	not recorded
2024-09-10	F0760	Pharmacy Service Deficiencies	J	not recorded
2024-09-10	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-09-10	F0791	Quality of Life and Care Deficiencies	D	not recorded
2024-09-10	F0800	Nutrition and Dietary Deficiencies	E	not recorded
2024-09-10	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-09-10	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2024-09-10	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-09-10	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-10	F0867	Administration Deficiencies	D	not recorded
2024-09-10	F0883	Infection Control Deficiencies	D	not recorded
2024-09-10	F0887	Infection Control Deficiencies	D	not recorded
2024-09-10	F0941	Administration Deficiencies	E	not recorded
2024-09-10	F0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-10	F0944	Administration Deficiencies	E	not recorded
2024-09-10	F0946	Administration Deficiencies	E	not recorded
2024-09-10	F0947	Nursing and Physician Services Deficiencies	D	not recorded
2024-09-10	F0949	Administration Deficiencies	E	not recorded
2023-09-25	F0577	Resident Rights Deficiencies	C	not recorded
2023-09-25	F0578	Resident Rights Deficiencies	E	not recorded
2023-09-25	F0580	Resident Rights Deficiencies	D	not recorded
2023-09-25	F0585	Resident Rights Deficiencies	F	not recorded
2023-09-25	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-25	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	C	not recorded
2023-09-25	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-25	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-25	F0623	Resident Rights Deficiencies	D	not recorded
2023-09-25	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-25	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-25	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-25	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-25	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-25	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-09-25	F0677	Quality of Life and Care Deficiencies	E	not recorded
2023-09-25	F0679	Quality of Life and Care Deficiencies	D	not recorded
2023-09-25	F0684	Quality of Life and Care Deficiencies	H	not recorded
2023-09-25	F0689	Quality of Life and Care Deficiencies	G	not recorded
2023-09-25	F0690	Quality of Life and Care Deficiencies	D	not recorded
2023-09-25	F0692	Quality of Life and Care Deficiencies	D	not recorded
2023-09-25	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-09-25	F0697	Quality of Life and Care Deficiencies	G	not recorded
2023-09-25	F0698	Quality of Life and Care Deficiencies	D	not recorded
2023-09-25	F0710	Nursing and Physician Services Deficiencies	D	not recorded
2023-09-25	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2023-09-25	F0726	Nursing and Physician Services Deficiencies	E	not recorded
2023-09-25	F0730	Nursing and Physician Services Deficiencies	E	not recorded
2023-09-25	F0732	Nursing and Physician Services Deficiencies	C	not recorded
2023-09-25	F0756	Pharmacy Service Deficiencies	F	not recorded
2023-09-25	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-09-25	F0760	Pharmacy Service Deficiencies	D	not recorded
2023-09-25	F0761	Pharmacy Service Deficiencies	D	not recorded
2023-09-25	F0773	Administration Deficiencies	D	not recorded
2023-09-25	F0803	Nutrition and Dietary Deficiencies	C	not recorded
2023-09-25	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2023-09-25	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-09-25	F0835	Administration Deficiencies	F	not recorded
2023-09-25	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-25	F0843	Administration Deficiencies	E	not recorded
2023-09-25	F0849	Administration Deficiencies	E	not recorded
2023-09-25	F0867	Administration Deficiencies	F	not recorded
2023-09-25	F0868	Administration Deficiencies	E	not recorded
2023-09-25	F0880	Infection Control Deficiencies	J	not recorded
2023-09-25	F0887	Infection Control Deficiencies	D	not recorded
2023-09-25	F0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	F	not recorded
2023-09-25	F0944	Administration Deficiencies	F	not recorded
2022-05-12	F0558	Resident Rights Deficiencies	D	not recorded
2022-05-12	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-05-12	F0684	Quality of Life and Care Deficiencies	D	not recorded
2022-05-12	F0761	Pharmacy Service Deficiencies	D	not recorded
2022-05-12	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2022-05-12	F0810	Nutrition and Dietary Deficiencies	D	not recorded
2022-05-12	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2022-05-12	F0842	Resident Assessment and Care Planning Deficiencies	B	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “PIKE CREEK NURSING & REHABILITATION CENTER, WILMINGTON” at medicare.gov/care-compare.