facebook tracking Cadia Rehabilitation Pike Creek, Wilmington DE: CMS Ratings
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Cadia Rehabilitation Pike Creek

All states › Delaware › Wilmington › Cadia Rehabilitation Pike Creek

3540 Three Little Bakers Blvd Wilmington, DE 19808 · New Castle County

(302) 455-0808

All 14 nursing homes in Wilmington, DE (13 take Medicaid)

Accepts Medicare Accepts Medicaid 177 certified beds For profit

CMS certification number 085054 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Cadia Rehabilitation Pike Creek a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Cadia Rehabilitation Pike Creek as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Delaware average of 3.2. Inspectors issued 35 citations in the last three years. CMS imposed 5 penalties, including $105,729 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.40 hours per resident per day at Cadia Rehabilitation Pike Creek, above the Delaware median of 3.98 (US median: 3.72). About 0.71 of those hours are from registered nurses. On weekends it falls to 3.80 hours, 14% below its all-week average. 47.6% of nursing staff left within a year (Delaware median 40%).

Nursing care per resident per day 4.40 hours
Above the Delaware median of 3.98 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.71 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.80 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 47.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 56.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds177
Residents per day 154 About 87% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceNovember 2009
Part of a chainCadia Healthcare
Legal business namePIKE CREEK HEALTHCARE SERVICES LLC

Paying for care at Cadia Rehabilitation Pike Creek: Medicare and Medicaid

Cadia Rehabilitation Pike Creek is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Delaware's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 15, 2026 and found 1 deficiency, plus 5 from complaint inspections in the same period. In total, inspectors issued 35 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 35 citations at Cadia Rehabilitation Pike Creek across 6 inspection dates, 21 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 1, 2026 (complaint inspection). The most common areas cited were quality of life and care (11) and resident rights (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, July 1, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.

July 1, 2026 · 2 citations · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jun 12, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Aug 3, 2026)

May 15, 2026 · 4 citations · includes complaint inspection

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jun 29, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Jun 29, 2026)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Jun 29, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Jun 29, 2026)

April 18, 2025 · 13 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 2, 2025)

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Mar 21, 2025)

EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0809 · Deficient, Provider has date of correction (Jun 2, 2025)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 2, 2025)

EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Jun 2, 2025)

DHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0563 · Complaint inspection · Deficient, Provider has date of correction (Jun 2, 2025)

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Past Non-Compliance (Mar 21, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Jun 2, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jun 2, 2025)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Jun 2, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jun 2, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Jun 2, 2025)

CProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jun 2, 2025)

February 17, 2025 · 3 citations · includes complaint inspection

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Apr 7, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Apr 7, 2025)

DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Potential for more than minimal harm · Administration Deficiencies · Tag F0773 · Complaint inspection · Deficient, Provider has date of correction (Apr 7, 2025)

March 21, 2024 · 7 citations · includes complaint inspection

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (May 12, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 12, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (May 12, 2024)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (May 12, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (May 12, 2024)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (May 12, 2024)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (May 12, 2024)

October 17, 2023 · 6 citations, includes immediate jeopardy · includes complaint inspection

JEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Immediate jeopardy · Nursing and Physician Services Deficiencies · Tag F0711 · Complaint inspection · Past Non-Compliance (Apr 19, 2023)

JEnsure that residents are free from significant medication errors.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Past Non-Compliance (Sep 8, 2023)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2023)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2023)

Questions to ask on a tour of Cadia Rehabilitation Pike Creek

  1. Inspectors cited the home at the immediate-jeopardy level on July 1, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on July 1, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

5 penalties in the last three years, including $105,729 in fines.

DateTypeAmount or length
May 15, 2026 Fine $27,378
Apr 18, 2025 Fine $52,305
Apr 18, 2025 Payment Denial 5 days of payments denied
Oct 17, 2023 Fine $12,649
Oct 17, 2023 Fine $13,397

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 3/5 2/5 5/5
August 2026 4/5 3/5 2/5 5/5
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Location

Hospitals near Cadia Rehabilitation Pike Creek

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Coral Springs Rehab & Healthcare Wilmington · 2.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 169 beds · Medicaid
Pike Creek Nursing & Rehabilitation Center Wilmington · 2.1 mi away ★★☆☆☆ Inspection 1/5 · Staffing 4/5 177 beds · Medicaid
Excelcare at Newark Newark · 2.4 mi away ★★☆☆☆ Inspection 1/5 · Staffing 4/5 101 beds · Medicaid
Regal Heights Healthcare & Rehab Center Hockessin · 2.5 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 4/5 172 beds · Medicaid
Willowbrooke Court at Cokesbury Village Hockessin · 3.0 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 10 beds

More nursing homes near Cadia Rehabilitation Pike Creek ›   All nursing homes in Wilmington ›

Compare Cadia Rehabilitation Pike Creek with the 3 closest homes side by side ›

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Other Cadia Healthcare nursing homes in Delaware

Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Cadia Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/delaware/wilmington/cadia-rehabilitation-pike-creek/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.