Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

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Pike Creek Nursing and Rehabilitation is where Hockessin residents receive personalized care uniquely designed based on their needs. Expect excellent services and commitment to ensuring residents live their best lives. Their areas of specialization include rehabilitation, post-acute services, and long-term nursing care.
Essential services include housekeeping, restaurant-style dining, social activities, and scheduled transportation.
Offers a balance of services and community atmosphere.
Occupancy is moderate, suggesting balanced demand.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
30% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Pike Creek Nursing and Rehabilitation is administrated by Brian Lenehan.
Key information about the people who lead and staff this community.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Home Care
Nursing Homes 24/7 care needed
Respite Care
3.7 miles from city center
5651 Limestone Rd, Wilmington, DE 19808
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 7.8 | Yes |
| Licensed Practical Nurse | 42 | 9.2 | Yes |
| Certified Nursing Assistant | 84 | 8.2 | Yes |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 83 | 1 | 84 | 26,177 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 34 | 8 | 42 | 14,493 | 91 | 100% | 9.2 |
| Registered Nurse | 14 | 4 | 18 | 5,345 | 91 | 100% | 7.8 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,860 | 79 | 87% | 8 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,693 | 71 | 78% | 8.2 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,690 | 82 | 90% | 7.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,401 | 84 | 92% | 9.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,329 | 91 | 100% | 7.5 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,112 | 80 | 88% | 7.7 |
| Dental Services Staff | 2 | 0 | 2 | 909 | 69 | 76% | 7.9 |
| Qualified Social Worker | 5 | 0 | 5 | 686 | 63 | 69% | 6.2 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 345 | 45 | 49% | 7.7 |
Source: CMS Health Citations (May 2022 – Aug 2025)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Aug 13, 2025 | C | Nursing Services | F0732 | Corrected |
| Aug 13, 2025 | D | Quality of Care | F0684 | Corrected |
| Aug 13, 2025 | D | Care Planning | F0656 | Corrected |
| Aug 13, 2025 | E | Resident Rights | F0550 | Corrected |
| Sep 10, 2024 | D | Abuse/Neglect | F0600 | Corrected |
| Sep 10, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Sep 10, 2024 | D | Abuse/Neglect | F0943 | Corrected |
| Sep 10, 2024 | D | Administration | F0867 | Corrected |
| Sep 10, 2024 | E | Administration | F0941 | Corrected |
| Sep 10, 2024 | E | Administration | F0944 | Corrected |
| Sep 10, 2024 | E | Administration | F0946 | Corrected |
| Sep 10, 2024 | E | Administration | F0949 | Corrected |
| Sep 10, 2024 | D | Infection Control | F0883 | Corrected |
| Sep 10, 2024 | D | Infection Control | F0887 | Corrected |
| Sep 10, 2024 | J | Nursing Services | F0726 | Corrected |
| Sep 10, 2024 | D | Nursing Services | F0730 | Corrected |
| Sep 10, 2024 | D | Nursing Services | F0947 | Corrected |
| Sep 10, 2024 | E | Nutrition | F0800 | Corrected |
| Sep 10, 2024 | E | Nutrition | F0804 | Corrected |
| Sep 10, 2024 | D | Nutrition | F0806 | Corrected |
| Sep 10, 2024 | E | Nutrition | F0812 | Corrected |
| Sep 10, 2024 | D | Pharmacy | F0756 | Corrected |
| Sep 10, 2024 | J | Pharmacy | F0760 | Corrected |
| Sep 10, 2024 | D | Pharmacy | F0761 | Corrected |
| Sep 10, 2024 | D | Quality of Care | F0677 | Corrected |
| Sep 10, 2024 | D | Quality of Care | F0686 | Corrected |
| Sep 10, 2024 | D | Quality of Care | F0688 | Corrected |
| Sep 10, 2024 | D | Quality of Care | F0689 | Corrected |
| Sep 10, 2024 | E | Quality of Care | F0690 | Corrected |
| Sep 10, 2024 | D | Quality of Care | F0691 | Corrected |
| Sep 10, 2024 | D | Quality of Care | F0695 | Corrected |
| Sep 10, 2024 | D | Quality of Care | F0697 | Corrected |
| Sep 10, 2024 | D | Quality of Care | F0791 | Corrected |
| Sep 10, 2024 | E | Care Planning | F0656 | Corrected |
| Sep 10, 2024 | D | Care Planning | F0657 | Corrected |
| Sep 10, 2024 | D | Care Planning | F0842 | Corrected |
| Sep 10, 2024 | D | Resident Rights | F0550 | Corrected |
| Sep 10, 2024 | D | Resident Rights | F0552 | Corrected |
| Sep 10, 2024 | D | Resident Rights | F0580 | Corrected |
| Sep 10, 2024 | D | Resident Rights | F0585 | Corrected |
| Sep 25, 2023 | D | Abuse/Neglect | F0600 | Corrected |
| Sep 25, 2023 | C | Abuse/Neglect | F0607 | Corrected |
| Sep 25, 2023 | D | Abuse/Neglect | F0609 | Corrected |
| Sep 25, 2023 | D | Abuse/Neglect | F0610 | Corrected |
| Sep 25, 2023 | F | Abuse/Neglect | F0943 | Corrected |
| Sep 25, 2023 | D | Administration | F0773 | Corrected |
| Sep 25, 2023 | F | Administration | F0835 | Corrected |
| Sep 25, 2023 | E | Administration | F0843 | Corrected |
| Sep 25, 2023 | E | Administration | F0849 | Corrected |
| Sep 25, 2023 | F | Administration | F0867 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Showing all 4 penalties (Sep 2023 - Sep 2024)
Historical financial and operational data for Pike Creek Nursing and Rehabilitation based on CMS SNF Cost Reports.
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