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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pike Creek Nursing and Rehabilitation is an independently-owned nursing home in Wilmington, DE, that offers long-term care and short-term rehabilitation. The community also fosters comfort and healing, ensuring older adults are well-cared for. With 24-hour care, well-balanced meals, and wellness programs, residents receive the utmost attention and care. Through customized care plans, the community strives to meet residents’ needs and preferences.
Light exercises and fun gatherings ensure residents can stay active and well-engaged. Top-notch rehabilitation equipment and lively communal spaces are also available for residents’ wellness. Located along Limestone Road in Wilmington, the community guarantees accessibility and convenience. This nursing home is a great choice for senior living in Delaware, as it has excellent services dedicated to older adults’ welfare.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Delaware average
Pike Creek Nursing and Rehabilitation is administrated by Brian Lenehan.
Key information about the people who lead and staff this community.
In Delaware, the Department of Health and Social Services, Division of Health Care Quality is responsible for the oversight, unannounced inspection, and licensing of all long-term care settings.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Delaware average: 64 deficiencies
The most recent inspection on August 13, 2025 identified multiple deficiencies related to resident rights, care planning, pain management, nurse staffing, pharmacy and radiology services, food safety, and pest control. Earlier inspections showed a pattern of similar issues including staffing shortages, medication errors, inadequate care planning, and failure to meet training and screening requirements. A notable substantiated complaint involved a medication error causing hospitalization and ICU admission, with the responsible nurse suspended and additional deficiencies found in staff training and reporting. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges with regulatory compliance, with deficiencies persisting over time rather than clear improvement.
Delaware average 4.4
Last Health inspection on Aug 2025
Delaware average 38.9
Delaware average 8.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
43 of 97 citations resulted from standard inspections; 19 of 97 resulted from complaint investigations; and 35 of 97 came from combined inspections (standard and complaint).
3
233% worse than Delaware average
Delaware average: 0.9
3
150% worse than Delaware average
Delaware average: 1.2
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 13, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 13, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 13, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
3.7 miles from city center — 5.02 miles to nearest hospital (VA Medical Center- Wilmington)
5651 Limestone Rd, Wilmington, DE 19808
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
25% worse than Delaware average
Delaware average ratio: 1.61:1
9% better than Delaware average
Delaware average: 7.6 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Total hours from contractors
3,389 contractor hours this quarter
| 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 Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.9
8% better than Delaware average
Delaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.5
8% better than Delaware average
Delaware average: 19.0
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
5% better than Delaware average
Delaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
15.7%
21% better than Delaware average
Delaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.0%
In line with Delaware average
Delaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
19% better than Delaware average
Delaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.9%
11% worse than Delaware average
Delaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.0%
7% better than Delaware average
Delaware average: 2.1%
Percent of long-stay residents who lose too much weight
6.6%
15% worse than Delaware average
Delaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
59.6%
889% worse than Delaware average
Delaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
18.5%
69% worse than Delaware average
Delaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.4%
16% worse than Delaware average
Delaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
In line with Delaware average
Delaware average: 97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
31.7%
61% worse than Delaware average
Delaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
69% worse than Delaware average
Delaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.4%
9% worse than Delaware average
Delaware average: 83.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
394% higher than Delaware average
Delaware average: $98K
7% more fines than Delaware average
Delaware average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
757% more payment denials than Delaware average
Delaware average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 10, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 10, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 25, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 25, 2023
Last updated: Jan 2026
Historical financial and operational data for Pike Creek Nursing and Rehabilitation based on CMS SNF Cost Reports.
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