Pike Creek Nursing & Rehabilitation Center, Wilmington, Delaware

97
Citations from health inspectionsDelaware average: 37 a home: 6
Residents harmed or put in dangerDelaware average: 2.4 a home: $484,596
Fines from the federal governmentDelaware average: $67,512 a home: 2 out of 5
Overall rating in starsDelaware average: 3.2

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Five inspection visits produced 97 citations. Residents were in immediate danger in three findings. Residents were found hurt in three cases. Federal fines came to $484,596 (two fines). Two times, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

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Quick Look at the Record

The home's overall star rating: 2 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 3 out of 5
Rating for quality of care: 5 out of 5
Nurse time for each resident: 3.88 hours each dayThe Delaware average is 4.35 hours
Time from registered nurses: 0.53 hours each dayThe Delaware average is 0.97 hours
Nursing staff who left during one year: 45.3%against the Delaware average of 41.3%
Beds that are certified: 177
Ownership: Individual (for profit)
Chain: Lifeworks Rehab, with 64 homes
Street address: 5651 Limestone Road, Wilmington, Delaware 19808
County: New Castle

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Two citations dated May 19, 2026

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Four citations dated Aug. 13, 2025

F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

36 citations dated Sept. 10, 2024

F949 Behavioral Health Training for Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F946 Compliance and Ethics Training: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F943 Staff Training on Abuse, Neglect, and Dementia: risk of harm, no one found hurt, one or a few residents.
F941 Communication Training for Direct Care Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, one or a few residents.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, a pattern, several residents.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F760 Significant Medication Errors: immediate danger to residents, one or a few residents, found on a complaint visit.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, one or a few residents.
F726 Nurses and Aides Have Needed Skills: immediate danger to residents, one or a few residents, found on a complaint visit.
F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F691 Proper Care for Surgical Bowel or Bladder Openings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, a pattern, several residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

47 citations dated Sept. 25, 2023

F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, widespread.
F943 Staff Training on Abuse, Neglect, and Dementia: risk of harm, no one found hurt, widespread.
F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: immediate danger to residents, one or a few residents.
F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, a pattern, several residents.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, a pattern, several residents.
F843 Hospital Transfer Agreement: risk of harm, no one found hurt, a pattern, several residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F803 Menus That Meet Nutrition Needs: minimal risk to residents, widespread, found on a complaint visit.
F773 Order Laboratory Tests and Report Results Promptly: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, widespread, found on a complaint visit.
F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, a pattern, several residents.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F710 Doctor's Order to Admit and Ongoing Doctor Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
F684 Quality of Care: residents were harmed, a pattern, several residents, found on a complaint visit.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F607 Policies to Prevent Abuse, Neglect, and Theft: minimal risk to residents, widespread, found on a complaint visit.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, widespread.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
F577 Access to Inspection Results and Advocates: minimal risk to residents, widespread.

Eight citations dated May 12, 2022

F842 Medical Records and Privacy: minimal risk to residents, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
Sept. 10, 2024	Fine	$221,208
Sept. 10, 2024	Payment denial for new admissions	64 days
Sept. 25, 2023	Fine	$263,388
Sept. 25, 2023	Payment denial for new admissions	114 days

Ownership and Management of the Home

The direct 100% owner is Pike Creek SNF Operator Holdings LLC.
Owns a share through another company: Glen Holdco LLC.
Owns a share through another company: Highland de Holdings LLC.
Owns a share through another company: J & R Family Investments, LLC.
Owns a share through another company: Jk 2022 Family Trust.
Owns a share through another company: Landau Family Investment Trust.
Owns a share through another company: Mimi Holdco LLC.
Owns a share through another company: Panther de Partners LLC.

Two additional companies have a stake or a management role, according to CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 085033. Other homes in Delaware.