Nursing Home Alerts

Cadia Rehabilitation Pike Creek

3540 Three Little Bakers Blvd, Wilmington, DE 19808

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Cadia Rehabilitation Pike Creek is a nursing home in Wilmington, Delaware. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(302) 455-0808
Last standard health inspection
May 15, 2026 (5 months ago)
Certified beds
177
Residents per day, on average
154.1
Ownership type
For profit - Corporation
Legal business name
Pike Creek Healthcare Services LLC
Chain
Cadia Healthcare
Takes part in
Medicare and Medicaid

Fewer health citations than the Delaware average (35 vs 37).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 8, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

  3. 2 citations

    Health inspection on July 1, 2026

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    9 of 44 Delaware homes (20%) got a citation at the immediate jeopardy level in 2026.

    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 12, 2026.

      CMS has cited this home for F0689 2 times since 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on August 3, 2026.

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  4. 4 citations

    Health inspection on May 15, 2026

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0578. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor 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.

      CMS lists it as corrected on June 29, 2026.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on June 29, 2026.

      CMS has cited this home for F0812 2 times since 2025.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 29, 2026.

      CMS has cited this home for F0686 2 times since 2025.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 29, 2026.

      CMS has cited this home for F0755 3 times since 2024.

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  5. Fine

    May 15, 2026 (5 months ago)

    CMS fine of $27,378 on May 15, 2026.

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  6. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  7. CMS update of March 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  8. CMS update of February 25, 2026

    • Fine

      CMS changed the fine from April 18, 2025 from $50,832 to $52,305.

  9. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Fine

      CMS changed the fine from October 17, 2023 from $26,046 to $12,649.

  10. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  11. Payment stopped

    May 28, 2025 (1 year ago)

    CMS stopped payment for new admissions from May 28, 2025, for 5 days.

    See this home on CMS Care Compare

  12. 13 citations

    Health inspection on April 18, 2025

    CMS lists this as a standard inspection and a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    10 of 44 Delaware homes (23%) got a citation at the immediate jeopardy level in 2025.

    • Citation F0684. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      The home is disputing this citation through CMS's independent review.

      CMS lists it as corrected on June 2, 2025.

      CMS has cited this home for F0684 3 times since 2023.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 21, 2025.

    • Citation F0809. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure 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.

      CMS lists it as corrected on June 2, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on June 2, 2025.

    • Citation F0925. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      CMS lists it as corrected on June 2, 2025.

    • Citation F0563. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

      The home is disputing this citation through CMS's independent review.

      CMS lists it as corrected on June 2, 2025.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor 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.

      CMS lists it as corrected on March 21, 2025.

      CMS has cited this home for F0584 2 times since 2024.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on June 2, 2025.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on June 2, 2025.

      CMS has cited this home for F0657 2 times since 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 2, 2025.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 2, 2025.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on June 2, 2025.

    • Citation F0623. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on June 2, 2025.

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  13. Fine

    April 18, 2025 (1 year ago)

    CMS fine of $52,305 on April 18, 2025.

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  14. 3 citations

    Health inspection on February 17, 2025

    CMS lists this as a complaint inspection.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 7, 2025.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 7, 2025.

    • Citation F0773. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

      CMS lists it as corrected on April 7, 2025.

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  15. CMS update of October 30, 2024

    • Fine

      CMS changed the fine from October 17, 2023 from $40,070 to $26,046.

  16. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

  17. CMS update of June 26, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  18. CMS update of May 29, 2024

    • Special Focus Facility

      CMS no longer lists this home as a Special Focus Facility candidate.

  19. 7 citations

    Health inspection on March 21, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor 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.

      CMS lists it as corrected on May 12, 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on May 12, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on May 12, 2024.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on May 12, 2024.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on May 12, 2024.

    • Citation F0699. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

      CMS lists it as corrected on May 12, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on May 12, 2024.

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  20. 6 citations

    Health inspection on October 17, 2023

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    8 of 44 Delaware homes (18%) got a citation at the immediate jeopardy level in 2023.

    • Citation F0711. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0760. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on September 8, 2023.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on November 15, 2023.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on November 15, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on November 15, 2023.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on November 15, 2023.

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  21. Fine

    October 17, 2023 (3 years ago)

    CMS fine of $12,649 on October 17, 2023.

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  22. Fine

    October 17, 2023 (3 years ago)

    CMS fine of $13,397 on October 17, 2023.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Cadia Rehabilitation Pike Creek last inspected?

CMS lists May 15, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Cadia Rehabilitation Pike Creek have?

CMS lists 35 health citations since October 17, 2023. CMS also calls these deficiencies.

Has Cadia Rehabilitation Pike Creek been fined?

CMS lists 4 fines in the past three years, $105,729 in total.

What is the CMS star rating of Cadia Rehabilitation Pike Creek?

Its CMS overall star rating is 4 of 5.

Is Cadia Rehabilitation Pike Creek a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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