Cadia Rehabilitation Pike Creek
3540 Three Little Bakers Blvd, Wilmington, DE 19808
Cadia Rehabilitation Pike Creek, a 177-bed for profit - corporation nursing facility in Wilmington, DE, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #18 of 43 rated homes in DE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3024550808
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #18 of 43
- In-state rank among rated DE homes
- 4.52
- Well above average · nurse hrs/day · nat'l 3.86
- 35
- Inspection findings · 5 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Cadia Rehabilitation Pike Creek, a 177-bed for profit - corporation nursing facility in Wilmington, DE, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #18 of 43 rated homes in DE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #18 of 43
- In-state rank among rated DE homes
- 4.52
- Nurse hrs/resident-day · national 3.86
- 35
- Inspection findings · 5 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 44 DE nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 085054
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 177
- Residents
- 153
- In Hospital
- No
- County
- New Castle
- Last Inspection
- May 15, 2026
Staffing Data
How the 4.52 total nursing hours per resident-day are staffed:
- RN Hours
- 0.68 (nat'l avg: 0.69)
- LPN Hours
- 1.56
- CNA Hours
- 2.27
- Total Nursing Hours
- 4.52 (nat'l avg: 3.86)
- PT Hours
- 0.12
- Nursing Turnover
- 48.2%
- RN Turnover
- 53.6%
What the CMS Record Reveals About Cadia Rehabilitation Pike Creek
According to CMS Nursing Home Compare, Cadia Rehabilitation Pike Creek ranks #18 of 43 rated nursing homes in DE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Cadia Rehabilitation Pike Creek operates 177 certified beds in Wilmington, DE with approximately 153 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 2★ · quality 5★).
The inspection file contains 35 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 4 penalties totaling $106K levied against this facility. Reported nurse staffing runs 4.52 total hours per resident day (national average 3.86); RN hours specifically are 0.68 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Cadia Rehabilitation Pike Creek falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.2% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (35 most recent)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 3, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 12, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jun 29, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 29, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Jun 29, 2026
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Jun 2, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Jun 2, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jun 2, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 2, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 2, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 2, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Mar 21, 2025
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Category: Resident Rights Deficiencies
Corrected: Jun 2, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category: Environmental Deficiencies
Corrected: Jun 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 2, 2025
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 2, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 2, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Category: Administration Deficiencies
Corrected: Apr 7, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 7, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: May 12, 2024
Provide care or services that was trauma informed and/or culturally competent.
Category: Quality of Life and Care Deficiencies
Corrected: May 12, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 12, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: May 12, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 12, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 12, 2024
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.
Category: Resident Rights Deficiencies
Corrected: May 12, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 15, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 15, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 15, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Nov 15, 2023
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Sep 8, 2023
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 19, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.1% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.5% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 31.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 4.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 92.2% | No |
Penalty History 4 penalties totaling $106K
| Date | Type | Amount |
|---|---|---|
| May 15, 2026 | Fine | $27K |
| Apr 18, 2025 | Fine | $52K |
| Apr 18, 2025 | Payment Denial | - |
| Oct 17, 2023 | Fine | $13K |
| Oct 17, 2023 | Fine | $13K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Cadia Rehabilitation Pike Creek, both outside DE so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside DE (177 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside DE (3.32 here).
Nearby Nursing Homes in DE
43 other nursing homes are on record in DE; 6 are shown here.
Bay Terrace Rehabilitation and Health Center
Dover, DE
Cadia Rehabilitation Broadmeadow
Middletown, DE
Cadia Rehabilitation Capitol
Dover, DE
Cadia Rehabilitation Renaissance
Millsboro, DE
Cadia Rehabilitation Silverside
Wilmington, DE
Center at Eden Hill, LLC
Dover, DE
Understanding Nursing Home Data
What the CMS records show for Cadia Rehabilitation Pike Creek
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The DE registry aggregates state averages and the highest-rated homes in this cohort. View DE registry
- Peer homes near 177 beds show how CMS stars vary at a similar scale in DE. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Cadia Rehabilitation Pike Creek?
Where does Cadia Rehabilitation Pike Creek rank among nursing homes in DE?
What are the staffing levels at Cadia Rehabilitation Pike Creek?
How many beds does Cadia Rehabilitation Pike Creek have?
Does Cadia Rehabilitation Pike Creek have any deficiencies on record?
Has Cadia Rehabilitation Pike Creek received any fines or penalties?
Who owns Cadia Rehabilitation Pike Creek?
When was Cadia Rehabilitation Pike Creek last inspected?
What quality measures are tracked for Cadia Rehabilitation Pike Creek?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
