ElderGrade
F

39.7/100

Poor

Cadia Rehabilitation Pike Creek

3540 Three Little Bakers Blvd, Wilmington, DE 19808

CMS 3/5 stars #24 of 25 in New Castle County (302) 455-0808
Certified beds
177
Occupancy
86%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 5 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $78,351 in federal fines

    CMS has fined this facility across 3 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0.7/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -5.3 for 32 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.32 total nurse hours per resident per day (national median 3.77)
  • 0.68 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 48% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $78,351 in federal fines across 3 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.52 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.68 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.98 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 48.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 40 citations

Last standard health inspection: April 18, 2025 (1 year ago).

E May 15, 2026 F0812 From a complaint

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D May 15, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

D May 15, 2026 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

J Apr 18, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

G Apr 18, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

E Apr 18, 2025 F0809

Nutrition and Dietary Deficiencies

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 out...

No actual harm, potential for more than minimal harm

E Apr 18, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Apr 18, 2025 F0925

Environmental Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CADIA HEALTHCARE, which operates 5 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
SILVER, STEPHEN Individual INDIRECT OWNERSHIP INTEREST
LITWA, KAREN Individual CONTRACTED MANAGING EMPLOYEE
SCHAFER, RON Individual CONTRACTED MANAGING EMPLOYEE
SILVER, STEPHEN Individual CONTRACTED MANAGING EMPLOYEE
WILSON, BRANDI Individual CONTRACTED MANAGING EMPLOYEE
LITWA, KAREN Individual CORPORATE OFFICER
LONG TERM CARE CORP Organization OPERATIONAL/MANAGERIAL CONTROL
DITTMAR, LAURA Individual OPERATIONAL/MANAGERIAL CONTROL
PRICE, ELIZABETH Individual OPERATIONAL/MANAGERIAL CONTROL
LONG TERM CARE CORP Organization ADP OF THE SNF
SABRA HEALTH CARE REIT INC Organization ADP OF THE SNF
DITTMAR, LAURA Individual ADP OF THE SNF

What families say

Write a review

No family reviews yet for Cadia Rehabilitation Pike Creek. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Cadia Rehabilitation Pike Creek

What is the ElderGrade for Cadia Rehabilitation Pike Creek? +

Cadia Rehabilitation Pike Creek holds an ElderGrade of F (39.7 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Cadia Rehabilitation Pike Creek? +

Residents receive an average of 4.52 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Cadia Rehabilitation Pike Creek been cited for harming residents? +

Yes. 5 of the 40 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Cadia Rehabilitation Pike Creek accept Medicaid? +

Yes, Cadia Rehabilitation Pike Creek is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.