ElderGrade
D

42/100

Below average

Pike Creek Nursing & Rehabilitation Center

5651 Limestone Road, Wilmington, DE 19808

CMS 2/5 stars #22 of 25 in New Castle County (302) 239-8583
Certified beds
177
Occupancy
97%
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.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 6 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.

  • $484,596 in federal fines

    CMS has fined this facility across 2 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

0/30

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
  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -10 for 89 total citations against a national median of 17

Staffing

18/30

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

  • 3.85 total nurse hours per resident per day (national median 3.77)
  • 0.53 RN hours per resident per day
  • Weekend staffing drops 8% 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.

  • 45% 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.

  • $484,596 in federal fines across 2 action(s)
  • -0 for 2 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • 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 3.88 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.53 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.56 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 45.30%
National average 45.80% Better than average

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

Recent inspection findings

All 97 citations

Last standard health inspection: September 10, 2024 (1 year ago).

D May 19, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D May 19, 2026 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.

No actual harm, potential for more than minimal harm

E Aug 13, 2025 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Aug 13, 2025 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Aug 13, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

C Aug 13, 2025 F0732 From a complaint

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

No actual harm, minimal potential

J Sep 10, 2024 F0726 From a complaint

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Immediate jeopardy to resident health or safety

J Sep 10, 2024 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of LIFEWORKS REHAB, which operates 69 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
WHITE, REBECCA Individual W-2 MANAGING EMPLOYEE
RAJCHENBACH, MOSHE Individual CORPORATE OFFICER
GLEN HOLDCO LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
HIGHLAND DE HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
J & R FAMILY INVESTMENTS, LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
JK 2022 FAMILY TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
LANDAU FAMILY INVESTMENT TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
MIMI HOLDCO LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
PANTHER DE PARTNERS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
VH WPC SNF OPERATIONS HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
WPC SNF OPERATIONS HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
PIKE CREEK SNF OPERATOR HOLDINGS LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

Write a review

No family reviews yet for Pike Creek Nursing & Rehabilitation Center. 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 Pike Creek Nursing & Rehabilitation Center

What is the ElderGrade for Pike Creek Nursing & Rehabilitation Center? +

Pike Creek Nursing & Rehabilitation Center holds an ElderGrade of D (42 out of 100), which we describe as "below average". 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 Pike Creek Nursing & Rehabilitation Center? +

Residents receive an average of 3.88 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Pike Creek Nursing & Rehabilitation Center been cited for harming residents? +

Yes. 6 of the 97 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 Pike Creek Nursing & Rehabilitation Center accept Medicaid? +

Yes, Pike Creek Nursing & Rehabilitation Center 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.