Starfile / Delaware

PIKE CREEK NURSING & REHABILITATION CENTER

5651 LIMESTONE ROAD, WILMINGTON, DE 19808 · CCN 085033

SFF Candidate

Inspection history vs Delaware & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$484,596

Number of fines

2

Number of penalties

4

Payment denials

2

Chain

Chain

LIFEWORKS REHAB

Facilities in chain

59

Chain avg overall

2.10 / 5

Inspection citations (97)3 immediate jeopardy3 actual harm

1. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-13 · Health · corrected 2025-09-26

   Potential for more than minimal harm

2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-13 · Health · corrected 2025-09-26

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-13 · Health · corrected 2025-09-26

   Potential for more than minimal harm

4. CF0732Post nurse staffing information every day.2025-08-13 · Health · corrected 2025-09-26

   Potential for minimal harm

5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-10 · Health · corrected 2024-11-11

   Potential for more than minimal harm

6. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-09-10 · Health · corrected 2024-11-11

   Potential for more than minimal harm

7. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-10 · Health · corrected 2024-11-11

   Potential for more than minimal harm

8. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-09-10 · Health · corrected 2024-11-11

   Potential for more than minimal harm

9. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-10 · Health · corrected 2024-11-11

   Potential for more than minimal harm

10. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

11. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

14. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

15. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

17. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

18. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

19. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

20. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

21. JF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-09-10 · Health · corrected 2024-11-11

    Immediate jeopardy

22. DF0730Observe each nurse aide's job performance and give regular training.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

23. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

24. JF0760Ensure that residents are free from significant medication errors.2024-09-10 · Health · corrected 2024-11-11

    Immediate jeopardy

25. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-09-10 · Health · corrected 2024-12-20

    Potential for more than minimal harm

26. DF0791Provide or obtain dental services for each resident.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

27. EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

28. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

29. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

30. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

31. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

32. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

33. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

34. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

35. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

36. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

37. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

38. EF0946Provide training in compliance and ethics.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

39. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

40. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-09-10 · Health · corrected 2024-11-11

    Potential for more than minimal harm

41. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-09-25 · Health · corrected 2023-11-30

    Potential for minimal harm

42. EF0578Honor 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.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

43. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

44. FF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

45. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

46. CF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-09-25 · Health · corrected 2023-11-30

    Potential for minimal harm

47. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

48. DF0610Respond appropriately to all alleged violations.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

49. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

50. DF0641Ensure each resident receives an accurate assessment.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

51. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

52. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

53. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

54. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

55. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

56. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

57. DF0679Provide activities to meet all resident's needs.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

58. HF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-25 · Health · corrected 2024-03-07

    Actual harm

59. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-25 · Health · corrected 2023-11-30

    Actual harm

60. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

61. DF0692Provide enough food/fluids to maintain a resident's health.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

62. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

63. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-09-25 · Health · corrected 2023-11-30

    Actual harm

64. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

65. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

66. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

67. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

68. EF0730Observe each nurse aide's job performance and give regular training.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

69. CF0732Post nurse staffing information every day.2023-09-25 · Health · corrected 2023-11-30

    Potential for minimal harm

70. FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

71. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

72. DF0760Ensure that residents are free from significant medication errors.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

73. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

74. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

75. CF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-09-25 · Health · corrected 2023-11-30

    Potential for minimal harm

76. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

77. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

78. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

79. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

80. EF0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

81. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-09-25 · Health · corrected 2024-01-29

    Potential for more than minimal harm

82. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

83. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

84. JF0880Provide and implement an infection prevention and control program.2023-09-25 · Health · corrected 2023-11-30

    Immediate jeopardy

85. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

86. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

87. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-09-25 · Health · corrected 2023-11-30

    Potential for more than minimal harm

88. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-04-13 · Health · corrected 2023-05-19

    Potential for more than minimal harm

89. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-04-13 · Health · corrected 2023-05-19

    Potential for more than minimal harm

90. DF0558Reasonably accommodate the needs and preferences of each resident.2022-05-12 · Health · corrected 2022-06-30

    Potential for more than minimal harm

91. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-05-12 · Health · corrected 2022-06-30

    Potential for more than minimal harm

92. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-05-12 · Health · corrected 2022-06-30

    Potential for more than minimal harm

93. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-05-12 · Health · corrected 2022-06-30

    Potential for more than minimal harm

94. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-05-12 · Health · corrected 2022-06-30

    Potential for more than minimal harm

95. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2022-05-12 · Health · corrected 2022-06-30

    Potential for more than minimal harm

96. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-05-12 · Health · corrected 2022-06-30

    Potential for more than minimal harm

97. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-05-12 · Health · corrected 2022-06-30

    Potential for minimal harm

Ownership

Other facilities in WILMINGTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.