Pike Creek Nursing & Rehabilitation Center
5651 LIMESTONE ROAD, Wilmington, DE 19808
Wilmington, Delaware · CMS verdict
Pike Creek Nursing & Rehabilitation Center reflects below-average quality on the federal five-star scale, below the Delaware state average of 3.3.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Pike Creek Nursing & Rehabilitation Center in Wilmington, Delaware holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 27 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
Its CMS deficiency count sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 27 is built
Each segment is a dimension's weighted points toward the score, summing to 27.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Pike Creek Nursing & Rehabilitation Center's heavier CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Pike Creek Nursing & Rehabilitation Center on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the Delaware average below.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Wilmington, Delaware. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 89% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Pike Creek Nursing & Rehabilitation Center's lower-tercile stars compare to Delaware
CMS five-star sub-ratings (0–5) for this facility against the Delaware facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Delaware state average. Higher is better on all four CMS measures.
Facility details
| Attribute | Value |
|---|---|
| Beds | 177 |
| Residents | 157 |
| Ownership | For profit - Individual |
| County | New Castle |
| Penalties | 2 |
| Deficiencies | 97 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Pike Creek Nursing & Rehabilitation Center's inspection record
What is the quality rating for Pike Creek Nursing & Rehabilitation Center? ▾
1 out of 5 stars is Pike Creek Nursing & Rehabilitation Center's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the Delaware average.
How much does a nursing home cost per month in Delaware? ▾
In Delaware, a semi-private nursing home room runs a median $14,494/month ($173,923/year) per the CareScout 2025 survey; private rooms average $15,132/month.
What services does Pike Creek Nursing & Rehabilitation Center offer? ▾
Pike Creek Nursing & Rehabilitation Center is a skilled nursing facility. CMS Care Compare does not list individual services or therapies, so ask the facility directly which it provides. Its bed capacity, census, and ownership type are in the Facility details table on this page.
Does Pike Creek Nursing & Rehabilitation Center have any deficiencies or penalties? ▾
Pike Creek Nursing & Rehabilitation Center has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Delaware? ▾
In Delaware, alternatives include assisted living ($7,600/mo), home health aides ($6,673/mo), and adult day care (N/A/mo).
Keep reading
Also see the Delaware elder-care overview and highest-rated states. Provider ID: 085033.
Read our methodology - how this data is sourced, computed, and verified.