Nursing home report
WILMINGTON, DE · Medicare-certified · 177 beds
CADIA REHABILITATION PIKE CREEK has a 4-star overall rating, with strong quality measures but weaker staffing at 2 stars; reported nurse staffing is 4.52 hours per resident per day, above the 4.1 federal benchmark. It also has a recent federal penalty with $79,683 in fines over the last 24 months and a 3-star health inspection rating.
Health inspections
Staffing
4.5175 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5175.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to ensure the resident’s doctor reviewed their care and properly wrote, signed, and dated required notes and orders during visits. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 711 — 42 CFR §483.30 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2026 — limited pattern, potential for harm.
F-Tag 578 — 42 CFR §483.10 — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 2 health deficiencies.
A federal fine of $27,378 was recorded.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 3 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
A federal payment denial was recorded.
A federal fine of $52,305 was recorded.
Health inspection found 6 health deficiencies.
Health inspection found 3 health deficiencies.
Health inspection found 7 health deficiencies.
On record with Medicare: 4 fines · $105,729 in total fines · 1 payment denial.
Federal fine
May 15, 2026
Medicare/Medicaid payment denial
Apr 18, 2025
Federal fine
Apr 18, 2025
Federal fine
Oct 17, 2023
Federal fine
Oct 17, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
