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Cadia Rehabilitation Pike Creek

3540 Three Little Bakers Blvd, Wilmington, DE 198083024550808Ownership: For profit - CorporationCertified beds: 177Avg. daily residents: 153Chain: Cadia Healthcare (5 facilities)County: New Castle

The complete public record on Cadia Rehabilitation Pike Creek, a Medicare & Medicaid–certified nursing home in Wilmington, Delaware, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★☆
CMS’s composite of the three ratings below. Delaware average: 3.3 stars.
Health inspection
★★★☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Cadia Rehabilitation Pike Creek holds a 4-star overall rating, in the top tier CMS assigns. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Nursing staff turnover of 48% is well above the Delaware average of 41%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $105,729 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.
Rating trajectory: overall rating improved from 3 stars (July 2026) to 4 stars (August 2026) across 2 monthly CMS releases tracked by ClearPath.

Staffing

4.52 total nurse staff hours per resident per day
about the state average (4.35)
0.68 RN hours per resident per day
below the state average (0.97)
3.98 weekend nurse staff hours per resident per day
48.2% total nursing staff turnover
above the state average (41.3)
53.6% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 15, 2026 most recent standard health inspection
6 health deficiencies cited in the most recent inspection cycle
below the state average (10.5)
21 health deficiencies in the two prior cycles combined
$105,729 in federal fines across 4 penalties (last 3 years)
above the state average ($70,945)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

35 citations on record across recent inspections, 5 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
July 1, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintJ · Immediate jeopardy
July 1, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
May 15, 20260578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental…E · Potential for more than minimal harm
May 15, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with… ComplaintE · Potential for more than minimal harm
May 15, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing. ComplaintD · Potential for more than minimal harm
May 15, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintD · Potential for more than minimal harm
April 18, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintJ · Immediate jeopardy
April 18, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
April 18, 20250809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing…E · Potential for more than minimal harm
April 18, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.