Pike Creek Nursing and Rehabilitation

    5651 Limestone Rd, Wilmington, DE, 19808
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Outstanding staff persistent serious problems

    I had a deeply mixed stay. The rehab team (PT/OT) and several nurses/aides were outstanding - caring, attentive, and instrumental in my mom's recovery - and social worker Debra Lacey, Jermaine and Nurse Manager Lu went above and beyond. New leadership (Derrick Henry; Courtney Sullivan responsive) and dining/hallway renovations felt promising. But persistent failures were alarming: missed meals, long/no call-bell responses, understaffing, ignored falls, bedsores, hygiene problems and urine odor, cold showers, alleged theft and medication/feeding mistakes. Communication and phone access were often terrible, and care quality varied wildly by shift. I can't fully recommend this facility unless you verify consistent staffing, responsive administration, and accountability.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.77 · 164 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.3
    • Meals

      1.8
    • Amenities

      2.6
    • Value

      3.3

    Pros

    • Strong physical and occupational therapy services
    • Several highly praised individual staff members (nurses, CNAs, therapists)
    • Instances of coordinated, recovery-focused care and effective discharge planning
    • Some responsive and communicative management/administrators
    • Clean rooms and bathrooms reported by some families
    • Large/roomy rooms in some units
    • Helpful, compassionate social workers (e.g., Debra Lacey) and case managers
    • Excellent wound-care nurse mentioned (Ophelia)
    • Successful rehabilitation outcomes for many patients (regained walking, weight gain)
    • Well-run moments with attentive nursing teams
    • Activities and engagement praised in multiple reports
    • Friendly, welcoming front-desk or greeting staff in many accounts
    • Food and nutrition staff praised by some families
    • Prompt issue resolution by some staff (laundry, room moves)
    • Some families report feeling regularly updated and involved

    Cons

    • Frequent reports of neglect and poor oversight (unattended falls, left on floor)
    • Long or inconsistent call-bell response times (minutes to an hour)
    • Understaffing and high patient-to-staff ratios
    • Poor or inconsistent nursing care (missed meds, medication timing errors, overmedication)
    • Wound-care failures, infections, bedsores and related hospital readmissions
    • Malnutrition, dehydration, and unexplained weight loss
    • Poor communication with families and difficulty reaching staff by phone
    • Inconsistent cleanliness and persistent urine/odor complaints in some areas
    • Variable food quality and missed or inadequate meal delivery
    • Safety and security concerns (check-in problems, PPE shortages, COVID handling)
    • Loss or mishandling of personal belongings and clothing
    • Unprofessional or uncaring staff behavior reported (rudeness, gossiping, phones in hallways)
    • Inconsistent therapy availability—excellent for some, minimal or none for others
    • Delayed or inappropriate clinical responses (no head scans, no wound follow-up)
    • Admissions/discharge miscommunications and logistical errors
    • Allegations of more systemic problems (management/ownership profit focus, shell company suspicion, malpractice claims)
    • Significant variability between shifts, units, and individual staff members
    • Reports of residents placed in poor room environments (basement, excessively hot rooms)
    • Instances of lost clinical follow-up after COVID diagnosis and deaths linked to facility care
    • Reports of showers, toileting and hygiene assistance being inadequate or missed

    Summary review

    Overall sentiment across the reviews is highly mixed, with a strong polarization between accounts of excellent, recovery-oriented care (especially therapy) and serious, sometimes dangerous lapses in basic nursing and custodial care. The most consistent positive theme is the quality and impact of the rehabilitation teams: physical and occupational therapy are repeatedly singled out as excellent, intensive, and effective — many reviewers credit PT/OT staff with helping loved ones regain mobility and independence. Several individual staff members and clinical specialists are repeatedly praised by name (therapists, wound nurse Ophelia, social worker Debra Lacey, and nurses such as Jermaine, Nurse Manager Lu, and others). In many cases these staff provided coordinated care plans, compassionate bedside manner, clear communication, and effective discharge planning that led to weight regain and functional improvement.

    Contrasting sharply with those positive reports are numerous descriptions of neglect, poor nursing oversight, and safety failures. Multiple reviews recount unmonitored falls, residents left on the floor after head injuries, missed or badly timed medications (including missed psych meds and late HS meds), overmedication or administration of strong drugs without consent, bedsores and wound infections that led to further surgeries or hospital transfers, and dehydration or malnutrition resulting in rehospitalization. These are not isolated small complaints but frequent, serious clinical safety concerns appearing across many reviews. Call-bell responsiveness is a recurring operational problem: families report waits ranging from 30–40 minutes to an hour, bell systems not functioning, and staff being inattentive or congregating in halls rather than responding to residents. Understaffing is frequently cited as the root cause of slow responses, poor toileting assistance, infrequent showers, and insufficient help at mealtimes.

    Communication and management consistency emerge as another major theme. Some families praise specific administrators and newer management for improvements, renovations, and proactive problem-solving; others report unresponsive front desks, phones that go unanswered, families kept in the dark for weeks (especially during COVID), and abrupt resident relocations without notice. COVID-era handling is a point of contention: some reviewers described timely COVID communications, but several serious allegations include poor monitoring after diagnosis, PPE shortages, lack of follow-up, and deaths tied to perceived inadequate care. Administrative failures — from discharge miscommunications, missing care boards, to alleged profit-driven ownership and possible shell-company behavior — contribute to a sense of instability and inconsistent standards across the facility.

    Facility condition and hospitality also vary widely by unit and by reviewer. Numerous positive remarks mention clean rooms, well-stocked supplies, spacious rooms, and pleasant dining areas; however, an equally large set of reviews report urine odor, sticky or dirty activity rooms, poor food quality, missing or mismatched clothing, theft allegations, and rooms that are dark, overheated, or moved to basements with disruptive roommates. The dining experience is inconsistent: some families applaud nutrition staff and meals that aided recovery, while others say meals were not delivered, were unappealing, or did not meet special swallowing needs (raising safety concerns when residents with dysphagia were given inappropriate textures).

    The culture and staff demeanor are highly variable. Many reviewers describe courteous, warm, and compassionate aides and nurses who go above and beyond; those caregivers are credited for maintaining dignity, addressing family concerns, and improving outcomes. Conversely, multiple accounts allege rude, indifferent, or even cruel behavior (e.g., staff slapping a patient awake, CNAs on phones/gossiping, and reports of staff ignoring calls). Such inconsistency appears to be shift- and unit-dependent: the same facility is described as top-notch by some families and unsafe or neglectful by others.

    Key patterns and takeaways: (1) Rehabilitation services (PT/OT) are a clear strength and a major reason families choose this facility. (2) There is substantial variability in nursing and aide care quality, with serious safety-related complaints including unmonitored falls, wounds, bedsores, and medication errors — all of which warrant caution. (3) Communication failures and understaffing are pervasive problems linked to many of the negative outcomes families reported. (4) Management responsiveness varies; some recent administrative changes and individual managers/administrators are credited with improvements, but systemic issues persist for many reviewers. (5) Families should be aware of the facility’s uneven performance across shifts and units and should frequently monitor for wound care, weight changes, hydration, medication administration, and responsiveness to call bells.

    In summary, Pike Creek Nursing and Rehabilitation appears capable of delivering exceptional rehabilitation and has many dedicated, skilled individuals on staff whose efforts lead to positive outcomes. At the same time, there are repeated, serious allegations of neglect, safety lapses, and poor communication that have led to harm for some residents. Prospective residents and families should weigh the strong therapy reputation and notable praised staff against the documented concerns about consistency in nursing care, staffing levels, infection and wound management, call response times, and administrative reliability. If choosing this facility, families should maintain active involvement, document care concerns, verify wound and medication management closely, and establish clear communication channels with the social worker or named administrators who have been identified as responsive in reviews.

    Location

    Map showing location of Pike Creek Nursing and Rehabilitation

    About Pike Creek Nursing and Rehabilitation

    Pike Creek Nursing and Rehabilitation sits in Wilmington, Delaware, and serves older adults with many different care needs, offering services like skilled nursing, memory care, hospice care, Medicare-Certified Home Health Care, and non-medical home care through its Home Care program, and even has adult day services, so if someone needs a little extra help for part of the day or full-time support, they'll work to adjust care plans for each person, even down to special diets, for example if someone is vegetarian, they'll try to help accommodate with the meals, and the staff, whether they're nurses, aides, or even the nurse practitioner with the highest education, step in wherever they're needed, helping with everything from medical needs to clearing tables or taking out garbage. The therapists are well qualified, many with graduate-level training, and they take a gentle and careful approach with people, especially those coming in for rehabilitation after surgery like a knee replacement, offering physical and occupational therapy to help with recovery. The facility covers almost every senior care option available in one place, so people can find Independent Living, Assisted Living, Memory Support, Adult Day Services, Long-Term Care or Skilled Nursing, Home Health Care, non-medical Home Care, Rehabilitation, and even residential care homes for people who want shared neighborhood living with help for daily needs like bathing or dressing.

    The community has a total of 177 certified beds and serves about 119 residents each day, which means it's a large facility with the usual amenities you'd expect in a nursing home, like meals, housekeeping, activities, and scheduled rides for errands or appointments. But there have been some serious problems recently, as Pike Creek Nursing and Rehabilitation had 80 cited deficiencies in inspection reports, including 4 related to infection control, and was named a Special Focus Facility Candidate, which means federal inspectors are watching it closely for improvement. There were also two important issues that inspectors marked as causing immediate jeopardy for residents' health, one for not making sure staff had proper training, and another for mistakes with medications, leading to a fine of $221,208 and a suspension in payments after a September 2024 inspection. The nurse turnover rate is high at 91%, which is almost double the state average, and there are fewer nurse hours per resident each day than the average found in other Delaware facilities.

    The caregivers at Pike Creek step in for whatever's needed, not just sticking to their main job, but those looking at the facility should weigh the serious deficiencies and the ongoing oversight from inspectors. Families who need a place offering many levels of care, especially for someone with changing medical needs, will find most services in one spot, from independent living all the way to hospice, with personalized approaches when needed, but it's important for anyone considering Pike Creek Nursing and Rehabilitation to look into current reports and talk to the staff about how they address the issues from state and federal inspections.

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