Pike Creek

    5651 Limestone Rd, Wilmington, DE 19808
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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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

    Reviews

    3.98·(176)

    Overall rating

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

      3.2
    • Staff

      3.6
    • Meals

      1.4
    • Amenities

      2.6
    • Value

      3.3

    Pros

    • Friendly, respectful, and compassionate staff
    • Effective physical and occupational therapy in several rehabilitation stays
    • Helpful social work and discharge planning
    • Positive recovery experiences and reported functional gains
    • Clean, bright, and welcoming areas
    • Responsive managers and staff when concerns are escalated
    • Engaging resident events and activities
    • Supportive care during some end-of-life stays

    Cons

    • Inconsistent clinical monitoring and escalation of health concerns
    • Delays responding to call bells and providing basic assistance
    • Staffing capacity concerns, especially on some shifts
    • Gaps in medication management and care-plan communication
    • Weak fall-prevention and transfer-safety practices
    • Inconsistent personal care, skin care, and wound-care follow-through
    • Limited meal assistance and nutrition monitoring
    • Variable meal quality and menu consistency
    • Difficult phone access and inconsistent family updates
    • Weak resident-belongings tracking and access controls
    • Variable cleanliness and odor control in resident areas
    • Limited structured and dementia-focused activities

    Summary of reviews

    Experiences at Pike Creek are notably mixed. Many positive accounts describe kind, professional staff, attentive care, and residents who felt comfortable or made progress. Other families describe significant variation in care between stays, units, shifts, and individual staff members. The more serious concerns center on whether residents receive timely assistance and whether changes in condition are recognized and communicated. A few family accounts describe severe decline and deaths during or shortly after a stay, raising concerns about monitoring, clinical escalation, and end-of-life communication; these accounts are individual experiences and do not establish cause.

    Rehabilitation is a relative strength in a number of accounts. Families and residents praise physical and occupational therapy, including reports of regular sessions and improvements in walking and recovery. Other reviews describe limited therapy or less progress than expected, suggesting that rehabilitation experiences may vary. Social workers and some managers are praised for discharge planning, answering questions, and addressing concerns; one family described substantial improvement after a change in administration. These positive experiences contrast with accounts of care-plan changes, medication information, or clinical updates not reaching the staff responsible for day-to-day care.

    Staff are frequently described as friendly, helpful, and compassionate, and some reviewers specifically praise aides, nurses, therapists, and social-services staff. However, recurring concerns include slow responses to call bells, delays with toileting and other basic assistance, and difficulty reaching nurses or administrators by phone. Some accounts also describe staff capacity constraints. Families seeking updates, particularly from a distance, may find communication access inconsistent. Concerns about medication management, fall prevention, and follow-through on wound care and personal care point to a need for reliable handoffs and consistent monitoring.

    Dining feedback is mixed. Some residents or families report satisfactory meals, while others describe poor food quality, menu discrepancies, missed meals, or insufficient help with eating. Concerns about weight loss and nutrition suggest that meal intake and assistance may warrant close attention for residents who need support. Reviews also vary on cleanliness: visitors often describe the facility as clean, bright, and welcoming, while others report odor or upkeep concerns in resident areas. Room comfort issues, including temperature, have also been mentioned.

    Activities receive less detailed attention overall. One account praises events that keep residents involved, while another describes limited structured engagement, particularly for a resident with dementia. Reviews also raise concerns about belongings being misplaced and about access or security processes. Taken together, the feedback suggests that Pike Creek can provide a positive rehabilitation or long-term-care experience, but that consistency in responsiveness, communication, nutrition support, safety practices, and follow-through is a key consideration for families evaluating the facility.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Pike Creek is located at 5651 Limestone Rd, Wilmington, DE, 19808.

    About Pike Creek

    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.

    People often ask...

    Pike Creek offers assisted living, memory care, and skilled nursing.

    There are 16 photos of Pike Creek on Mirador.

    The full address for this community is 5651 Limestone Rd, Wilmington, DE 19808.

    No, Pike Creek does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Delaware, the Division of Health Care Quality licenses assisted living and long-term care facilities, conducting annual surveys, complaint investigations, and infection-control reviews.

    License number1090
    StatusLicensed
    Facility typeNursing Home
    Capacity177 residents
    EffectiveAugust 1st, 2025
    ExpiresNovember 1st, 2025

    Inspection Reports

    12

    Reports

    20

    Citations

    9

    Complaints

    3

    Years

    19 May 2026Complaint
    Found deficiencies in quality of care and resident safety due to missing post-fall assessments and inadequate supervision, including documented resident falls and improper handling.
    • CFR(s): 483.25Quality of care
    • CFR(s): 483.25(d)(1)(2)Quality of care
    26 Sept 2025Follow-Up
    Determined substantial compliance as of 2025-09-26 after a follow-up review confirmed the prior issues were addressed.
    13 Aug 2025Complaint
    Investigated a complaint and identified deficiencies in residents' rights, communication with residents and families, and discharge/transfer documentation during the August 2025 survey.
    • §483.10(b)(1)Resident Rights
    • —Discharge/Transfer Procedures
    28 Feb 2025Complaint
    Investigated an unannounced complaint survey conducted on February 28, 2025 and found no deficient practice.
    10 Sept 2024Complaint
    Investigated deficiencies were found across diabetes management, medication administration, diet, and recordkeeping.
    • —Medical management and monitoring of residents' diabetes
    10 Sept 2024Complaint
    Identified deficiencies in staff dementia training, resident rights protections, and grievance processes. Documented concerns included insufficient dementia training components, inadequate rights protections, and failures in grievance handling and follow-up.
    • 3201.5.6.2Mandatory Dementia Training
    • CFR(s): 483.10Resident Rights/Exercise of Rights
    • CFR(s): 483.10Grievances
    07 Mar 2024Fv3
    Investigated an unannounced follow-up survey and found no deficiencies, determining substantial compliance with applicable federal long-term care requirements.
    16 Feb 2024Fv2
    Found deficiencies in the quality of care, including failures to perform timely neurological assessments and to document appropriately, with multiple instances of inadequate monitoring and communication about resident status.
    • Quality of CareQuality of Care
    22 Dec 2023Complaint
    Investigated deficiencies found in record access and related administrative controls. Noted failures in providing immediate access to records and related documentation during the site review.
    • 3201.3.10Access to records
    25 Sept 2023Complaint
    The report identified several deficiencies related to nursing staff competency, daily nurse staffing documentation, and overall resident care processes.
    • §483.35(a)(3)Nursing staff competencies
    • §483.35(g)Nurse Staffing Information
    • §483.75Quality Assurance and Performance Improvement
    25 Sept 2023Complaint
    Identified several deficiencies during a survey in Aug–Sep 2023, including staffing inadequacies and failures in emergency preparedness and related recordkeeping.
    • 42 CFR 483.10 (c)(6)(8)(g)(12)(i)-(v); 483.10(d)(1)Minimum staffing hours
    25 Sept 2023Complaint
    Investigated a complaint and found multiple deficiencies in resident care, medication management, and documentation.
    • R132Resident care/deficiency
    • R165Care plan documentation and monitoring
    • R143Constipation management
    • R172Prevention of rehospitalization
    • R182Medication documentation
    • R121Nursing care documentation

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Pike Creek. The information above has not been verified or approved by the owner or operator. For exact information, please contact Pike Creek directly. There is no cost for this service. We are compensated by the community you select.

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