Pike Creek

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

    Compassionate staff, clean, excellent rehab

    I'm very pleased with the compassionate, attentive staff, clean and welcoming facility, excellent PT/OT rehab, and clear communication-my family feels confident in the care and I highly recommend it.

    Loved one of resident
    Jul 2026

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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

    3.96·(173)

    Overall rating

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

      3.2
    • Staff

      3.5
    • Meals

      1.4
    • Amenities

      2.6
    • Value

      3.3

    Pros

    • Compassionate and attentive nursing staff
    • Skilled physical and occupational therapy
    • Effective wound-care nursing
    • Proactive social work and discharge planning
    • Coordinated interdisciplinary care
    • Clean, well-maintained building and common areas
    • Engaging activities and events program
    • Responsive direct-care aides on many shifts
    • Positive rehabilitation outcomes (strength and mobility gains)
    • Strong CMS quality-measure performance

    Cons

    • Inconsistent staffing levels and high patient-to-staff ratios
    • Slow response to call bells and alarms
    • Medication-administration and timing inconsistencies
    • Gaps in fall-prevention and post-fall clinical response
    • Inconsistent nutritional and hydration monitoring
    • Cleanliness, laundry, and personal-property management issues
    • Variable staff communication and limited phone accessibility
    • Inconsistent infection-control and isolation practices
    • Variable staff training and supervision across shifts
    • Security and check-in process deficiencies

    Summary of reviews

    Reviews of Pike Creek describe a facility with pronounced variability: many families and clinicians praised clinical rehabilitation, certain nursing staff, and some administrative initiatives, while other accounts document operational and safety gaps. Strengths most consistently cited include robust physical and occupational therapy services, effective wound-care nursing, coordinated interdisciplinary discharge planning, and individual staff members (including social work and wound-care clinicians) who provided attentive, proactive care. Several reviewers described measurable functional improvements during rehabilitation stays, such as regained walking ability and weight recovery.

    At the same time, a recurring theme is inconsistent day-to-day care driven in part by staffing and supervision challenges. Reviewers raised concerns about slow or inconsistent response to call bells, high patient-to-staff ratios, and uneven availability of aides across shifts. Those operational deficits were linked to delayed assistance with toileting and feeding, missed or late medication administration, and gaps in monitoring that reviewers associated with weight loss, pressure injuries, and readmissions. Some accounts also described lapses in post-fall evaluation and uncertainty about whether appropriate imaging or follow-up care was arranged.

    Staff conduct and communication are described as mixed. Many reviews singled out individual clinicians and aides for compassionate, professional care; others described inattentive or curt interactions, staff congregating away from residents during shifts, and difficulties reaching clinical leaders by phone. The facility’s phone and reception systems were frequently noted as hard to access, which reviewers said hampered timely family communication and care coordination. A few reviews raised serious concerns about medication consent and clinical decision-making; a small number used the term "allegations" in relation to potential malpractice-level issues.

    Dining, activities, and environmental conditions also showed variability. Several reviewers praised an active events program and a clean, well-kept facility; others reported inconsistent meal quality, missed meal deliveries, and inadequate nutritional monitoring. Families caring for residents with cognitive impairment described limited programming in some memory-care areas and insufficient supervision of wandering or repeat falls. Environmental comments ranged from appreciation of renovated common areas to isolated concerns about room temperature control, basement-room assignments, and odor or sanitation issues in particular units.

    Management and oversight impressions differ across accounts. Some families noted improvements under new leadership, responsiveness from particular administrators, and helpful discharge coordination. Conversely, other reviewers described slow administrative responsiveness, perceived gaps in staff training, errors in room assignment or care-board information, and security/check-in weaknesses. Taken together, the pattern suggests that quality at Pike Creek is uneven across shifts and units: strong clinical and rehabilitative resources are present, but sustaining consistent, timely personal care and communication appears to be an operational challenge.

    For prospective residents and families, the most salient themes are the facility’s demonstrated rehabilitation strengths and the importance of verifying operational controls that affect day-to-day safety and comfort: staffing ratios, fall-prevention and post-fall protocols, medication-administration procedures, meal and hydration monitoring, property-management and laundry processes, and channels for family communication. Observing staff interactions during a visit and asking specific questions about these areas may help set expectations and identify units or care teams that align with a resident’s needs.

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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

    Map showing location of Pike Creek

    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 13 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

    10

    Reports

    18

    Citations

    8

    Complaints

    3

    Years

    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
    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
    10 Sept 2024Complaint
    Investigated deficiencies were found across diabetes management, medication administration, diet, and recordkeeping.
    • Medical management and monitoring of residents' diabetes
    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
    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
    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

    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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