Cadia Rehabilitation Pike Creek
3540 Three Little Bakers Blvd · Wilmington, DE · 19808 · 3024550808
177 certified beds For profit - Limited Liability company Chain: Cadia Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Federal penalties on record: $52,305 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$52,305 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 3.92 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 3 · $78,351 |
Inspection citations (37 in the current record)
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Immediate jeopardy · J April 18, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 2, 2025 · Quality of Life and Care
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Actual harm · G April 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 2, 2025 · Pharmacy Service
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Potential for harm · D April 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 2, 2025 · Pharmacy Service
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Potential for harm · E April 18, 2025
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected June 2, 2025 · Nutrition and Dietary
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Potential for harm · E April 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 2, 2025 · Nutrition and Dietary
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Potential for harm · E April 18, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 2, 2025 · Environmental
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Potential for harm · D April 18, 2025 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected June 2, 2025 · Resident Rights
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Potential for harm · D April 18, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · D April 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 18, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 2, 2025 · Quality of Life and Care
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No harm found · C April 18, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 2, 2025 · Resident Rights
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Potential for harm · D February 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · E February 17, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · D February 17, 2025 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected April 7, 2025 · Administration
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Potential for harm · D March 21, 2024
Ensure each resident receives an accurate assessment.
Corrected May 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected May 12, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 12, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 12, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 12, 2024 · Pharmacy Service
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Potential for harm · E March 21, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 12, 2024 · Resident Rights
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Immediate jeopardy · J October 17, 2023 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected April 19, 2023 · Nursing and Physician Services
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Immediate jeopardy · J October 17, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 8, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 18, 2025 | Fine | $52,305 |
| April 18, 2025 | Payment Denial | 5 days |
| October 17, 2023 | Fine | $12,649 |
| October 17, 2023 | Fine | $13,397 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085054 · certified since November 23, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.