Cadia Rehabilitation Pike Creek
3540 Three Little Bakers Blvd, Wilmington, DE 19808 · New Castle County · 177 certified beds · avg 153 residents/day · certified since Nov 23, 2009
Part of chain: CADIA HEALTHCARE (5 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 1, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 12, 2026 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Apr 18, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 2, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 17, 2023 · F-0711 · triggered by a complaint
The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Why it matters: Without regular documented doctor reviews, changes in a resident's condition and treatment can slip through the cracks.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 19, 2023 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Oct 17, 2023 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 8, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Apr 18, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 21, 2025 (Past Non-Compliance)
All citations in the current public record (35)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 1, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 15, 2026 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 15, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| May 15, 2026 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| May 15, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Apr 18, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 18, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 18, 2025 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Apr 18, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 18, 2025 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 18, 2025 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 17, 2025 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Feb 17, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 17, 2025 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint |
| Mar 21, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 17, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint |
| Oct 17, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Oct 17, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 17, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 17, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 17, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 2 | J ▲ |
| 2024 | 7 | 0 | E |
| 2025 | 16 | 2 | J ▲ |
| 2026 | 6 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
4 fines totaling $105,729, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| May 15, 2026 | Fine | $27,378 |
| Apr 18, 2025 | Fine | $52,305 |
| Apr 18, 2025 | Payment Denial | 5 days from May 28, 2025 |
| Oct 17, 2023 | Fine | $12,649 |
| Oct 17, 2023 | Fine | $13,397 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Delaware avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.32 | 4.67 | 3.95 | bottom 1% in Delaware; bottom 28% in the U.S. |
| Registered Nurse hours | 0.50 | 1.04 | 0.69 | bottom 5% in Delaware; bottom 38% in the U.S. |
| Weekend total nurse staffing | 2.93 | 4.18 | 3.50 | bottom 1% in Delaware; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.64 | 0.48 | bottom 37% in Delaware; top 41% in the U.S. |
| Total nursing staff turnover (%) | 48.2 | 41.3 | 45.8 | bottom 27% in Delaware; bottom 42% in the U.S. |
| RN turnover (%) | 53.6 | 41.2 | 42.9 | bottom 25% in Delaware; bottom 30% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.52, RN 0.68, weekend 3.98. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Schafer Family LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 12/31/2010 |
| Schafer, Eric | Individual | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Schafer, Lauren | Individual | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Silver Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 12/31/2010 |
| Silver, Jonathan | Individual | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Silver, Stephen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2010 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/31/2010 |
| Dittmar, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2024 |
| Dittmar, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2025 |
| Litwa, Karen | Individual | Contracted Managing Employee | NOT APPLICABLE | 11/28/2009 |
| Litwa, Karen | Individual | Corporate Officer | NOT APPLICABLE | 11/28/2009 |
| Litwa, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2025 |
| Long Term Care Corp | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/28/2009 |
| Long Term Care Corp | Organization | ADP of the SNF | NOT APPLICABLE | 01/08/2025 |
| Price, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2024 |
| Price, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2025 |
| Sabra Health Care Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/08/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How often does each resident's doctor visit and review their care in person?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Coral Springs Rehab & Healthcare | 2.0 mi | Wilmington, DE | ★★☆☆☆ | 2/5 | |
| Pike Creek Nursing & Rehabilitation Center | 2.1 mi | Wilmington, DE | ★★☆☆☆ | 1/5 | SFF |
| Excelcare at Newark LLC | 2.4 mi | Newark, DE | ★★☆☆☆ | 1/5 | |
| Regal Heights Healthcare & Rehab Center | 2.5 mi | Hockessin, DE | ★★☆☆☆ | 2/5 | abuse |
| Willowbrooke Court at Cokesbury Village | 3.0 mi | Hockessin, DE | ★★★★★ | 4/5 | |
| Complete Care at Brackenville LLC | 3.1 mi | Hockessin, DE | ★★★★☆ | 3/5 | |
| Encore at Parkside | 3.8 mi | Newark, DE | ★★☆☆☆ | 1/5 | SFF |
| Jeanne Jugan Residence | 4.9 mi | Newark, DE | ★★★★★ | 4/5 | |
| Excelcare at Wilmington LLC | 5.0 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Stonegates | 5.0 mi | Greenville, DE | ★★★★☆ | 3/5 | |
| Complete Care at Hillside LLC | 5.2 mi | Wilmington, DE | ★★★★☆ | 3/5 | |
| Willowbrooke Court at Country House | 5.5 mi | Wilmington, DE | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 085054.