Delaware ›Wilmington

Cadia Rehabilitation Pike Creek

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3540 Three Little Bakers Blvd, Wilmington, DE 19808 (opens Google Maps) · New Castle County · (302) 455-0808· 177 certified beds · avg 153 residents/day · certified since Nov 23, 2009 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CADIA HEALTHCARE (5 facilities, chain avg rating 3.2★)

3/5
Health inspection rating (on-site)
inspected May 15, 2026
5
Serious findings on record
most recent Jul 1, 2026
$105,729
Fines, last 3 years
3.32
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 12, 2026 (Past Non-Compliance)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 2, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 19, 2023 (Past Non-Compliance)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 8, 2023 (Past Non-Compliance)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 21, 2025 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 35 inspection findings. Open the full record below to read every finding.

  1. J · Immediate jeopardy, isolated

    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 F-0689

  2. D · Potential for more than minimal harm, isolated

    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 F-0609

  3. E · Potential for more than minimal harm, pattern

    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. F-0578

View all 35 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jul 1, 2026▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jul 1, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0609
May 15, 2026E · Potential for more than minimal harm, patternThe 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. · F-0578
May 15, 2026E · Potential for more than minimal harm, patternThe 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 · F-0812
May 15, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0686
May 15, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0755
Apr 18, 2025▲ J · Immediate jeopardy, isolatedThe 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 · F-0684
Apr 18, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 18, 2025E · Potential for more than minimal harm, patternThe 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. · F-0809
Apr 18, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 18, 2025E · Potential for more than minimal harm, patternThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Apr 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint · F-0563
Apr 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Apr 18, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0610
Apr 18, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Apr 18, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0686
Apr 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 18, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0759
Apr 18, 2025C · Potential for minimal harm, widespreadThe 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. · F-0623
Feb 17, 2025E · Potential for more than minimal harm, patternThe 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 · F-0695
Feb 17, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Feb 17, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0773
Mar 21, 2024E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0699
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Oct 17, 2023▲ J · Immediate jeopardy, isolatedThe 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 · F-0711
Oct 17, 2023▲ J · Immediate jeopardy, isolatedThe 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 · F-0760
Oct 17, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0580
Oct 17, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0658
Oct 17, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Oct 17, 2023D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 4).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 2
2024
All citations: 7
Serious citations (G–L): 0
2025
All citations: 16
Serious citations (G–L): 2
2026
All citations: 6
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202362J ▲
202470E
2025162J ▲
202661J ▲

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)

How to file a complaint about care →

4 fines totaling $105,729, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
May 15, 2026Fine$27,378
Apr 18, 2025Fine$52,305
Apr 18, 2025Payment Denial5 days from May 28, 2025
Oct 17, 2023Fine$12,649
Oct 17, 2023Fine$13,397

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityDelaware averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.32
Delaware average: 4.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.50
Delaware average: 1.04
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.93
Delaware average: 4.18
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityDelaware avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.324.673.95bottom 1% in Delaware; bottom 28% in the U.S.
Registered Nurse hours0.501.040.69bottom 5% in Delaware; bottom 38% in the U.S.
Weekend total nurse staffing2.934.183.50bottom 1% in Delaware; bottom 27% in the U.S.
Weekend RN hours (not acuity-adjusted)0.440.640.48bottom 37% in Delaware; top 41% in the U.S.
Total nursing staff turnover (%)48.241.345.8bottom 27% in Delaware; bottom 42% in the U.S.
RN turnover (%)53.641.242.9bottom 25% in Delaware; bottom 30% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.52 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Cadia Rehabilitation Pike Creek. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Ronald E Schafer Irrev Tr Fbo Eric Robert SchaferOrganization5% or Greater Indirect Ownership Interest5%12/31/2010
Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie SchaferOrganization5% or Greater Indirect Ownership Interest5%12/31/2010
Schafer Family LLCOrganization5% or Greater Direct Ownership Interest50%12/31/2010
Schafer, EricIndividual5% or Greater Indirect Ownership Interest5%12/31/2010
Schafer, LaurenIndividual5% or Greater Indirect Ownership Interest5%12/31/2010
Silver Holdings LLCOrganization5% or Greater Direct Ownership Interest50%12/31/2010
Silver, JonathanIndividual5% or Greater Indirect Ownership Interest5%12/31/2010
Silver, StephenIndividualIndirect Ownership InterestNOT APPLICABLE12/31/2010
Stephen Silver Irrevocable Trust Fbo Casey SilverOrganization5% or Greater Indirect Ownership Interest5%12/31/2010
Stephen Silver Irrevocable Trust Fbo Jonathan SilverOrganization5% or Greater Indirect Ownership Interest5%12/31/2010
Dittmar, LauraIndividualOperational/Managerial ControlNOT APPLICABLE12/05/2024
Dittmar, LauraIndividualADP of the SNFNOT APPLICABLE01/08/2025
Litwa, KarenIndividualContracted Managing EmployeeNOT APPLICABLE11/28/2009
Litwa, KarenIndividualCorporate OfficerNOT APPLICABLE11/28/2009
Litwa, KarenIndividualADP of the SNFNOT APPLICABLE01/08/2025
Long Term Care CorpOrganizationOperational/Managerial ControlNOT APPLICABLE11/28/2009
Long Term Care CorpOrganizationADP of the SNFNOT APPLICABLE01/08/2025
Price, ElizabethIndividualOperational/Managerial ControlNOT APPLICABLE12/05/2024
Price, ElizabethIndividualADP of the SNFNOT APPLICABLE01/08/2025
Sabra Health Care Reit INCOrganizationADP of the SNFNOT APPLICABLE01/08/2025

Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Cadia Healthcare — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Delaware midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 52 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Coral Springs Rehab & Healthcare2.0 miWilmington, DE★★☆☆☆2/5
Pike Creek Nursing & Rehabilitation Center2.1 miWilmington, DE★★☆☆☆1/5SFF
Excelcare at Newark LLC2.4 miNewark, DE★★☆☆☆1/5
Regal Heights Healthcare & Rehab Center2.5 miHockessin, DE★★☆☆☆2/5abuse
Willowbrooke Court at Cokesbury Village3.0 miHockessin, DE★★★★★4/5
Complete Care at Brackenville LLC3.1 miHockessin, DE★★★★☆3/5
Encore at Parkside3.8 miNewark, DE★★☆☆☆1/5SFF
Jeanne Jugan Residence4.9 miNewark, DE★★★★★4/5
Excelcare at Wilmington LLC5.0 miWilmington, DE★★★☆☆2/5abuse
Stonegates5.0 miGreenville, DE★★★★☆3/5
Complete Care at Hillside LLC5.2 miWilmington, DE★★★★☆3/5
Willowbrooke Court at Country House5.5 miWilmington, DE★★★★★5/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in New Castle, DE — 25 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Wilmington →

Facility data as of CMS processing date 2026-08-01. CCN 085054.

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