Cadia Rehabilitation Pike Creek
Wilmington, New Castle County, Delaware · CCN 085054 · For-profit (Corporation) · part of Cadia Healthcare (5 facilities, chain average 3.2 stars)
CMS rates Cadia Rehabilitation Pike Creek 4 of 5 overall as of August 2026. 177 certified beds, 153 residents a day on average. 35 citations on record from the current inspection cycles, 4 at immediate jeopardy; 4 fines totalling $105,729 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 4.51753 hours per resident per day |
|---|---|
| Registered nurses | 0.68405 hours per resident per day |
| Weekend total | 3.98387 hours per resident per day |
| Nursing staff turnover | 48.2% (registered nurses 53.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-07-01 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2026-06-12 |
| 2026-07-01 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-08-03 |
| 2026-05-15 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-29 |
| 2026-05-15 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-29 |
| 2026-05-15 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-29 |
| 2026-05-15 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-29 |
| 2025-04-18 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2025-03-21 |
| 2025-04-18 | 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. Nutrition and Dietary Deficiencies · tag F0809 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 complaint survey |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · tag F0563 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-03-21 |
| 2025-04-18 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-02 |
| 2025-04-18 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-06-02 |
| 2025-02-17 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-07 |
| 2025-02-17 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-07 |
| 2025-02-17 complaint survey |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · tag F0773 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-07 |
| 2024-03-21 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-12 |
| 2024-03-21 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-03-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-03-21 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-03-21 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-03-21 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-03-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2023-10-17 complaint survey |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · tag F0711 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2023-04-19 |
| 2023-10-17 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2023-09-08 |
| 2023-10-17 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-17 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-17 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-17 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-15 | Fine | $27,378 |
| 2025-04-18 | Payment denial for 5 days from 2025-05-28 | — |
| 2025-04-18 | Fine | $52,305 |
| 2023-10-17 | Fine | $13,397 |
| 2023-10-17 | Fine | $12,649 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Schafer Family LLC Organization | 5% or greater direct ownership interest | 50% | 2010-12-31 |
| Silver Holdings LLC Organization | 5% or greater direct ownership interest | 50% | 2010-12-31 |
| Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer Organization | 5% or greater indirect ownership interest | 5% | 2010-12-31 |
| Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer Organization | 5% or greater indirect ownership interest | 5% | 2010-12-31 |
| Stephen Silver Irrevocable Trust Fbo Casey Silver Organization | 5% or greater indirect ownership interest | 5% | 2010-12-31 |
| Stephen Silver Irrevocable Trust Fbo Jonathan Silver Organization | 5% or greater indirect ownership interest | 5% | 2010-12-31 |
| Long Term Care Corp Organization | adp of the snf | — | 2025-01-08 |
| Sabra Health Care Reit Inc. Organization | adp of the snf | — | 2025-01-08 |
| Long Term Care Corp Organization | operational/managerial control | — | 2009-11-28 |
| Schafer, Eric Individual | 5% or greater indirect ownership interest | 5% | 2010-12-31 |
| Schafer, Lauren Individual | 5% or greater indirect ownership interest | 5% | 2010-12-31 |
| Silver, Jonathan Individual | 5% or greater indirect ownership interest | 5% | 2010-12-31 |
| Dittmar, Laura Individual | adp of the snf | — | 2025-01-08 |
| Litwa, Karen Individual | adp of the snf | — | 2025-01-08 |
| Price, Elizabeth Individual | adp of the snf | — | 2025-01-08 |
| Wilson, Brandi Individual | adp of the snf | — | 2025-01-08 |
| Litwa, Karen Individual | contracted managing employee | — | 2009-11-28 |
| Schafer, Ron Individual | contracted managing employee | — | 2009-11-28 |
| Silver, Stephen Individual | contracted managing employee | — | 2009-11-28 |
| Wilson, Brandi Individual | contracted managing employee | — | 2024-11-01 |
| Litwa, Karen Individual | corporate officer | — | 2009-11-28 |
| Silver, Stephen Individual | indirect ownership interest | — | 2010-12-31 |
| Dittmar, Laura Individual | operational/managerial control | — | 2024-12-05 |
| Price, Elizabeth Individual | operational/managerial control | — | 2024-12-05 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Cadia Rehabilitation Pike Creek.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in New Castle County.