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Nursing HomeMedicaid

Cadia Rehabilitation Pike Creek

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

3540 Three Little Bakers Blvd, Wilmington, DE 19808177 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Cadia Rehabilitation Pike Creek Nursing Home in Wilmington, DE — Street View
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What this means for your family

Choosing Cadia Rehabilitation Pike Creek means your loved one is in a facility that ranks well on Medicare quality measures. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.67hrs
90%
Registered nurses for medical care
Total Nursing
4.40hrs
OK
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
62%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
19.4%
DE
21.2%
New castle
21.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.0%
Worse than Avg
Here
32.0%
US
19.5%
DE
21.6%
New castle
21.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
15.4%
DE
10.9%
New castle
10.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
12.1%
DE
8.7%
New castle
6.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
DE
15.5%
New castle
16.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
14.4%
DE
13.7%
New castle
14.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
81.8%
DE
83.1%
New castle
81.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.2%
Better than Avg
Here
92.2%
US
79.7%
DE
83.1%
New castle
83.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
DE
0.9%
New castle
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
4penalties
Near state avg (13.5)
16 complaint-triggered
$78,351 in fines

This facility has faced multiple family complaints over six years, with families filing reports that triggered federal investigations for issues including medication errors, treatment failures, and safety hazards. The most recurring problems involve medication management, care planning, and treatment delivery according to physician orders. While the facility corrects most deficiencies when cited, the pattern of repeat violations in core care areas suggests ongoing quality challenges that prospective families should carefully evaluate.

Apr 18, 2025Complaint
6
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0563Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

0584Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Feb 17, 2025Complaint
3
0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0773Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Mar 21, 2024Complaint
1
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

Mar 21, 2024Routine
6
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Oct 17, 2023Complaint
6
0711Immediate jeopardy · IsolatedResolved (past non-compliance)

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0760Immediate jeopardy · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Feb 23, 2023Routine
8
0880Immediate jeopardy · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Federal Penalties

Fine

Apr 18, 2025

$52,305

Payment Denial

Apr 18, 2025

5-day denial

Fine

Oct 17, 2023

$12,649

Fine

Oct 17, 2023

$13,397

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cadia Rehabilitation Pike Creek

Organization Type

for profit

Chain Affiliation

Chain Name

Cadia Healthcare

Chain Size

5 facilities nationwide

Chain avg rating: 2.8/5 · Rank 3 of 5

Ownership & Management

Owners

Schafer Family LLC

Owner · Organization

50%

Silver Holdings LLC

Owner · Organization

50%

Ronald E Schafer Irrev Tr Fbo Eric Robert Schafer

Owner (parent company) · Organization

5%

Ronald E Schafer Irrev Trfbo Lauren Elizabeth Marie Schafer

Owner (parent company) · Organization

5%

Stephen Silver Irrevocable Trust Fbo Casey Silver

Owner (parent company) · Organization

5%

Stephen Silver Irrevocable Trust Fbo Jonathan Silver

Owner (parent company) · Organization

5%

Schafer, Eric

Owner (parent company)

5%

Schafer, Lauren

Owner (parent company)

5%

Silver, Jonathan

Owner (parent company)

5%

Silver, Stephen

Owner (parent company)

Key personnel

Litwa, KarenContracted Managing EmployeeSchafer, RonContracted Managing EmployeeSilver, StephenContracted Managing EmployeeWilson, BrandiContracted Managing EmployeeLitwa, KarenOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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