Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
PIKE CREEK NURSING & REHABILITATION CENTER
WILMINGTON, DE · 177 certified beds · Last Life Safety survey September 10, 2024
CMS Certification Number 085033 · first certified August 1988
Ownership
Operated by LIFEWORKS REHAB · For profit - Individual
- Ownership changed August 1, 2023 (change of ownership)to PIKE CREEK NURSING AND REHABILITATION CENTER from MANOR CARE-PIKE CREEK OF WILMINGTON DE LLC
Position within DE
7 citations — more than 81% of the 44 certified nursing homes in DE. Compared within DE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 1 citation; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (August 2025 to October 2025), and past the point by which nine in ten DE facilities have been surveyed. This facility’s last Life Safety survey was September 2024. Facilities in DE are typically surveyed 12–13 months after the last one (median 12), measured over 54 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
1 of the 7 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in DE, and nationally. Surveyors differ markedly between states, so the DE figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 7 |
| Median facility in DE | 2 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 12, 2022 | 4 |
| September 25, 2023 | 2 |
| September 10, 2024 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0363 | Install corridor and hallway doors that block smoke. | 2 | 2023-09-25 |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 1 | 2024-09-10 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2022-05-12 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2023-09-25 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1 | 2022-05-12 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2022-05-12 |
What the citations cover
- Smoke Deficiencies 4
- Emergency Preparedness Deficiencies 1
- Egress Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
| Emergency Preparedness Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
September 10, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (November 8, 2024) |
September 25, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (November 30, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (October 23, 2023) |
May 12, 2022 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (September 27, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 27, 2022) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 27, 2022) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (September 27, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.