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Manorcare Health Services - Pike Creek

Nursing Home Facility

5651 Limestone Road, Wilmington, DE 19808

Assisted Living Nursing Home Care Senior Living
Manorcare Health Services - Pike Creek

Located on Limestone Road in Wilmington, DE, ManorCare provides individualized post-hospital skilled nursing care in a comfortable environment. Our clinical and therapy teams are experienced in providing specialized care focused on your needs, interests and ability. This commitment results in a smoother and safer transition throughout your recuperation. You should look for a setting that specializes in providing vital medical care and rehabilitation in a warm and caring environment. We offer a range of services to meet your health care needs.

Operated by Lifeworks Rehab, which runs 40 communities in our directory.

With 177 beds, Manorcare Health Services - Pike Creek is one of the larger communities in the area, senior care communities in Wilmington average about 95 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 97% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Wilmington average about 3.3 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2024 and recorded 32 deficiencies.

Residents receive about 3.9 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 45%.

The community is located in New Castle County, DE.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 97 problems at Manorcare Health Services - Pike Creek. 6 findings involved harm to a resident, including 3 that put residents in immediate danger. 54 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $221,208. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Nursing and Physician Services

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Put residents in immediate danger, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected May 2026, after a complaint. Corrected by May 11, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected May 2026, after a complaint. Corrected by June 19, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected August 2025, after a complaint. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected August 2025, after a complaint. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected August 2025, after a complaint. Corrected by September 26, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected September 2024. Corrected by November 11, 2024.

Show 24 more
  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, a pattern Administration

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, a pattern Administration

    Provide training in compliance and ethics.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, a pattern Administration

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Observe each nurse aide's job performance and give regular training.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide or obtain dental services for each resident.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Administration

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Inspected September 2024, after a complaint. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Inspected September 2024. Corrected by November 11, 2024.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Inspected September 2024. Corrected by November 11, 2024.

  • Minimal harm or the potential for it, widespread Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected August 2025, after a complaint. Corrected by September 26, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Manorcare Health Services - Pike Creek offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 177
  • Occupancy 97%
  • Nursing hours per resident/day 3.9
  • Annual staff turnover 45%
  • Last health inspection September 2024

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