Pike Creek Nursing: Resident Dignity Violations - DE
The pattern started on the morning of August 6. A housekeeper knocked, announced housekeeping, and walked in without waiting. Twenty-five minutes later, a certified nursing assistant responded to a triggered call light by walking straight into a room, no knock at all. Five minutes after that, another housekeeper knocked and entered two residents' rooms in succession, back to back, without asking permission either time.
The next morning, a contracted nurse practitioner walked into a resident's room without knocking or asking permission. A fourth housekeeper followed later that morning, knocking and announcing herself before entering, but not waiting for a response.
When the director of nursing was asked on August 13 what staff are expected to do before entering a resident's room, she said they should knock and ask permission first.
That is what the staff were not doing.
The findings were reviewed at an exit conference that afternoon with the nursing home administrator, the regional director of care services, the director of nursing, the assistant director of nursing, and two representatives from the management company.
The inspection was classified as causing minimal harm or potential for actual harm, and the violations affected some residents. What the report does not describe is what any of those residents were doing when the door opened.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pike Creek Nursing & Rehabilitation Center from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
PIKE CREEK NURSING & REHABILITATION CENTER in WILMINGTON, DE was cited for violations during a health inspection on August 13, 2025.
The pattern started on the morning of August 6.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.