Cadia Rehabilitation Pike Creek - 2-Star Dialysis Rehab Facility in Wilmington, DE | PlacetDementia UnitDialysis (On-site)
Clinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 3.42%Falls causing major injury 1.46%Pressure ulcers (high-risk) 7.95%Source: CMS MDS Quality Measures. Updated quarterly.
Admissions Contacts
CMS Star Ratings
Last inspected: Apr 2025 (412 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
5/5
★★★★★
37 min
State avg: 1h 2m · US avg: 41 min
Total Nurse / Resident / Day
4h 33m
State avg: 4h 30m · US avg: 3h 53m
7 min
State avg: 9 min · US avg: 4 min
49 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
49%below avg
US avg: 64%
Federal Penalties
36 penalties · $705,159 total
| Date | Type | Fine | Denial Days |
|---|
| 4/18/2025 | Fine | $52,305 | - |
| 4/18/2025 | Payment Denial | - | 5 |
| 4/18/2025 | Fine | $52,305 | - |
| 4/18/2025 | Payment Denial | - | 5 |
| 4/18/2025 | Fine | $52,305 |
19.5 per 100
State avg: 21.5 · US avg: 23.9
7.2 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
14/100
Incentive Payment
-1.87% penalty
Healthcare-Assoc. Infections
8.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
517
Avg Length of Stay
31.5 days
Avg Payment / Stay
$18,044.49
Patient Complexity
2.86 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
| 4/18/2025 | Payment Denial | - | 5 |
| 4/18/2025 | Payment Denial | - | 5 |
| 4/18/2025 | Payment Denial | - | 5 |
| 4/18/2025 | Payment Denial | - | 5 |
| 4/18/2025 | Payment Denial | - | 5 |
| 4/18/2025 | Payment Denial | - | 5 |
| 4/18/2025 | Payment Denial | - | 5 |
Inspection Citations
Survey: April 18, 2025(18 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
Survey: February 17, 2025(9 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: March 21, 2024(21 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
Survey: October 17, 2023(18 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyNursing and Physician Services DeficienciesComplaint
🔴 Immediate JeopardyPharmacy Service DeficienciesComplaint
Survey: February 23, 2023(27 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
State avg: 3.2 · US avg: 3.3
8.0 per 100
State avg: 4.4 · US avg: 5.1
0.4 per 100
State avg: 0.9 · US avg: 1.6
92.2 per 100
State avg: 83.1 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
🟡 Potential for Harm
Administration Deficiencies
Complaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
Complaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for Harm
Resident Assessment and Care Planning Deficiencies
Complaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyNursing and Physician Services DeficienciesComplaint
🔴 Immediate JeopardyPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyNursing and Physician Services DeficienciesComplaint
🔴 Immediate JeopardyPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🔴 Immediate JeopardyInfection Control Deficiencies
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🔴 Immediate JeopardyInfection Control Deficiencies
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🔴 Immediate JeopardyInfection Control Deficiencies
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
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