Nursing Home Alerts

Excelcare at Lewes LLC

301 Ocean View Blvd, Lewes, DE 19958

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Excelcare at Lewes LLC is a nursing home in Lewes, Delaware. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(302) 645-4664
Last standard health inspection
February 18, 2026 (8 months ago)
Certified beds
179
Residents per day, on average
157.8
Ownership type
For profit - Limited Liability company
Legal business name
Excelcare at Lewes LLC
Chain
Excelcare
Takes part in
Medicare and Medicaid

More health citations than the Delaware average (46 vs 37).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Fine

      CMS changed the fine from February 18, 2026 from $87,640 to $56,966.

  2. CMS update of October 8, 2026

    • Fine

      CMS changed the fine from November 14, 2025 from $18,920 to $12,298.

  3. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  4. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  5. CMS update of March 25, 2026

    • Name

      CMS lists a new legal business name for this home.

  6. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  7. 21 citations

    Health inspection on February 18, 2026

    CMS lists this as a standard inspection and a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    9 of 44 Delaware homes (20%) got a citation at the actual harm level in 2026.

    • Citation F0692. Severity G: actual harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 6, 2026.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0605. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0627. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 6, 2026.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0690 2 times since 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 6, 2026.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0760 2 times since 2025.

    • Citation F0790. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide routine and 24-hour emergency dental care for each resident.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0791. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain dental services for each resident.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0812 2 times since 2024.

    • Citation F0841. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0842 2 times since 2025.

    • Citation F0584. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0584 2 times since 2024.

    See this home on CMS Care Compare

  8. 2 citations

    Fire safety inspection on February 18, 2026

    CMS lists this as a standard inspection.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on September 22, 2026.

    • Citation K0923. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on September 22, 2026.

      CMS has cited this home for K0923 2 times since 2025.

    See this home on CMS Care Compare

  9. Fine

    February 18, 2026 (8 months ago)

    CMS fine of $56,966 on February 18, 2026.

    See this home on CMS Care Compare

  10. CMS update of January 14, 2026

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

  11. CMS update of December 15, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  12. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Name

      CMS lists a new legal business name for this home.

  13. 3 citations

    Health inspection on November 14, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    15 of 44 Delaware homes (34%) got a citation at the actual harm level in 2025.

    • Citation F0600. Severity G: actual harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on November 5, 2025.

      CMS has cited this home for F0600 2 times since 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on January 5, 2026.

      CMS has cited this home for F0609 3 times since 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 5, 2026.

    See this home on CMS Care Compare

  14. Fine

    November 14, 2025 (11 months ago)

    CMS fine of $12,298 on November 14, 2025.

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  15. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

    • Ownership

      CMS lists this home under a new chain.

  16. CMS update of April 30, 2025

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 4 of 5.

  17. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

  18. 12 citations

    Health inspection on February 13, 2025

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 14, 2025.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0602. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 14, 2025.

      CMS has cited this home for F0684 2 times since 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 14, 2025.

    • Citation F0700. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 14, 2025.

    See this home on CMS Care Compare

  19. 2 citations

    Fire safety inspection on February 13, 2025

    CMS lists this as a standard inspection.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on April 30, 2025.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on April 30, 2025.

    See this home on CMS Care Compare

  20. CMS update of December 20, 2024

    • Name

      CMS lists a new name for this home. It was BREAKWATER VILLAGE.

  21. CMS update of October 30, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  22. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  23. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

    • Name

      CMS lists a new name for this home. It was HARBOR HEALTHCARE & REHAB CTR.

  24. 10 citations

    Health inspection on March 20, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0644. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on May 3, 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 3, 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on May 3, 2024.

    • Citation F0635. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

      CMS lists it as corrected on May 3, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on May 3, 2024.

    • Citation F0711. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on May 3, 2024.

    • Citation F0802. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

      CMS lists it as corrected on May 3, 2024.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on May 3, 2024.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on May 3, 2024.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on May 3, 2024.

    See this home on CMS Care Compare

  25. 3 citations

    Fire safety inspection on March 20, 2024

    CMS lists this as a standard inspection.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on April 30, 2024.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on April 30, 2024.

    • Citation K0291. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on April 30, 2024.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Excelcare at Lewes LLC last inspected?

CMS lists February 18, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Excelcare at Lewes LLC have?

CMS lists 46 health citations since March 20, 2024. CMS also calls these deficiencies.

Has Excelcare at Lewes LLC been fined?

CMS lists 2 fines in the past three years, $69,264 in total.

What is the CMS star rating of Excelcare at Lewes LLC?

Its CMS overall star rating is 2 of 5.

Is Excelcare at Lewes LLC a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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