Manalapan, NJ

Excel Care At Manalapan

2-star overall rating with 1-star inspections with $63,238 in total fines with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

104 Pension Road, Manalapan, NJ

(732) 446-3600

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

132

Certified beds

Average residents

111

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Excelcare

Operator or chain grouping

Approved since

1989-07-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 2 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.00

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.06

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.06

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

2.81

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

3.59

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

62%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,686

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.69

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 22.00% · Performance 22.16% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.16

Baseline 7.52% · Performance 7.19% · Measure score 2.16 · Achievement 2.16 · Improvement 0.81

Total nurse turnover

3.55

Baseline 46.67% · Performance 49.15% · Measure score 3.55 · Achievement 3.55 · Improvement 0

Adjusted total nurse staffing

0.56

Baseline 3.82 hours · Performance 3.24 hours · Measure score 0.56 · Achievement 0.56 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.15%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 92 · Observed rate 14.13% · Lower 95% interval 7.56%
Discharge to community	46.22%	50.57% 4.4 pts worse	No Different than the National Rate · Eligible stays 76 · Observed rate 36.84% · Lower 95% interval 36.4%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 80 · Denominator 80
Falls with major injury	1.25%	0.77% 0.5 pts worse	Numerator 1 · Denominator 80
Discharge self-care score	60.38%	53.69% 6.7 pts better	Numerator 32 · Denominator 53
Discharge mobility score	52.83%	50.94% 1.9 pts better	Numerator 28 · Denominator 53
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 80 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.19%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 4.11%
Staff COVID-19 vaccination coverage	86.9%	8.2% 78.7 pts better	Numerator 73 · Denominator 84
Staff flu vaccination coverage	89.29%	42% 47.3 pts better	Numerator 75 · Denominator 84
Discharge function score	52.83%	56.45% 3.6 pts worse	Numerator 28 · Denominator 53
Transfer of health information to provider	95.24%	95.95% 0.7 pts worse	Numerator 20 · Denominator 21
Transfer of health information to patient	95.83%	96.28% 0.5 pts worse	Numerator 23 · Denominator 24
Resident COVID-19 vaccinations up to date	2.17%	25.2% 23 pts worse	Numerator 1 · Denominator 46

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	2.1 0.8 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.1 About the same	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	58.1%	93.0% 34.9 pts worse	93.4% 35.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.0% · Q2 27.4% · Q3 64.1% · Q4 95.2% · 4Q avg 58.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	85.0%	97.2% 12.2 pts worse	95.5% 10.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 85.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	2.4% 0.2 pts worse	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.1% · Q3 2.9% · Q4 4.8% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.3%	11.4% 2.1 pts better	11.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 3.1% · Q4 27.3% · 4Q avg 9.3%
Percentage of long-stay residents who lose too much weight	5.3%	4.6% 0.7 pts worse	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 3.4% · Q3 4.5% · Q4 10.6% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.7%	19.0% 1.3 pts better	19.6% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 15.6% · Q3 18.9% · Q4 15.5% · 4Q avg 17.7%
Percentage of long-stay residents who received an antipsychotic medication	11.5%	13.5% 2 pts better	16.7% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.5% · Q3 7.1% · Q4 9.0% · 4Q avg 11.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.4%	9.8% 5.4 pts better	16.3% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 7.9% · Q3 6.4% · Q4 0.0% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.9%	9.7% 4.8 pts better	14.9% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.4% · Q3 9.6% · Q4 2.1% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.7% 0.3 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	0.8% 0.5 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	5.7%	15.9% 10.2 pts better	19.8% 14.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 6.6% · Q3 0.9% · Q4 0.8% · 4Q avg 5.7%
Percentage of long-stay residents with pressure ulcers	4.4%	6.0% 1.6 pts better	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.8% · Q3 5.9% · Q4 5.6% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	42.5%	78.7% 36.2 pts worse	81.7% 39.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 25.7% · Q3 67.7% · Q4 89.3% · 4Q avg 42.5%
Percentage of short-stay residents who had an outpatient emergency department visit	1.7%	8.2% 6.5 pts better	12.0% 10.3 pts better	Short Stay · 20240701-20250630 · Adjusted 1.7% · Observed 1.6% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	50.0%	80.1% 30.1 pts worse	79.7% 29.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 50.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.9%	25.4% 4.5 pts better	23.9% 3 pts better	Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 21.0% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-13 · Fire 2025-08-13

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

9 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 2 Health 2024-03-06 · Fire 2024-03-06

28 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

14 fire-safety deficiencies

Top issue: Emergency Preparedness (8 deficiencies)

Cycle 3 Health 2021-11-23 · Fire 2021-11-23

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-13

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-08-13

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-08-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-08-13

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-08-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-11-13

E · Potential for more than minimal harm 2025-08-13

K252 · Egress Deficiencies

Fire Safety

Provide at least two remote exits on each floor or fire section of the building.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-13

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-13

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-05

E · Potential for more than minimal harm 2024-03-06

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-04-16

D · Potential for more than minimal harm 2024-03-06

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-04-16

D · Potential for more than minimal harm 2021-11-23

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-12-02

D · Potential for more than minimal harm 2021-11-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-11-26

D · Potential for more than minimal harm 2021-11-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-12-14

D · Potential for more than minimal harm 2021-11-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-12-31

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-09

F580 · Resident Rights Deficiencies

Health

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

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-10-28

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-11-26

E · Potential for more than minimal harm 2025-08-13

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-13

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-13

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-26

D · Potential for more than minimal harm 2025-08-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-13

F806 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-22

J · Immediate jeopardy 2024-03-06

F806 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-04-16

H · Actual harm 2024-03-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-16

H · Actual harm 2024-03-06

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-16

H · Actual harm 2024-03-06

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-16

F · Potential for more than minimal harm 2024-03-06

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

F580 · Resident Rights Deficiencies

Health

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-06

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-04-16

D · Potential for more than minimal harm 2024-03-06

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-04-16

D · Potential for more than minimal harm 2024-03-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-04-16

D · Potential for more than minimal harm 2024-03-06

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2021-11-23

F761 · Pharmacy Service Deficiencies

Health

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-11-23

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-12-12

Penalties and ownership