Cycle 1
Health 2024-12-13 · Fire 2024-12-13
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Wayne, NJ
Excel Care At Wayne
4-star overall rating with 5-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
296 Hamburg Turnpike, Wayne, NJ
(973) 790-5800
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Excelcare
Operator or chain grouping
Approved since
1970-07-01
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
No
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
0.40
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.16
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
2.79
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
73%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,314
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9876
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.20
Baseline 22.83% · Performance 18.94% · Measure score 6.20 · Achievement 5.37 · Improvement 6.20
Healthcare-associated infections
5.94
Baseline 8.24% · Performance 6.15% · Measure score 5.94 · Achievement 5.63 · Improvement 5.94
Total nurse turnover
1.19
Baseline 67.74% · Performance 60.49% · Measure score 1.19 · Achievement 0.78 · Improvement 1.19
Adjusted total nurse staffing
0
Baseline 3.12 hours · Performance 2.81 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.45% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 152 · Observed rate 9.87% · Lower 95% interval 7.44% |
| Discharge to community | 58.23% |
50.57%
7.7 pts better
|
No Different than the National Rate · Eligible stays 150 · Observed rate 50.67% · Lower 95% interval 50.31% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.86% |
95.27%
3.6 pts better
|
Numerator 173 · Denominator 175 |
| Falls with major injury | 2.29% |
0.77%
1.5 pts worse
|
Numerator 4 · Denominator 175 |
| Discharge self-care score | 41.23% |
53.69%
12.5 pts worse
|
Numerator 47 · Denominator 114 |
| Discharge mobility score | 44.74% |
50.94%
6.2 pts worse
|
Numerator 51 · Denominator 114 |
| Pressure ulcers or injuries, new or worsened | 1.71% |
2.29%
0.6 pts better
|
Numerator 3 · Denominator 175 · Adjusted rate 1.36% |
| Healthcare-associated infections requiring hospitalization | 6.15% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 105 · Observed rate 4.76% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 3.21% |
8.2%
5 pts worse
|
Numerator 5 · Denominator 156 |
| Staff flu vaccination coverage | 98.08% |
42%
56.1 pts better
|
Numerator 153 · Denominator 156 |
| Discharge function score | 36.84% |
56.45%
19.6 pts worse
|
Numerator 42 · Denominator 114 |
| Transfer of health information to provider | 98.28% |
95.95%
2.3 pts better
|
Numerator 57 · Denominator 58 |
| Transfer of health information to patient | 96.2% |
96.28%
0.1 pts worse
|
Numerator 76 · Denominator 79 |
| Resident COVID-19 vaccinations up to date | 26.73% |
25.2%
1.5 pts better
|
Numerator 27 · Denominator 101 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.9 |
2.1
0.8 pts worse
|
1.9
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.1
0.2 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
93.0%
1.9 pts better
|
93.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.6% · Q3 92.5% · Q4 89.9% · 4Q avg 94.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.2%
2.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
2.4%
2 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.7% · Q3 6.2% · Q4 5.1% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 28.6% |
11.4%
17.2 pts worse
|
11.4%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 32.4% · Q3 33.8% · Q4 13.9% · 4Q avg 28.6% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
4.6%
3.6 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 5.7% · Q3 5.4% · Q4 13.7% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.0% |
19.0%
1 pts worse
|
19.6%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 20.0% · Q3 21.3% · Q4 18.4% · 4Q avg 20.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.4% |
13.5%
5.9 pts worse
|
16.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 21.7% · Q3 19.6% · Q4 17.5% · 4Q avg 19.4% · 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 | 11.5% |
9.8%
1.7 pts worse
|
16.3%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 15.0% · Q3 9.1% · Q4 16.2% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% |
9.7%
2.9 pts worse
|
14.9%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 15.2% · Q3 10.3% · Q4 14.9% · 4Q avg 12.6% · 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 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
0.8%
1.2 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 5.1% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% |
15.9%
3 pts worse
|
19.8%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 25.4% · Q3 11.5% · Q4 17.8% · 4Q avg 18.9% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
6.0%
2.7 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 6.7% · Q3 8.8% · Q4 13.6% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.7% |
78.7%
2 pts worse
|
81.7%
5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 74.9% · Q3 69.9% · Q4 67.6% · 4Q avg 76.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.6% |
8.2%
2.6 pts better
|
12.0%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.2% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.2%
0.7 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.9% · Q3 0.9% · Q4 1.9% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.0% |
80.1%
6.1 pts worse
|
79.7%
5.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
25.4%
4.2 pts better
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 20.0% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-21 · Fire 2023-09-21
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2021-12-02 · Fire 2021-12-02
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-13
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 2024-12-14
F · Potential for more than minimal harm
2024-12-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-06
F · Potential for more than minimal harm
2024-12-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-31
F · Potential for more than minimal harm
2024-12-13
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-25
F · Potential for more than minimal harm
2024-12-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-21
F · Potential for more than minimal harm
2024-12-13
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-12-24
E · Potential for more than minimal harm
2024-12-13
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-23
E · Potential for more than minimal harm
2024-12-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-13
F · Potential for more than minimal harm
2023-09-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-25
F · Potential for more than minimal harm
2023-09-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-25
F · Potential for more than minimal harm
2023-09-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-25
F · Potential for more than minimal harm
2023-09-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-20
F · Potential for more than minimal harm
2023-09-21
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-25
F · Potential for more than minimal harm
2023-09-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-25
E · Potential for more than minimal harm
2021-12-02
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-12-13
D · Potential for more than minimal harm
2021-12-02
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-12-13
D · Potential for more than minimal harm
2021-12-02
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-12-03
D · Potential for more than minimal harm
2021-12-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-12-03
Inspection history
Recent health citations
J · Immediate jeopardy
2025-10-29
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 2025-12-08
D · Potential for more than minimal harm
2025-10-29
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-08
D · Potential for more than minimal harm
2024-12-13
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-12-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-12-13
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 2025-01-13
D · Potential for more than minimal harm
2024-12-13
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-13
D · Potential for more than minimal harm
2023-09-21
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-09-22
D · Potential for more than minimal harm
2023-09-21
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 2023-09-25
D · Potential for more than minimal harm
2023-09-21
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 2023-09-22
Penalties and ownership
What sits behind the stars
Ownership
Frankel, Eliyahu
5% Or Greater Direct Ownership Interest · Individual
Frankel, Rochel
5% Or Greater Direct Ownership Interest · Individual
Frankel, Eliyahu
Operational/Managerial Control · Individual
Saleem, Madaser
Operational/Managerial Control · Individual
Salvanto, Steven
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Preakness Healthcare Center
Wayne, NJ
2-star overall rating with 2-star inspections with $15,646 in total fines with 17 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Alps at Wayne Rehab & Care Center
Wayne, NJ
3-star overall rating with 3-star inspections with $14,507 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Holland Christian Home Association
North Haledon, NJ
0-star overall rating with 0-star inspections with 6 fire-safety deficiencies in the latest cycle
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