Federal inspection record · CMS data as of October 1, 2026
Excelcare At Lewes LLC
301 Ocean View Blvd, Lewes, DE · (302) 645-4664
- Cited for abuse (CMS abuse icon)
- Certified beds
- 179
- Residents per day
- 158
- Ownership
- For-Profit
- Chain
- Excelcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 20, 1988
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Delaware.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Delaware homes
Excelcare At Lewes LLC carries 109 inspection points. That is fewer than 33% of Delaware's 43 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Delaware: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–57 pts
- 3★ 57–80 pts
- 2★ 80–139.25 pts
- 1★ over 139.25 pts
Bars show every rated home in Delaware by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
46 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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G
Provide enough food/fluids to maintain a resident's health.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care13D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation7D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights6D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- C
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Resident Assessment and Care Planning6E
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Pharmacy Service4D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary4D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2D
- D
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-02-18
24 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2025-02-13
12 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-03-20
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 32 min
Delaware average
4 h 29 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 74% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$69,264 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-18 | Fine | $56,966 |
| 2025-11-14 | Fine | $12,298 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.4 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 1.9 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.8 pts worse | 84.4% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts worse | 94.0% | 98.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse | 4.6% | 2.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.5 pts better | 2.1% | 10.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.5 pts worse | 10.0% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.9 pts worse | 37.8% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.5 pts worse | 13.1% | 10.6% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.2 pts better | 6.9% | 12.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts better | 8.4% | 12.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.4% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 1.1% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts worse | 22.6% | 19.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 3.0% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts worse | 79.1% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts worse | 14.7% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 0.9% | 0.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts worse | 81.5% | 88.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts worse | 23.1% | 22.7% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Excelcare At Lewes Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Indigo De 3 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 60% | 2 facilities |
| Frankel, Eliyahu | 5% Or Greater Indirect Ownership Interest · Individual | 40% | 10 facilities |
| Berkowitz, Cheskel | Adp Of The SNF · Individual | 0% | 23 facilities |
| Burton, Tonya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Burton, Tonya | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cibc Bank Usa | Adp Of The SNF · Organization | 0% | 208 facilities |
| Frankel, Eliyahu | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Indigo De 3 LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Jm And Mazel LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Leifer, Joel | Adp Of The SNF · Individual | 0% | 40 facilities |
| Levy, Susan | Adp Of The SNF · Individual | 0% | 2 facilities |
| Martin Friedman Cpa Pc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Mazel Family Trust | Adp Of The SNF · Organization | 0% | 6 facilities |
| Oxford Finance LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Oxford Finance LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Revach LLC De-Nj | Adp Of The SNF · Organization | 0% | 1 facilities |
| Shields, Kristen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vasquez, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zupnick, Joel | Trustee Of The SNF · Individual | 0% | 26 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems2E
- D
Have proper medical gas storage and administration areas.
- E
Have proper medical gas storage and administration areas.
Egress2E
- E
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.
- D
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
-
The Moorings At Lewes
Lewes, DE · Springpoint Senior Living
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 36 min
- Fines
- $0
-
Cadia Rehabilitation Renaissance
Millsboro, DE · Cadia Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 47 min
- Fines
- $13,627
-
Delaware Bay Rehabilitation And Healthcare Center
Georgetown, DE · Venza Care Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 9 min
- Fines
- $62,618