Excelcare at Lewes LLC
301 Ocean View Blvd · Lewes, DE · 19958 · 3026454664
179 certified beds For profit - Limited Liability company Chain: Excelcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Federal penalties on record: $106,560 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$106,560 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.36 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 2 · $106,560 |
Inspection citations (39 in the current record)
-
Actual harm · G February 18, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 6, 2026 · Quality of Life and Care
-
Potential for harm · D February 18, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 6, 2026 · Resident Rights
-
Potential for harm · D February 18, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 6, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 18, 2026 · found via complaint
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 April 6, 2026 · Quality of Life and Care
-
No harm found · C February 18, 2026 · found via complaint
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 April 6, 2026 · Resident Rights
-
Actual harm · G November 14, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 14, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 5, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 13, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 14, 2025 · Resident Rights
-
Potential for harm · D February 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 13, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 13, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 14, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 14, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025 · found via complaint
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 April 14, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025 · found via complaint
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.
Corrected April 14, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 14, 2025 · Pharmacy Service
-
Potential for harm · D February 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 14, 2025 · Infection Control
-
Potential for harm · D March 20, 2024
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 May 3, 2024 · Resident Rights
-
Potential for harm · E March 20, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 20, 2024
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected May 3, 2024 · Nursing and Physician Services
-
Potential for harm · D March 20, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected May 3, 2024 · Nutrition and Dietary
-
Potential for harm · D March 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 3, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 18, 2026 | Fine | $87,640 |
| November 14, 2025 | Fine | $18,920 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085034 · certified since September 20, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.