Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Excell Health Care Center during CMS and state inspections, most recent first.
Failure to provide consistent close supervision for a resident with dementia, severely impaired cognition, gait impairment, weakness, and high fall risk led to repeated unwitnessed falls. The resident had escalating fall risk assessments, behaviors including trying to get out of bed and crawling from bed to the floor, and was monitored by shared staff observation rather than a dedicated 1:1 sitter. After the third unwitnessed fall, the resident sustained a head injury and facial fractures and was transferred to the ED.
A cook used a cleaning cloth instead of a pot holder to remove a tray of chicken from the oven, resulting in the cloth coming into contact with food. The Dietary Services Manager and Infection Preventionist confirmed that this practice was not in accordance with professional standards and posed a risk of cross-contamination.
Staff did not consistently follow infection prevention protocols for residents on Enhanced Barrier Precautions, including leaving a feeding tube uncapped and handling it with bare hands, not changing gloves between dirty and clean wound care tasks, and touching resident belongings without gloves. These lapses occurred with residents who had immunodeficiency, gastrectomy with gastric tube, and pressure ulcers.
Failure to Provide Consistent Supervision for a High Fall-Risk Resident
Penalty
Summary
The facility failed to ensure a resident identified as high risk for falls received consistent close monitoring and supervision to prevent repeated falls. The resident had diagnoses including dementia, abnormalities of gait and mobility, muscle weakness, and adult failure-to-thrive, and the MDS indicated severely impaired cognition. The resident required substantial to maximal assistance, or assistance from two or more helpers, for bed mobility, transfers, and standing, and the care plan documented impaired cognition, behaviors such as trying to get out of bed, crawling from bed to mattress and floor, slapping her face, tapping her left arm, and putting her feet up while in the wheelchair. The resident’s fall risk assessments showed a progression from no falls in the prior three months to one to two falls, and then to three or more falls in the prior three months. The resident had an unwitnessed fall in the hallway while next to the wheelchair, then another unwitnessed fall in the hallway while seated on the floor beside the wheelchair, and then a third unwitnessed fall in the resident’s room while seated on the floor beside the wheelchair. Facility documentation noted the resident was found with a cut below the right eyebrow, bleeding, discoloration, and swelling after the third fall, and the neurological flowsheet showed a head-to-toe assessment was started before transfer to the hospital. The resident was sent to the ED for evaluation after the third unwitnessed fall and was diagnosed with traumatic subarachnoid hemorrhage without loss of consciousness, right maxillary fracture, right orbital floor fracture, right zygomatic fracture, and a laceration of the right eyelid and periocular area. Staff interviews indicated the resident did not have a dedicated 1:1 sitter; instead, the CNA assigned to the room or available nursing staff shared observation of the resident. The DON stated the resident was a high fall risk, had no safety awareness, and had no capacity to make medical decisions, and that the resident did not have a dedicated 1:1 sitter with no other responsibilities.
Improper Use of Cleaning Cloth During Food Preparation
Penalty
Summary
A cook was observed removing a tray of chicken from the oven using a pot holder on one hand and a red cleaning cloth on the other. The red cloth, intended for cleaning, came into contact with liquid on the tray. The cook stated that the chicken was heavy and required two hands, leading her to use the cleaning cloth as a substitute for a pot holder. The Dietary Services Manager confirmed that the red cloth should only be used for cleaning and not for handling food, noting that sanitizer chemicals could have been present on the cloth and could have come into contact with the food. The Infection Preventionist also stated that using a cleaning cloth to handle food items poses a risk of cross-contamination. Review of the FDA Food Code indicated that cloths used for wiping food spills should not be used for any other purpose.
Failure to Follow Infection Control Protocols for Residents on Enhanced Barrier Precautions
Penalty
Summary
Facility staff failed to maintain proper infection prevention and control practices for three residents who were on Enhanced Barrier Precautions (EBP) due to their medical conditions, including immunodeficiency, gastrectomy with gastric tube feeding, and pressure ulcers. In one instance, a registered nurse left a disconnected feeding tube uncapped and exposed to air, then handled the feeding bag and recapped the tube with bare hands, despite the resident being on EBP care. The nurse acknowledged that gloves should have been worn before touching the supplies. In another case, the infection preventionist entered a resident's room wearing only a mask, touched the resident's side table and communication board with bare hands, and interacted with items that had direct contact with the resident's body, also while the resident was on EBP care. The infection preventionist confirmed that gloves, gown, and mask were required for such interactions. Additionally, a licensed vocational nurse performed wound care on a resident with pressure ulcers without changing gloves between handling the old dressing and cleaning the wound, contrary to facility policy. The nurse admitted that gloves should have been changed to prevent cross-contamination. Review of facility policies confirmed the requirement for glove changes between dirty and clean tasks and the use of appropriate personal protective equipment during high-contact care activities, especially for residents on EBP. The infection preventionist also stated that there was no specific policy for maintaining cleanliness of tube feeding equipment after disconnection.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 999 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Oakland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Redwood Healthcare Center Llc | 0 mi | ★★★★★ | 5 | 0 |
| Princeton Manor Healthcare Center, Llc | 1 mi | ★★★★★ | 21 | 0 |
| Mercy Retirement & Care Center | 1.1 mi | ★★★★★ | 2 | 0 |
| Bellaken Skilled Nursing Center | 1.3 mi | ★★★★★ | 1 | 0 |
| Bay Marina Post Acute | 1.3 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.