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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Excel Care At Egg Harbor during CMS and state inspections, most recent first.
Surveyors found that staff did not consistently document ADL care, including toileting, eating, and intake amounts, for five residents with conditions such as ESRD, CKD, dementia, and COPD. Care plans for these residents required staff to provide and assist with ADLs, but point-of-care (POC) records contained numerous blank entries for bladder and bowel elimination, meals, snacks, and amounts eaten across multiple days and shifts. In interviews, a CNA, an LPN, and a VP of Nursing/Clinical Services all confirmed that if ADL care is not documented on the POC, it is considered not done, despite facility policies requiring both provision and documentation of ADLs and related nursing interventions.
A cognitively impaired resident with a history of exit-seeking behavior eloped from a facility due to inadequate supervision and malfunctioning wander guard systems. The resident was last seen in the dining room and was discovered missing when they did not appear for medication. Despite a search, the resident was not found until police located them on the property hours later, leading to hospitalization for hypothermia and elevated white blood cells.
The facility failed to maintain resident dignity by allowing inappropriate television content and standing while feeding residents. Additionally, meal service was delayed, with some residents receiving meals later than others, and staff did not adhere to proper infection control practices, such as covering food and maintaining hygiene.
The facility failed to maintain a homelike dining environment by serving meals on trays on the 2nd floor. CNAs were observed feeding residents without removing food items from trays, and a staff member did so until intervention by the Quality Assurance Director. Additionally, a CNA served a meal without inquiring about a resident's preferences, contrary to the facility's Dining Policy.
The facility failed to provide the required SNFABN and NOMNC forms to two residents who remained in the facility after their last covered Medicare day. The Social Worker confirmed that these forms should have been issued to allow residents the opportunity to appeal, but they were not provided, resulting in a deficiency.
A resident with dementia and cognitive impairment eloped from the facility, and the staff failed to report and submit the investigation to the NJDOH within the required timeframe. The resident was independently ambulatory and used a wander alarm, but the facility's notification to the NJDOH was incomplete, and an email was mistakenly sent to the Ombudsman instead. The facility's policy required reporting within 5 working days, which was not adhered to.
The facility failed to administer medications as per physician's orders, including a case where a resident did not receive prescribed pain medication due to stock issues and lack of physician notification. Additionally, a urine culture was not sent to the lab as ordered, and a transcription error led to incorrect medication dosing for another resident. These deficiencies highlight lapses in medication administration and lab order processes.
The facility failed to maintain proper food handling and storage practices, as observed by a surveyor. A freezer lacked a thermometer, and its temperature log was incomplete. A sandwich with a future date was found in the refrigerator. Staff interviews revealed confusion about food safety policies, with the QAD unsure of storage durations and the LNHA confirming policy violations regarding thermometer use and food disposal timelines.
The facility failed to follow proper hand hygiene and infection control practices. An LPN did not perform hand hygiene during medication administration, and a CNA and Hospice Aide did not assist residents with hand hygiene before meals. Respiratory equipment was improperly stored, with a nebulizer mask touching the floor and oxygen tubing found on the floor and not documented as changed. Staff interviews revealed inconsistencies in policy implementation.
Failure to Consistently Document ADL Care and Intake/Elimination
Penalty
Summary
The deficiency involves the facility’s failure to consistently document the provision of Activities of Daily Living (ADL) care, including elimination and eating, for multiple residents, despite care plans and policies requiring such care and documentation. For one resident with end stage renal disease and dialysis, the care plan addressing decline in functional status included an intervention to provide and assist with ADLs. However, review of the December 2025 Documentation Survey Report (POC) showed blank entries for bladder and bowel elimination, eating, and amount eaten on specified shifts and dates, indicating that these tasks were either not completed or not documented. A second resident with chronic kidney disease and diabetes, who was cognitively intact per a BIMS score of 14/15, also had a care plan intervention to provide and assist with ADLs. Review of this resident’s July 2025 POC documentation revealed numerous blank spaces for bladder and bowel elimination, eating, and amount eaten across multiple days and all three shifts. Additional review of August 2025 documentation showed a blank entry for amount eaten on one evening shift. For a third resident with dementia and a BIMS score indicating moderate impairment, the care plan noted a current need for extensive assistance with ADL tasks and an intervention to provide and assist with ADLs. Yet, September and October 2025 POC reports contained multiple blank entries for bladder and bowel elimination, eating, amount eaten, and ordered snacks (4 oz Magic Cup with lunch and dinner) on various dates and shifts. A fourth resident with chronic obstructive pulmonary disease had recent admission status and incomplete BIMS at the time of survey. Review of this resident’s December 2025 POC documentation showed blank entries for bladder and bowel elimination, eating, and amount eaten on multiple dates and shifts. A fifth resident with end stage renal disease, chronic kidney disease, and severe cognitive impairment per a BIMS score of 5/15 had a care plan indicating no change in ADL function and to continue with the POC, including providing and assisting with ADLs. Nonetheless, November and December 2025 POC reports for this resident contained numerous blank entries for bladder and bowel elimination, eating, and amount eaten across day, evening, and night shifts. During interviews, a CNA stated that ADLs should be completed daily and that she documents them mid-shift and at the end of her shift on the POC; she further stated that if care is not documented, then it is considered not done. An LPN similarly stated that CNAs complete the POC documentation and that if it is not documented, it is not done. The Vice President of Nursing and Clinical Services explained that X’s on the POC indicate PRN or as-needed services, while blanks indicate that no one documented for that shift and there is no way to know if the care was done, reiterating that if it is not documented, it is not done. Facility policies titled “Activities of Daily Living (ADLs)/Maintain Abilities” and “Nursing Documentation” require the facility to provide care and services for elimination and dining (including meals and snacks) and to document all nursing interventions and observations, including ADLs and assistance required, which was not consistently done for the five residents reviewed.
Inadequate Supervision Leads to Resident Elopement
Penalty
Summary
The facility failed to provide adequate supervision for a cognitively impaired resident with a known history of aggressive exit-seeking behavior, resulting in the resident eloping from the facility. The resident, who was wearing a wander guard, was last seen in the dining room between 05:00 PM and 05:30 PM. The wander guard was supposed to be checked for placement and function every shift, but the last recorded check was at 02:00 PM. The resident was discovered missing when they did not appear for medication administration at 07:40 PM, and their absence was confirmed when a CNA found their dinner untouched between 08:00 PM and 09:00 PM. The staff initiated a search for the resident at 09:30 PM, and the facility management was notified at 10:00 PM. Despite a search of the facility and surrounding areas, the resident was not located until the police, using a K-9 unit and a drone, found them on the property in the trees at 01:45 AM the following day. The resident was immediately sent to the hospital and admitted with hypothermia and elevated white blood cells. The facility's failure to adequately supervise the resident and ensure the proper functioning of the wander guard system posed a likelihood of serious harm, injury, impairment, or death. Interviews and documentation revealed that the facility had a policy for elopement, but there were lapses in its implementation. The resident's wander guard was not consistently checked, and there were previous instances where the resident had removed or tampered with the device. Additionally, the facility's alarm systems did not function as intended, as no alarms were heard when the resident exited the building. The staff's failure to promptly identify and respond to the resident's absence contributed to the delay in locating the resident, highlighting deficiencies in supervision and monitoring protocols.
Removal Plan
- Staff initiated the elopement protocol and contacted the police
- Resident #160 was located outside the facility, assessed, and transported to the hospital for evaluation
- Resident #160's plan of care was updated to include 1:1 supervision
- Resident #160's wander guard was checked for function
- The facility's wander guard system was checked for function
- All staff were educated on the facility's elopement protocol
Failure to Maintain Resident Dignity and Proper Meal Service
Penalty
Summary
The facility failed to ensure a dignified leisure experience for residents in the dayroom, where a television program containing profanity and racial slurs was broadcast. This occurred in the presence of four residents and one staff member, who did not change the channel to something more appropriate. The RN Supervisor acknowledged the inappropriate content and stated that the activities staff usually set the television programming, but the staff present should have intervened to change the program. Additionally, the facility did not maintain resident dignity during meal times, as staff members were observed standing while feeding residents in multiple dining rooms. This practice was contrary to the facility's expectations, which require staff to sit at eye level with residents to promote dignity. The Quality Assurance Director and the Licensed Nursing Home Administrator both confirmed that staff should be seated when assisting residents with feeding. Furthermore, the facility failed to serve meals to all residents at the same table simultaneously, leading to delays in meal service. In one instance, residents' meals were left uncovered for extended periods, posing an infection control risk. Staff members were also observed with their hair touching residents' food, and they did not perform hand hygiene after touching their hair. The Licensed Practical Nurse/Unit Manager and the Quality Assurance Director emphasized the importance of serving meals immediately once uncovered and maintaining proper infection control practices.
Failure to Maintain Homelike Dining Environment
Penalty
Summary
The facility failed to maintain a homelike environment by serving meals on trays on the 2nd floor. This deficiency was observed on multiple occasions. On one occasion, a CNA was seen feeding a resident without removing the food items from the meal tray. Another instance involved a staff member bringing in a meal tray and feeding a resident without removing the food items, until the Quality Assurance Director and Staff Educator intervened. Additionally, a CNA was observed uncovering a resident's meal and serving it on the tray without asking about the resident's preferences. The Licensed Nursing Home Administrator acknowledged the importance of creating a homelike dining environment, which includes serving meals without trays, as per the facility's Dining Policy.
Failure to Provide Required Beneficiary Notices
Penalty
Summary
The facility failed to issue the required beneficiary notices for two residents who were reviewed for Beneficiary Protection Notification. Specifically, the facility did not provide the Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNFABN) Form CMS-10055 to two residents who remained in the facility after their last covered Medicare day. For one resident, the last covered Medicare day was on October 15, 2024, and for the other, it was on November 11, 2024. The facility's documentation indicated that the SNFABN was not provided because one resident was Medicaid pending, and no explanation was provided for the other resident. During an interview, the Social Worker confirmed that residents who remain in the facility after being cut from Medicare A should receive both the SNFABN and the Notice of Medicare Non-Coverage (NOMNC) form. The Social Worker stated that these forms are typically issued two days before the last covered day to allow residents the opportunity to appeal. However, in these cases, the required notices were not provided, leading to a deficiency in the facility's compliance with beneficiary protection notification requirements.
Failure to Timely Report Elopement Incident
Penalty
Summary
The facility failed to report and submit the investigation of an elopement incident involving a resident to the New Jersey Department of Health (NJDOH) within the required 5-day timeframe. The resident, who was admitted with unspecified dementia and had a Brief Interview for Mental Status (BIMS) score indicating cognitive impairment, was independently ambulatory and used a wander/elopement alarm daily. Despite having a physician order for a wander guard to be checked every shift, the resident eloped, and the facility did not properly notify the NJDOH as required. The facility's investigation and documentation revealed that the Department of Health was called, but only minimal information was left, and an email was mistakenly sent to the Ombudsman instead of the NJDOH. The Licensed Nursing Home Administrator (LNHA) and Director of Nursing (DON) were unable to provide evidence of proper notification to the NJDOH, and the facility's policy required reporting within 5 working days. The DON acknowledged the responsibility to submit the investigation and report to the NJDOH but failed to do so within the specified timeframe.
Medication Administration and Lab Order Deficiencies
Penalty
Summary
The facility failed to ensure medications were administered in accordance with a physician's orders, as evidenced by the case of a resident who was not provided with the prescribed Hydrocodone-Acetaminophen for moderate pain. The medication was not stocked in the facility's automated dispensing machine, and the nurse did not contact the physician for an alternative medication. This resulted in the resident expressing dissatisfaction and a desire to leave the facility against medical advice due to the untimely administration of medication. Another deficiency was identified when a urine culture ordered for a resident with a urinary tract infection was not sent to the lab as required. The facility's process for handling lab orders was not followed, and the urine specimen was not sent on the day it was ordered. The facility was unable to provide a policy regarding lab work, and the urine culture results were not found, indicating a failure in the facility's process for managing lab orders. Additionally, a transcription error occurred during the admission of a resident, where the medication Quetiapine was incorrectly entered into the EMR. The resident was supposed to receive 25 mg twice a day, but the order was transcribed as 50 mg at bedtime. This error was not corrected until several days later, highlighting a lapse in the facility's process for verifying and reconciling medication orders upon admission.
Improper Food Handling and Storage Practices
Penalty
Summary
The facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner, as observed during a survey. On a tour of the second-floor pantry, the surveyor noted the absence of a thermometer in the freezer, which contained five plastic containers of food. The temperature log for the freezer was marked as 'NA' for the entire month of January, indicating a lack of monitoring. Additionally, a paper-wrapped sandwich labeled with a resident's room number and dated for a future date was found in the refrigerator, suggesting improper labeling and storage practices. Interviews with facility staff revealed a lack of clarity and adherence to food safety policies. The Quality Assurance Director (QAD) was unsure of the duration food could remain in the refrigerator and mistakenly believed a thermometer was unnecessary in the freezer unless it contained food. The Licensed Nursing Home Administrator (LNHA) confirmed that the facility's policy required a thermometer in the freezer and that food brought into the facility should be discarded after 72 hours if not consumed. The facility's policies on food handling and storage were not being followed, as evidenced by the observations and staff interviews.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to adhere to proper hand hygiene practices during medication administration and meal service. An LPN was observed not performing hand hygiene before and after administering medications to residents, despite acknowledging the importance of such practices. Similarly, a CNA and a Hospice Aide did not assist residents in performing hand hygiene before meals, although they recognized the necessity of doing so. The facility also did not implement adequate infection control measures for respiratory equipment. A resident's nebulizer mask was found in a bag touching the floor, which was acknowledged as inappropriate by an LPN. Another resident's oxygen tubing was observed with the nasal cannula touching trash, and the oxygen concentrator was off. The LPN indicated that the nasal cannula should have been stored properly in a labeled bag. Additionally, a resident's nasal cannula was found on the floor, unlabeled, and there was no documentation of the oxygen tubing being changed as required. The facility's policies on hand hygiene and respiratory equipment were not fully followed, as evidenced by the lack of documentation and improper storage of equipment. Interviews with staff, including the Infection Preventionist and the Director of Nursing, revealed inconsistencies in the understanding and implementation of these policies.
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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.
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Nursing homes near Egg Harbor Township
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Our Ladys Center For Rehabilitation & Healthcare | 2.2 mi | ★★★★★ | 0 | 0 |
| Meadowview Nursing And Rehabilitation Center | 2.3 mi | ★★★★★ | 0 | 0 |
| Preferred Care At Absecon | 2.7 mi | ★★★★★ | 0 | 0 |
| Atlas Healthcare At Seashore Gardens | 4.4 mi | ★★★★★ | 0 | 0 |
| Health Center At Galloway, The | 4.5 mi | ★★★★★ | 19 | 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 July 2026) and official state health department websites.