All citations for Excelcare at Lewes LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Excelcare at Lewes LLC

Last standard health inspection on record

February 18, 2026

Showing 1 to 25 of 46 citations

  1. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  2. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 14, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 5, 2025).

  3. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  4. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  5. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  6. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  7. No harm, with potential for more than minimal harm

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0627, Resident Rights Deficiencies. Inspection of February 18, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  8. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  9. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  10. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  11. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  12. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  13. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  14. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  15. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  16. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  17. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  18. No harm, with potential for more than minimal harm

    Provide routine and 24-hour emergency dental care for each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0790, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  19. No harm, with potential for more than minimal harm

    Provide or obtain dental services for each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  20. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  21. No harm, with potential for more than minimal harm

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0841, Nursing and Physician Services Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  22. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  23. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

  24. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

  25. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.