Excel Care at Dover

In the surveyor’s words

From the most serious findings on record at Excel Care at Dover, in the surveyor’s own words.

• Immediate jeopardy, patternF689May 2, 2022

  Based on observation, interviews, record review, and review of other pertinent documentation, it was determined that the facility failed to ensure that the puree consistency diet was free of large particles of food which could promote aspiration risk for residents who were on pureed diets. This deficient practice was identified for 1 of 3 residents (Resident #383) for 1 of 1 pureed lunch entree (meatballs) on 4/26/22. On 4/26/22 at 11:42 AM, the surveyor observed the Daytime Cook puree meatballs for the lunch meal without following a standard recipe or manufacturer instructions for puree consistency. Upon interview, the Daytime Cook reported that she eyeballed what the puree consistency should be. […]

• Immediate jeopardy, isolatedF600Mar 6, 2026

  Complaint #2800328 Based on interviews, record review, and review of pertinent documents, it was determined that the facility failed to ensure staff did not neglect to carry out a physician's order to send a resident (Resident #1) immediately to the hospital, who had low blood pressure and a change in condition. The resident was sent later that day to the hospital by the physician and the resident expired at the hospital the same day. This deficient practice was identified for 1 of 3 residents reviewed for neglect (Resident #1). […]

• Actual harm, patternF689May 31, 2024

  Based on observation, interview, record review, and review of other pertinent facility documents, it was determined that the facility failed to: a) ensure adequate supervision was provided to a resident to prevent falls, b) follow the facility accident policy to investigate falls, and c) initiate and implement appropriate care plan interventions to prevent accidents. This deficient practice occurred for two (2) of two (2) residents reviewed (Resident # 89 and #109) for falls with major injury who were identified as being at high risk for falls, sustained multiple falls including falls that required transfer to the emergency room (ER) for evaluation and treatment. […]

• No harm, potential for more than minimal, widespreadF600May 31, 2024

  Based on observation, interview, record review and review of pertinent facility documents, it was determined that the facility failed to ensure that a resident was free from alleged abuse. This deficient practice occurred for one (1) of four (4) residents reviewed for abuse (Resident #6) and was evidenced by the following: Refer to 610 F On 5/21/24 at 11:04 AM, Resident #6 stated the following: On 5/06/24 a phlebotomist and a Certified Nursing Assistant (CNA) held both of the residents arms down against the residents will to obtain blood work that the resident did not agree to. As a result the resident sustained bruises to both forearms. Resident #6 then stated that he/she was frustrated and she reported the incident to the facility (RN on duty) on the next day 5/07/24. […]

• No harm, potential for more than minimal, widespreadF607May 31, 2024

  Complaint #NJ171307 Based on interview, record review and review of pertinent documents, it was determined that the facility failed to develop comprehensive policies and consistently implement procedures to prevent and investigate abuse by failing to ensure: a) a system was in place to pre-screen contracted staff timely and provide training on the current facility abuse policies, b) all residents who may have been abused were identified and a documented system was in place to rule out abuse, c) all involved persons, including potential witnesses, were identified, and a documented interview was completed per facility policy, and d) a system was in place to ensure a complete and thorough investigation occurred and was documented. […]