Excel Care at Egg Harbor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jan 31, 2025

  C/O # NJ 182995 Based on observation, interview, review of the medical record, and review of other facility documentation, it was determined that the facility failed to provide adequate supervision for a cognitively impaired resident with a known history of aggressive exit seeking which resulted in the resident eloping on 12/12/2024. This deficient practice was identified for 1 of 3 residents reviewed for elopement (Resident #160). Resident #160, who was cognitively impaired with a known history of aggressive exit seeking, eloped from the facility on 12/12/2024. The staff reported last seeing Resident #160 in the dining room between 05:00 PM and 05:30 PM on 12/12/2024. […]

• No harm, potential for more than minimal, widespreadF812Jun 15, 2026

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) prepare food in a manner to prevent food-borne illness, b.) maintain the kitchen equipment in a sanitary manner, c.)maintain food-contact equipment in a sanitary condition in 2 of 2 Nourishment Rooms (1st Floor and 2nd Floor), and d.) label and date resident's food in 1 of 2 Nourishment rooms (2nd Floor Nourishment room).This deficient practice was evidenced by the following:On 6/8/2026 at 9:50 AM, the surveyor, accompanied by the Food Service Director (FSD) toured the kitchen, and the following was observed:The surveyor observed the FSD open the ice machine door. Black residue was noted on the proximal end of the white plastic located inside the machine. […]

• No harm, potential for more than minimal, patternF688Jun 15, 2026

  Based on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that a resident who was previously identified with decreased range of motion and mobility consistently received prescribed treatments for contractures (shortening and hardening of muscles, tendons, often leading to deformity and rigidity of joints) in accordance with professional standards of practice and physician's orders.This deficient practice was identified for 1 of 2 residents (Resident #50) reviewed for positioning and mobility and was evidenced by the following:On 6/8/2026 at 10:00 AM during the initial tour of the facility, Surveyor #1 observed Resident #50 resting in bed. […]

• No harm, potential for more than minimal, patternF677Jan 5, 2026

  Complaint #: 2601823, 421288, 2646782Based on interviews, medical record review, and review of pertinent facility documentation on 1/2/26 and 1/5/26, it was determined that the facility failed to consistently document Activities of Daily Living (ADL) as being provided to residents for 5 of 5 residents reviewed for ADLs. The facility also failed to follow its policy titled, Activities of Daily Living (ADLs)/Maintain Abilities. This deficient practice was evidenced by the following: According to the admission Record (AR), Resident #1 was admitted with diagnoses that included but were not limited to: End Stage Renal Disease (ESDR) and Dialysis.According to the Minimum Data Set (MDS), an assessment tool dated 12/29/2025, Resident #1 had a Brief Interview of Mental Status (BIMS) that was not… […]

• No harm, potential for more than minimal, patternF550Jan 31, 2025

  Based on observation and interview, it was determined that the facility failed to ensure that the residents' leisure experience was provided in a manner to promote the dignity and respect of the residents, a) who were seated in the dayroom where a television program broadcast contained profanity and vulgar language was observed for 1 of 2 dining rooms, first floor, b.) the facility failed to maintain Resident dignity when staff were observed standing while feeding Residents their meals on 3 of 3 dining rooms observed for dining and c.) did not serve all residents seated at the same table at the same time for 1 of 3 dining areas, 2nd floor. […]