Excel Care at Wayne

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 29, 2025

  Complaint #: 2650138 Based on observation, interviews, review of medical records, and review of other pertinent facility documents on 10/27/2025 and 10/29/2025, it was determined that the facility failed to provide adequate supervision to a severely cognitively impaired resident (Resident #2) with a known history of wandering and wore a wander guard, who eloped from the facility on 10/19/2025. The deficient practice was identified for 1 of 4 residents reviewed for elopement (Resident #2). On 10/19/2025 at approximately 2:30 PM, the Licensed Practical Nurse (LPN #1) noticed Resident #2 was not in their room, and she could not find the resident. […]

• No harm, potential for more than minimal, patternF698May 21, 2026

  Based on observation, interview, record review, and review of other pertinent documents, it was determined that the facility failed to: a) complete pre and/or post dialysis assessments for 2 of 2 residents (Resident #11 and #96); and b) ensure timing of a resident's medication was adjusted to accommodate their dialysis schedule, for 1 of 2 residents (Resident #96) reviewed for dialysis services.This deficient practice was evidenced by the following: 1. On 5/17/26 at 10:50 AM, the surveyor observed Resident #96 resting in bed, with their eyes closed. […]

• No harm, potential for more than minimal, patternF880May 21, 2026

  Based on observation, interview, record review and review of pertinent facility documentation, it was determined that the facility failed to follow appropriate infection control practices for: a) personal protective equipment (PPE) use while performing high contact care in an enhanced barrier precaution (EBP) room for 1 of 1 Certified Nurse Aide (CNA) observed on 1 of 2 units; b) handling of personal care items for a resident for 1 of 1 CNA observed on 1 of 2 units; and c) storage of medical equipment and linens to decrease the possibility of spreading infection during a tour of the laundry area. 2. […]

• No harm, potential for more than minimal, isolatedF558May 21, 2026

  Repeat Deficiency Based on observation, interview, and record review, it was determined that the facility failed to ensure the resident's call device was readily accessible. The deficient practice was identified for 5 of the 22 residents (Resident #2, 15, 33, 67, and #92) reviewed for reasonable accommodations of needs/preferences. This deficient practice was evidenced by the following: 1. On 5/17/26 at 9:54 AM, the surveyor observed Resident #2 in bed asleep. The surveyor observed that the resident's call device was wrapped around the resident's right side rail, almost touching the floor. On 5/18/26 at 8:58 AM, the surveyor observed that Resident #2 was awake, and the call device was wrapped around the resident's side rail, almost touching the floor. […]

• No harm, potential for more than minimal, isolatedF584May 21, 2026

  Based on observation, interviews, and review of pertinent facility documents, it was determined that the facility failed to maintain a homelike environment. Specifically, the facility failed to: a) keep the facility's environment in an adequate state of repair on 1 of 2 nursing care units surveyed, and b) failed to clean and maintain the equipment for 1 of 22 residents (Resident #5) reviewed for homelike environment.The deficient practice was evidenced by the following:On 5/17/26 at 10:17 AM, during an initial tour of 2nd floor nursing care unit the surveyor observed a two foot wide by two foot long area of damaged sheet rock and a large torn flap of wallpaper next to the door bed in room [ROOM NUMBER]. […]