Excel Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Feb 24, 2022

  Based on facility and hospital medical record review, interviews, and policy and procedure review, it was determined the facility failed to notify the attending physician in a timely manner of a change in condition and critically elevated Prothrombin Time and International Normalized Ratio (INR) for one (Resident #5) of three residents requiring laboratory monitoring for anticoagulants out of a total sample of 14 residents reviewed for lab results. The facility failed to notify Resident #5's attending physician of a need to alter treatment in response to the critical lab values resulting in an emergency transfer and an 11 day hospitalization . […]

• Immediate jeopardy, isolatedF757Feb 24, 2022

  Based on facility and hospital medical record review, policy and procedure review, and staff, medical providers, resident, and responsible party interviews, it was determined the facility failed to take appropriate action in response to a critically elevated Prothrombin Time (PT) and International Normalized Ratio (INR) for one (Resident #5) of three residents requiring laboratory monitoring for anticoagulants out of a total sample of 14 residents reviewed for lab results. Serious harm occurred to Resident #5 when a critically elevated INR level was not recognized, reported, and treated in a timely manner. […]

• No harm, potential for more than minimal, patternF676Dec 3, 2025

  Based on observations, interviews and record review, the facility failed to ensure incontinent care was provided for four residents (#7, #8, #9, #10) out of five residents sampled. Findings Included: On 12/02/25 at 9:37 a.m., Resident #10 was observed and interviewed lying in bed waiting for incontinent care. Resident #10 stated they have been asking for help going to the bathroom all morning and most days they are left sitting in their wet incontinent product for long periods of time.Review of Resident #10's admission record revealed an admission date of 10/20/25, with diagnoses to include Parkinson's disease, diabetes mellitus, hypertension, dementia, anxiety, dizziness, and muscle weakness.A review of Resident #10's Minimum Data Set (MDS) dated [DATE] revealed: a brief interview for… […]

• No harm, potential for more than minimal, patternF812Jan 25, 2024

  Based on observation, interview and record review, the facility failed to store food under sanitary condition by not ensuring the walk-in refrigerator and the milk box cooler contained thermometers on the inside. This has the potential to affect 108 out of 116 residents who eat orally residing in the facility at the time of the survey. The findings included: Observation of the initial kitchen tour on 1/22/24 at 8:42 AM with the Certified Dietary Manager Dietitian (CDM) revealed the following: 1) Walk-in refrigerator temperature outside was 40 degrees F and for the inside temperature, there was no thermometer noted. […]

• No harm, potential for more than minimal, patternF686Oct 14, 2021

  Based on observation, interview and record review, the facility failed to provide wound care in accordance with professional standards for two (#54, #21) of three residents sampled for pressure ulcers out of 11 total residents with pressure ulcers related to failure to change Resident #54's dressings daily as ordered for two of four days, failure to provide positioning and offloading for wound healing for Resident #54, and failure to ensure weekly wound measurements were taken for Resident's #54, and #21. Findings Included: 1. Review of Resident #54's Admission Record revealed an admitted [DATE] and admitting diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the physician progress notes [MEDICAL RECORD OR PHYSICIAN ORDER] . […]