Excelcare at Newark LLC

In the surveyor’s words

From the most serious findings on record at Excelcare at Newark LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Dec 23, 2025

  Based on interview, record review, and other documentation as indicated, it was determined that for one (R1) out of three residents reviewed for change in condition, the facility failed to ensure that the proper assessments, interventions, and timely notifications to the medical provider were done when R1 was observed with changes in her clinical status. R1, a resident who previously did not require oxygen, complained of shortness of breath to nursing staff between 3:00 AM and 4:00 AM on [DATE]. The facility lacked evidence that R1's vital signs or respiratory status were monitored, and that the provider was consulted during this time. R1 was transferred to the hospital approximately two hours later. […]

• Actual harm, isolatedF689Feb 19, 2025

  Based on interview and record review, the facility failed to ensure one of one resident (R)72 reviewed for accidents /safety in the sample of 28 revealed that R72 was smoking outside the facility unsupervised, fell and was found on the ground with a bloody nose and swollen, purplish color 5th finger, which was later identified by x-ray as a right hand 5th finger proximal phalanx fracture. Findings include: Review of R72's Face Sheet located in electronic medical record (EMR) under the Profile tab revealed the resident was admitted to the facility on [DATE] with diagnoses which included Chronic Obstructive Pulmonary disease (COPD), acute and chronic respiratory with hypoxia, muscle weakness, cognitive communication deficit, and dependence on supplemental oxygen. […]

• Actual harm, isolatedF689Mar 19, 2024

  Based on observation, interview and record review, it was determined that for two (R248 and R6) out of six residents reviewed for accidents, the facility failed to ensure residents were free from accident hazards and/or were provided adequate supervision to prevent accidents. R248 sustained harm when the facility failed to ensure staff provided supervision and assistance with care resulting in a fall with facial bone fractures. For R6 the facility failed to ensure the resident environment was free of an accident hazard. Findings include: 1. Review of R248's clinical record revealed the following: 5/15/23 - R248 was admitted to the facility with diagnoses including but not limited to history of fall(s) and a broken pelvis (the lower part of the trunk between the abdomen and thighs). […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2026

  Based on observation and interview, the facility failed to ensure the kitchen was maintained in a sanitary manner, putting 78 residents who received meals from the kitchen (2 residents received nutrition via feeding tubes) out of 80 total residents at potential risk for unsanitary meal services. Findings include:1. During an observation and interview on 03/29/26 from 9:25 AM through 10:28 AM, with the Dietary Manager (DM) revealed two Dietary Aides (DA) 1 and DA2 were observed not wearing beard/hair restraints while engaged in food preparation and dishwashing activities. The DM confirmed the two DAs were not wearing beard/hair restraints.2. […]

• No harm, potential for more than minimal, widespreadF812Feb 19, 2025

  Based on observation, interviews, and facility policy review, the facility failed to ensure containers with rice and pasta were labeled, dated and cleaned; the inside and outside of the oven and microwave were not clean and grease/debris on the handles; the floor under the three-tiered rack had grease and debris; and during meal service the chicken and mixed vegetables were not served at the appropriate temperature on the steam table. This deficient practice had the potential to affect 95 of 95 residents who received meals prepared in the facility. This failure had the potential to affect the spread of food borne illness. […]