Excell Health Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689May 13, 2026

  Based on interview and record review, for one of three sampled residents (Resident 1), the facility failed to ensure Resident 1, identified as a high risk for falls, was provided consistently close monitoring/supervision to minimize complications and prevent multiple falls.This resulted in Resident 1 sustaining fall injuries from a third unwitnessed fall. Resident 1 was transferred to the emergency department (ED) for evaluation and was found with multiple facial fractures (breaks in the facial bones such as the jaw, nose, or eye sockets, typically caused by accidents, falls, or assaults, and often required prompt medical attention).A review of Resident 1's admission Record, printed on 4/15/26, indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included… […]

• No harm, potential for more than minimal, patternF812Nov 21, 2024

  Based on observation and interview, the facility failed to prepare food in accordance with professional standards of food service safety when the Facility [NAME] (COOK) used a cleaning cloth instead of a potholder to remove an item from the oven. This failure had the potential to result in cross-contamination, resulting in the potential for food-borne illness for 83 out of 90 residents who receive food from the kitchen. Findings: During an observation on 11/19/24 at 10:33 a.m. in the kitchen, the Facility [NAME] (COOK) removed a tray of chicken from the oven using a pot holder on her left hand and a red cloth to cover her right hand. The red cloth was observed to come into contact with liquid on the tray. […]

• No harm, potential for more than minimal, patternF880Nov 21, 2024

  Based on observation, interview and record review, the facility failed to ensure to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for three of five sample selected residents (Resident 84, 48 and 43) when: 1. The facility's staff left the disconnected feeding tube uncapped and exposed to the air on the pole (pole was holding feeding liquid bags and water) and then staff touched the feeding bag and put the cap on the tip of tube with bare hand (no gloves). 2. The facility's staff did not change the gloves between clean and dirty supplies during the wound care for 48. 3. […]

• No harm, potential for more than minimal, patternF761Dec 21, 2022

  Based on observations, interviews, and record review, the facility failed to ensure medications were stored and labeled appropriately when: 1. two insulin (a medication to maintain blood sugar in diabetics) pens (an insulin dispensing device with replaceable needles) and a vial of insulin were found without an open or expiration date in a drawer in Medication Cart (Med Cart) 3; 2. six loose pills were found in two drawers in Med Cart 3; 3. two expired glucagon (a medication to raise blood sugar) auto-injectors (a device that automatically injects medication) were found in a drawer in Med Cart 3, 4. […]

• No harm, potential for more than minimal, patternF812Dec 21, 2022

  Based on observation, interview, and record review, the facility failed to store and serve food in a sanitary manner when food items stored in the snack refrigerator were unlabeled and food items served during lunch did not have their temperatures checked before being served. These deficient practices had the potential to cause food borne illness that can affect all residents. The facility census was 99 and 95 residents were served food from the kitchen. Findings: During a concurrent observation and interview on 12/19/22 at 9:10 a.m. of the kitchen with Dietary Manager (DM) 1, three food items stored in the snack refrigerator were not labeled. DM 1 confirmed the three food items stored in the snack refrigerator were not labeled. […]