301 Ocean View Blvd, Lewes, DE 19958 · Sussex County · (302) 645-4664
179 certified beds, about 154 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988
CMS Care Compare ratings, data as of September 1, 2026 · CCN 085034 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 18, 2026, inspectors cited 19 health deficiencies (the Delaware average is 10.9, the national average 9.2).
Of 46 health citations since March 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $99,938 in the last three years; the largest was $87,640, and the latest is dated February 18, 2026.
Nurses and nurse aides worked 3.89 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
45.7% of nursing staff left within the year CMS measured (Delaware average 41.3%).
CMS links it to Excelcare, an affiliated group of 8 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 46 health citations on file.
Inspectors wroteBased on interview and record review, it was determined that for one (R173) out of two residents reviewed for hydration, the facility failed to ensure that R173 maintained proper hydration which resulted in harm, requiring hospitalization on 6/1/25 and 6/19/25 with diagnosis of acute kidney injury (AKI) and dehydration.
Inspectors wroteBased on interview and record review, it was determined that for one (R3) out of one resident reviewed for dialysis, the facility failed to ensure that the provider was consulted when R3 refused dialysis services.
Inspectors wroteBased on record review and interview, it was determined that for one (R41) of one resident reviewed for grievances, the facility failed to ensure prompt resolution of a grievance regarding missing dentures.
Inspectors wroteBased on record review and interview it was determined that for one (R11) out of six residents reviewed for unnecessary medication review the facility failed to ensure that an ordered as needed psychotropic medication extended beyond 14 days had a documented rationale and duration.
Inspectors wroteBased on interviews, record review and review of other facility documentation it was determined that for one (R174) out of three residents sampled for discharge, the facility failed to ensure a referral for home health care services was completed prior to discharge. R174 was discharged to home on 8/12/25. R174's home health services did not begin until 8/20/25 eight days after discharge from the facility.
Inspectors wroteBased on record review and interviews, it was determined for three (R6, R17 and R43) out of sixty-seven sampled residents, the facility failed to ensure the MDS was accurate.
Inspectors wroteBased on interview and record review, it was determined that for four (R2, R9, R22, R41 and R46) out of forty-nine sampled residents the facility failed to revise the residents care plans to reflect their individualized needs. Additionally, it was determined that for R2 the facility failed to ensure that the resident and the resident representative were involved in developing the care plan.
Inspectors wroteBased on observation, interview, and record review, it was determined that for one (R131) out of one resident reviewed for ADL (Activities of Daily Living), the facility failed to provide ADL care for dependent residents.
Inspectors wroteBased on interview and record review for one (R56) out of two residents reviewed for catheter use, the facility failed to refer R56 to urology timely while having an ongoing urinary catheter issue.
Inspectors wroteBased on observation, interview and record review it was determined that for one (R183) out one resident sampled for respiratory care, the facility failed to provide professional standards of practice.
Inspectors wroteBased on record review and interview, it was determined that for one (R141) out of one resident reviewed for pain, the facility failed to provide pain management according to professional standards of practice
Inspectors wroteBased on record review, interview and review of other facility documentation, it was determined that for one (R3) out of one sampled residents reviewed for dialysis, the facility failed to monitor R3's dialysis catheter and failed to complete R3's before (pre) and after (post) dialysis assessments.
Inspectors wroteBased on record review and interview, it was determined that for three (R11, R14 and R15) out of six residents reviewed for unnecessary medication review, the facility failed to ensure for the medication regimen review (MRR) that irregularities identified were reviewed by the attending/designee.
Inspectors wroteBased on record review and interview it was determined that for one (R11) out of six residents reviewed for unnecessary medication review the facility failed to ensure that the resident was free from unnecessary medications.
Inspectors wroteBased on record review, interview and review of physician orders it was determined that for one (R11) out of six residents' sampled for unnecessary medication review the facility failed to ensure that R11's blood pressure medication was held when vital signs were below ordered parameters.
Inspectors wroteBased on record review and interview, it was determined that for one (R41) of one resident reviewed for grievance, the facility failed to promptly to initiate the replacement of lost dentures within three days after notification of loss.
Inspectors wroteBased on observation, interview and record review, it was determined that for two (R2 and R56) out of 2 sampled residents for dental services, the facility failed to assist the resident in obtaining routine dental services.
Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure food was stored, prepared, and served in a manner that prevents food borne illness to the residents. 02/09/2026 9:14 AM Sussex Hall nutrition refrigerator contained three (3) opened cartons of thickened water that were incorrectly dated to reflect the date of disposal as per manufacture recommendations. One container was dated February 3, 2026 and the other two cartons were dated January 31, 2026. The manufacturer's instructions on the cartons state that once opend, any remaining product should be discarded after four (4) days. 02/09/2026 10:08 AM Henelopen Hall Nutrition Refrigerator contained 1 carton of Thickened water that wereincorrectly dated
Inspectors wroteBased on record review and interview it was determined that the facility failed to the ensure the Medical Director fulfilled his/her responsibility of ensuring implementation of the Drug Regimen Review policy to be consist with current professional standards of care regarding provider documentation in response to identified irregularities.
Inspectors wroteBased on record review and interview it was determined that the facility failed to ensure accuracy of resident records for one (R41) out of six residents reviewed for falls when R41's fall incident report contained inaccurate information regarding an injury.
Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure a homelike environment when the facility repeatedly utilized an overhead paging system to communicate with other staff.
Inspectors wroteBased on interview, record review and review of other documentation as indicated, it was determined that for one (R2) out of seven residents reviewed for abuse the facility failed to ensure residents were free from abuse. R2 was found on the floor of his room, with R1 standing over him, and sent to ER for a head injury. This failure resulted in physical harm (R2) and psychosocial harm as the reasonable person would be adversely affected by being attacked in their home.
Inspectors wroteBased on record review and interview, it was determined that for two (R1 and R6) out of seven residents reviewed for abuse, the facility failed to report resident to resident abuse to the State Agency within two hours.
Inspectors wroteBased on record review and interview, it was determined that for one (R2) out of seven (7) residents in the investigative sample, the facility failed to ensure the clinical record contained accurate documentation.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure that one residents (Resident (R)79) in the sample of 46 received care and services in a manner and environment that maintained dignified dining experience.
Inspectors wroteBased on record review, interviews, and review of facility policy, the facility failed to ensure one of three residents (Resident (R) 21) reviewed for abuse was free from abuse in the sample of 46 residents. This failure had the potential for psychosocial impairment from being verbally abused by a staff member.
Inspectors wroteBased on document review, record review, interview, and policy review, the facility failed to ensure residents were free from misappropriation for one of one resident (Resident (R) 177) reviewed for misappropriation. Specifically, Licensed Practical Nurse (LPN) 3 took Resident (R)177's Percocet (pain medication) from the medication cart. The facility's failure to safeguard medication placed all residents at risk for their medications to be misappropriated.
Inspectors wroteBased on interviews, record reviews, and policy review, the facility failed to implement policies and procedures for the reporting of abuse to the State Survey Agency (SSA) for one of five residents (Resident (R) 77) reviewed for abuse out of a total sample of 46 residents. These failures had the potential to contribute to continued abuse in the facility for this resident and other residents.
Inspectors wroteBased on interviews, record reviews, and policy review, the facility failed to complete a thorough investigation into an allegation of staff to resident abuse for one of five residents (Resident (R) 77) reviewed for an allegation of abuse out of a total sample of 46 residents. The failure to conduct a thorough investigation had the potential to place other residents at risk for abuse.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to provide treatment to a wound in accordance with the physician's order and revise the care plan to reflect the change of wound treatment for one of six residents reviewed for quality of care (Resident (R) 17) in the sample of 46 residents. The failure created the potential to cause a negative outcome to the healing of R17's wound.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (Resident (R) R46) of two residents reviewed for pressure sores in the sample of 46 residents was provided with all planned interventions related to an existing pressure sore. This failure created the potential for the resident to experience further unnecessary skin breakdown.
Inspectors wroteBased on interviews and record reviews, the facility failed to prevent an injury during incontinence care for two of eight residents (Resident (R) 171 and R170) reviewed for accidents out of a total sample of 46 residents. Specifically, the facility failed to utilize a mechanical lift for assistance out of bed for R170 and failed to properly assist R171 with bed mobility during incontinence care which according to the care plan required the assistance of two staff members. This failure resultedR171 sustaining a laceration to her forehead when she rolled off the bed during incontinence care. Additionally, R170 sustained a skin tear to the abdomen during incontinence care related to improper transfer.
Inspectors wroteBased on record review and interviews, the facility failed to ensure two Residents (R) R28 and R65) out of three residents reviewed for urinary function/catheters had appropriate orders in place related to the use of their indwelling urinary catheters in the sample of 46 residents. This failure created the potential for the residents to go without appropriate catheter related care.
Inspectors wroteBased on policy review, record review, observation, and interviews, the facility failed to ensure one (Resident (R) R65) out of seven residents reviewed for accidents in the sample of 46 resident was appropriate for the use of side rails on his bed. This failure created the potential for the resident to be injured related to potentially unnecessary side rails installed and in use on his beds.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure one of six sampled residents (Resident (R) 176) whose medications were reviewed was free from significant medication error in the sample of 46 residents. Specifically, R176 was administered Ativan, an anxiolytic medication, and morphine, a narcotic pain medication, without a physician order for the medications. This medication error had the potential to cause the resident to become over sedated and experience respiratory depression.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to implement an effective infection control program to ensure personal protective equipment (PPE) was used for one resident of one resident (Resident (R) 320) who was on contact isolation, and failed to identify COVID from the weekend to weekday for R80 who was not placed on contact isolation in a timely manner to prevent the potential spread of an infection.
Inspectors wrote5. Review of R5's clinical record revealed: 12/29/15 - R5 was admitted to the facility. 11/14/17 - A PASARR 1.5 was completed for R5 with an outcome stating The individual does not have a serious mental illness (SMI) but further review of level of impairment, recent treatment history, or other circumstances demonstrates that a full II is not required . 1/18/22 - A new diagnoses of schizophrenia, anxiety disorder unspecified, and major depressive disorder, recurrent, moderate were identified. 10/24/22 - A new diagnosis of unspecified dementia, unspecified severity, with other behavioral disturbance was identified. 12/16/22 - A new diagnosis of bipolar disorder, unspecified, was identified. 1/25/23 - A new diagnosis of unspecified psychosis not due to a substance or know physiological condition was identified. [...]
Inspectors wroteBased on observation and interview, it was determined that for one room out of five rooms reviewed for environmental concerns the facility failed to provide a clean and homelike environment.
Inspectors wroteBased on record review and interview, it was determined that for one (R255) out of three residents reviewed for abuse, the facility failed to report a bruise of unknown origin.
Inspectors wroteBased on interviews and review of the clinical record, it was determined that for one (R309) out of two residents reviewed for admission, the facility failed to ensure that R309 had physician orders for the resident's immediate care.
Inspectors wroteBased on interview and record review it was determined that for one (R313) out of one residents reviewed for bowel and bladder incontinence care, the facility failed to ensure that R313 received treatment and care in accordance with professional standards of practice and physician orders.
Inspectors wroteBased on observation, record review and interview, it was determined for one (R309) out of one resident reviewed for physician visits, the facility failed to ensure the physician reviewed the total program of care, including medications and treatments.
Inspectors wroteBased on observation, document review and interview it was determined that the facility failed to ensure that a qualified person in charge was present in the kitchen during all hours of food service operation.
Inspectors wroteBased on observation and interview it was determined that for one (R14) out of one residents reviewed for food the facility failed to prepare food in a form designed to meet the individuals needs.
Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure food was stored, prepared, and served in a manner that prevents food borne illness to the residents.
Inspectors wroteBased on a random observation and interview, it was determined that the facility failed to ensure that two call bells (room [ROOM NUMBER]) in the facility was functioning properly.
7 fire safety citations on file: 2 on February 18, 2026, 2 on February 13, 2025, 3 on March 20, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 18, 2026 | Fine | $87,640 |
| November 14, 2025 | Fine | $12,298 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Delaware | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.89 | 4.35 | 3.86 |
| Registered nurses | 0.48 | 0.97 | 0.69 |
| All nursing staff on weekends | 3.68 | 3.89 | 3.42 |
| Nurse aides | 2.32 | ||
| Licensed practical nurses | 1.08 | ||
| Nursing staff turnover (share who left in a year) | 45.7% | 41.3% | 45.8% |
| Registered nurse turnover | 71.9% | 41.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.53 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.98 on weekdays and 3.68 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 3.89 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.89 | 0.48 | 3.98 | 3.68 | 16.6% | 0 of 90 | 154 |
| Oct to Dec 2025 | 3.60 | 0.49 | 3.70 | 3.36 | 10.1% | 0 of 92 | 154 |
| Jul to Sep 2025 | 3.79 | 0.63 | 3.92 | 3.48 | 16.9% | 0 of 92 | 146 |
| Apr to Jun 2025 | 3.99 | 0.56 | 4.09 | 3.73 | 15.4% | 0 of 91 | 135 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Delaware, Jan to Mar 2026 | 4.05 | 0.79 | 4.21 | 3.67 | 5.7% | 0% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Delaware, all employers | |||
| CNAs (nursing assistants) | $20.21 | $18.51 to $21.74 | 5,530 |
| LPNs and LVNs | $33.03 | $30.97 to $36.07 | 2,240 |
| Registered nurses | $47.85 | $41.30 to $53.71 | 14,290 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Delaware | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.5 | 12.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.7 | 13.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.0 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.4 | 23.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.6 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Excelcare at Lewes LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (61.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
61.7% this home
Better than the national rate
US median of homes 51.5% · Delaware: 17 better, 1 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 162 eligible stays.
11.5% this home
No different from the national rate
US median of homes 10.7% · Delaware: 1 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 185 eligible stays.
5.7% this home
No different from the national rate
US median of homes 7.1% · Delaware: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 114 eligible stays.
72.0% this home
Median of homes: Delaware59.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 168 residents counted.
0.4% this home
Median of homes: Delaware0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 267 residents counted.
0.8% this home
Median of homes: Delaware2.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 267 residents counted.
98.9% this home
Median of homes: Delaware98.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 88 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: EXCELCARE AT LEWES LLC. CMS links this home to Excelcare, a group of 8 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Excelcare at Lewes Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 10/01/2024 |
| Indigo De 3 LLC | 5% or greater indirect ownership interest | Organization | 60% | 10/01/2024 |
| Frankel, Eliyahu | 5% or greater indirect ownership interest | Individual | 40% | 10/01/2024 |
| Oxford Finance LLC | Operational/managerial control | Organization | 10/01/2024 | |
| Burton, Tonya | Operational/managerial control | Individual | 10/01/2024 | |
| Frankel, Eliyahu | Operational/managerial control | Individual | 10/01/2024 | |
| Zupnick, Joel | Trustee of the SNF | Individual | 10/01/2024 | |
| Cibc Bank USA | Adp of the SNF | Organization | 10/01/2024 | |
| Indigo De 3 LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Jm and Mazel LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Martin Friedman Cpa PC | Adp of the SNF | Organization | 10/01/2024 | |
| Mazel Family Trust | Adp of the SNF | Organization | 10/01/2024 | |
| Oxford Finance LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Revach LLC De-Nj | Adp of the SNF | Organization | 10/01/2024 | |
| Berkowitz, Cheskel | Adp of the SNF | Individual | 10/01/2024 | |
| Burton, Tonya | Adp of the SNF | Individual | 10/01/2024 | |
| Leifer, Joel | Adp of the SNF | Individual | 10/01/2024 | |
| Levy, Susan | Adp of the SNF | Individual | 10/01/2024 | |
| Shields, Kristen | Adp of the SNF | Individual | 01/20/2025 | |
| Vasquez, Jennifer | Adp of the SNF | Individual | 10/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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