Excelcare at Lewes LLC
301 Ocean View Blvd, Lewes, DE 19958 · (302) 645-4664
For profit - Limited Liability company · 179 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Excelcare at Lewes LLC has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 19 citations (the Delaware average is 10.9). It was fined 2 times in the last three years, $99,938 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 18, 2026 found 19 citations. What an inspection citation means
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 18, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.February 18, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.February 18, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.February 18, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.February 18, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 18, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.February 18, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.February 18, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.February 18, 2026 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.February 18, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.February 18, 2026 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.February 18, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.February 18, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide routine and 24-hour emergency dental care for each resident.February 18, 2026 · F0790 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain dental services for each resident.February 18, 2026 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 18, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.February 18, 2026 · F0841 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 18, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.February 18, 2026 · F0584 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 24 citations.
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.February 18, 2026 · F0584 · Level of harm: Potential for minimal harm · Residents affected: Many
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.February 18, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 18, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 18, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.February 18, 2026 · F0692 · Level of harm: Actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 14, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 14, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 14, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 13, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 13, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.February 13, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 13, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.February 13, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 13, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 13, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 13, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 13, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.February 13, 2025 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.February 13, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.February 13, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 20, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide doctor's orders for the resident's immediate care at the time the resident was admitted.March 20, 2024 · F0635 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 20, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.March 20, 2024 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $87,640February 18, 2026
- Fine of $12,298November 14, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Delaware average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.89 | 4.35 | 3.86 |
| Registered nurses (RN) | 0.48 | 0.97 | 0.69 |
| Licensed practical nurses (LPN) | 1.08 | 0.98 | 0.86 |
| Nurse aides | 2.32 | 2.40 | 2.32 |
| Total nursing staff turnover | 45.7% | 41.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 179 |
| Average residents per day | 154 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- The Moorings at Lewes Lewes · ★★★★★ 5 out of 5 stars
- Delmar Nursing & Rehabilitation Center Delmar · ★★★★★ 4 out of 5 stars
- Delaware Bay Rehabilitation and Healthcare Center Georgetown · ★★★★★ 2 out of 5 stars
- Delaware Veterans Home Milford · ★★★★★ 4 out of 5 stars
- Milford Center Milford · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Excelcare at Lewes LLC on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.