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EXCEL CARE AT DOVER Inspection Report, Violations & Safety Grade (DOVER, New Jersey)

65 NORTH SUSSEX STREET, DOVER, New Jersey 07801

Phone: 9733615200

CMS Overall:2/5

Overview & Bed Count

Certified Beds
155
Avg Residents/Day
136.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Morris
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health1/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNew Jersey AvgDifference
RN Hours per Resident per Day0.610.70-0.09
Total Nurse Hours per Resident per Day3.643.90-0.26
CMS Staffing Rating4/53.2/5-
Nursing Staff Turnover41.0%39.3%-

Health Citation History

36 health citations on record

DateCategoryDescriptionSeverity
2026-03-06Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-03-06Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-03-06Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-05-31Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H – Actual Harm
2024-05-31Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.F – Moderate Harm Potential
2024-05-31Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.F – Moderate Harm Potential
2024-05-31Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.F – Moderate Harm Potential
2024-05-31Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.F – Moderate Harm Potential
2024-05-31Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2024-05-31Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.F – Moderate Harm Potential
2024-05-31Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2024-05-31Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-05-31Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2024-05-31Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.E – Moderate Harm Potential
2024-05-31Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-05-31Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-05-31Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-05-31Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-05-31Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D – Moderate Harm Potential
2024-05-31Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.C – Minimal Harm Potential
2024-03-21Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-03-21Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2022-05-02Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K – Immediate Jeopardy
2022-05-02Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2022-05-02Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.F – Moderate Harm Potential
2022-05-02Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.E – Moderate Harm Potential
2022-05-02Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2022-05-02Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E – Moderate Harm Potential
2022-05-02Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2022-05-02Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2022-05-02Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2022-05-02Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2022-05-02Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2021-04-22Resident Rights DeficienciesHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D – Moderate Harm Potential
2021-04-22Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2021-04-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

32 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-04Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-05-31Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2024-05-31Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2024-05-31Egress DeficienciesProvide at least two remote exits on each floor or fire section of the building.F – Moderate Harm Potential
2024-05-31Egress DeficienciesInstall proper backup exit lighting.F – Moderate Harm Potential
2024-05-31Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesConstruct fire resistant interior walls.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-05-31Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-05-31Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-05-31Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-05-31Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2024-05-31Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-05-31Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2022-05-02Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2022-05-02Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2022-05-02Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.F – Moderate Harm Potential
2022-05-02Egress DeficienciesProvide at least two remote exits on each floor or fire section of the building.F – Moderate Harm Potential
2022-05-02Smoke DeficienciesConstruct fire resistant interior walls.F – Moderate Harm Potential
2022-05-02Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2022-05-02Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-05-02Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2022-05-02Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2022-05-02Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2022-05-02Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2022-05-02Services DeficienciesHave elevators that firefighters can control in the event of a fire.E – Moderate Harm Potential
2022-05-02Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2022-05-02Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2022-05-02Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2021-04-22Egress DeficienciesProvide at least two remote exits on each floor or fire section of the building.D – Moderate Harm Potential

Total Penalties & Fines

$165,798
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-12-02Fine$26,685-
2024-05-31Fine$139,113-

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