Excelcare at Lewes LLC
Nursing Home, Hospice Care, Memory Care, Nursing Care, Palliative Care & Respite Care · Lewes, DE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Excelcare at Lewes LLC

Nursing Home, Hospice Care, Memory Care, Nursing Care, Palliative Care & Respite Care · Lewes, DE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Calculator: See prices in your area
Excelcare at Lewes LLC accepts Medicare, Medicaid, and private pay.

Inspection History

In Delaware, the Department of Health and Social Services, Division of Health Care Quality is responsible for the oversight, unannounced inspection, and licensing of all long-term care settings.

Since 2012 · 14 years of data 94 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Delaware state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2012 vs. Delaware state average
Overall vs. DE average 2 Worse Metrics worse than Delaware average:
• Total deficiencies (47% above)
• Deficiencies per year (46% above)
0 Better No metrics in this bucket.
Latest Inspection November 14, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityDE Averagevs. DE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 9464 This facility has 47% more total deficiencies than a typical Delaware assisted living residence (94 vs. DE avg 64).↑ 47% worse
Deficiencies per year Info Average deficiencies per year since 2012. 6.74.6 This facility has 46% more deficiencies per year than a typical Delaware assisted living residence (6.7 vs. DE avg 4.6).↑ 46% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • February 13, 2025 inspection found 11 deficiencies including abuse, medication misappropriation, wound and catheter care failures, and infection control lapses affecting multiple residents.
  • March 20, 2024 survey identified 9 deficiencies in environment cleanliness, abuse reporting, physician orders, food safety, and resident call systems; a bruise reporting complaint was substantiated.
  • April 4, 2023 follow-up survey found the facility in substantial compliance with no deficiencies after prior citations.

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A


Last Health inspection on Nov 2025

Total health citations
36 Rank #18 / 41Health citations — State benchmarkedThis home is ranked 18th out of 41 homes in Delaware. Shows this facility's total health deficiency citations benchmarked to the Delaware State average, with a ranking across all 41 DE facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
9 Rank #21 / 41Citations per inspection — State benchmarkedThis home is ranked 21st out of 41 homes in Delaware. Shows average deficiency citations per CMS inspection for this facility versus the Delaware mean across 41 facilities with citation data. Lower is better.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 36 citations resulted from standard inspections; 6 of 36 resulted from complaint investigations; and 16 of 36 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
2
In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

34 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Abuse/Neglect serious citation Nov 14, 2025

Abuse/Neglect moderate citation Nov 14, 2025

Care Planning moderate citation Nov 14, 2025

Abuse/Neglect moderate citation Feb 13, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 199
Employees 179
Contractors 20
Staff to resident ratio 1.60 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 78
Average shift 8.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 58,891

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 8 total: 7 full-time employees and 1 contractor. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 37 total: 19 full-time employees and 18 contractors. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 106 CNA Staff are full-time employees. No contractors work on this role. 106
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

9.6%

5,636 contractor hours this quarter

Licensed Practical Nurse: 18 Registered Nurse: 1 Administrator: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant106010631,11492100%8
Licensed Practical Nurse19183712,05792100%9.9
Clinical Nurse Specialist140145,13892100%8.6
Other Dietary Services Staff8082,51792100%7.4
Registered Nurse7181,3817379%9.2
RN Director of Nursing6069757278%7.9
Administrator1129496672%7.9
Speech Language Pathologist3038807278%6.8
Respiratory Therapy Technician4046667379%6.3
Physical Therapy Aide2026066874%6.6
Physical Therapy Assistant3035806874%6.5
Dietitian1014786267%7.7
Mental Health Service Worker1014716267%7.6
Nurse Practitioner1014205661%7.5
Dental Services Staff1013705257%7.1
Qualified Social Worker2022894145%7
106 Certified Nursing Assistant
% of Days 100%
37 Licensed Practical Nurse
% of Days 100%
14 Clinical Nurse Specialist
% of Days 100%
8 Other Dietary Services Staff
% of Days 100%
8 Registered Nurse
% of Days 79%
6 RN Director of Nursing
% of Days 78%
2 Administrator
% of Days 72%
3 Speech Language Pathologist
% of Days 78%
4 Respiratory Therapy Technician
% of Days 79%
2 Physical Therapy Aide
% of Days 74%
3 Physical Therapy Assistant
% of Days 74%
1 Dietitian
% of Days 67%
1 Mental Health Service Worker
% of Days 67%
1 Nurse Practitioner
% of Days 61%
1 Dental Services Staff
% of Days 57%
2 Qualified Social Worker
% of Days 45%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $16K Rank #17 / 41Federal fines — State benchmarkedThis home is ranked 17th out of 41 homes in Delaware. Shows this facility's cumulative CMS federal fine dollars versus the Delaware average among facilities with fines, and where it ranks among 41 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
84% lower than State average

State average: $98K

Number of fines 1
46% fewer fines than State average

State average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.2

Fines amount comparison
Fines amount comparison
This facility $16K
State average $98K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.1
37% better than State average

State average: 9.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.8
17% better than State average

State average: 19.0

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.4%
39% better than State average

State average: 15.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.7%
41% better than State average

State average: 19.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.4%
20% worse than State average

State average: 22.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.5%
14% better than State average

State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
41% better than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
63% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.1%
30% better than State average

State average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.8%
21% better than State average

State average: 6.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.8%
10% better than State average

State average: 11.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
In line with State average

State average: 95.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 97.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.73
5% better than State average

State average: 1.83

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.77
29% worse than State average

State average: 1.37

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.9%
8% better than State average

State average: 82.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
87% worse than State average

State average: 0.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 90.6%
9% better than State average

State average: 83.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 30.8%
43% worse than State average

State average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.2%
36% worse than State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.5%
32% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 53.5%
In line with State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 61.7%
22% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

46% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 124
Medicare
20
16.1% of residents
Medicaid
79
63.7% of residents
Private pay or other
25
20.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.4M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.1M Rank #28 / 37Revenue — State benchmarkedThis home is ranked 28th out of 37 homes in Delaware. Shows this facility's annual revenue compared to the Delaware average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.4M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$792.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #16 / 37Payroll — State benchmarkedThis home is ranked 16th out of 37 homes in Delaware. Shows total annual staff payroll benchmarked to the Delaware average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$8.4M 59.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #4 / 37Payroll % — State benchmarkedThis home is ranked 4th out of 37 homes in Delaware. Shows payroll as a percentage of revenue versus the Delaware average. Well-run Delaware facilities typically land around 52–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Delaware that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$16.6M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
376 total

Coverage residents most often arrive under.

Medicare 35%
Private pay 46%
Medicaid 19%
Discharges
382 total

Coverage residents most often leave under.

Medicare 28%
Private pay 44%
Medicaid 28%

Places of interest near Excelcare at Lewes LLC

Address 0.0 miles from city center Info Estimated distance in miles from Lewes's city center to Excelcare at Lewes LLC's address, calculated via Google Maps.

Calculate Travel Distance to Excelcare at Lewes LLC

Add your location

Address

Compare Nursing Homes around the area

The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.

Excelcare at Lewes LLC
NH
HC
MC
NC
PC
RC
Lewes (Lewes Historic District) -179 - 65 -
Foulk Living
NH
AL
IL
MC
RC
Wilmington -44 - 33 Studio / 1 Bed / 2 Bed
Stonegates
NH
AL
IL
MC
NC
Wilmington -49 - 39 1 Bed / 2 Bed / Cottage
Milford Center
NH
HC
MC
PC
RC
Milford -136 - 34 -
Harrison House of Georgetown
NH
MC
RC
Georgetown (West North Street) -139 A+ 0 -

Frequently Asked Questions about Excelcare at Lewes LLC

What neighborhood is Excelcare at Lewes LLC in?

Excelcare at Lewes LLC is in the Lewes Historic District neighborhood of Lewes.

Who is the Director of Nursing at Excelcare at Lewes LLC?

Amy Lynn Brockson is the Director of Nursing at Excelcare at Lewes LLC.

Is Excelcare at Lewes LLC in a walkable area?

Excelcare at Lewes LLC has a walk score of 65. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Excelcare at Lewes LLC?

According to DE state health department records, Excelcare at Lewes LLC's license number is 1067.

What is the occupancy rate at Excelcare at Lewes LLC?

Excelcare at Lewes LLC's occupancy is 69%.

What is the best email address for Excelcare at Lewes LLC?

The team at Excelcare at Lewes LLC can be reached at lisa@excelcarehm.com.

Does Excelcare at Lewes LLC operate as a for-profit or non-profit?

Excelcare at Lewes LLC is registered as a for-profit in DE.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance