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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
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Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
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38m per day | ▼ 39% State avg: 1h 2m per day · National avg: 41m per day |
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LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
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1h 2m per day | ■ Avg State avg: 1h 1m per day · National avg: 52m per day |
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Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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2h 8m per day | ▼ 14% State avg: 2h 28m per day · National avg: 2h 20m per day |
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Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
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3h 44m per day | ▼ 8% State avg: 4h 2m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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3m per day | ▼ 67% State avg: 9m per day · National avg: 4m per day |
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RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
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22m per day | ▼ 49% State avg: 43m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
35% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Delaware average: 80.7%
Excelcare at Lewes LLC is administrated by Lisa Sierer.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | DE Average | vs. DE Avg |
|---|---|---|---|
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Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
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49 | 64 | This facility has 23% fewer total deficiencies than a typical Delaware nursing home (49 vs. DE avg 64). Click this badge to view the full Delaware ranking.↓ 23% better |
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Deficiencies per year
Average deficiencies per year since 2012.
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3.5 | 4.6 | This facility has 24% fewer deficiencies per year than a typical Delaware nursing home (3.5 vs. DE avg 4.6). Click this badge to view the full Delaware ranking.↓ 24% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 13, 2025 identified multiple deficiencies related to resident care, abuse prevention, medication management, and infection control. Earlier inspections showed a pattern of similar issues including care planning, resident dignity, food safety, and timely reporting of abuse, with substantiated complaints in several cases. Inspectors cited failures in ensuring a dignified dining experience, preventing abuse and neglect, proper wound and catheter care, medication errors, and infection prevention. Complaint investigations were substantiated multiple times, including incidents of verbal abuse, medication misappropriation, and failure to report injuries and abuse promptly. The facility’s inspection history indicates ongoing challenges with compliance, with deficiencies persisting over time rather than clear improvement.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsDelaware average 4.4
Last Health inspection on Nov 2025
Delaware average 38.9
Delaware average 8.72
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).
100% better than Delaware average
Delaware average: 0.9
67% worse than Delaware average
Delaware average: 1.2
Corrected
Excelcare at Lewes LLC is located in Lewes, Delaware.
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0.0 miles from city center
Estimated distance in miles from Lewes's city center to Excelcare at Lewes LLC's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
0% compared with Delaware average
9% better than Delaware average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
7,570 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 87 | 0 | 87 | 28,427 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 18 | 37 | 55 | 12,813 | 91 | 100% | 9.7 |
| Registered Nurse | 14 | 10 | 24 | 4,103 | 91 | 100% | 8.4 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,266 | 81 | 89% | 8.7 |
| Other Dietary Services Staff | 9 | 0 | 9 | 2,182 | 91 | 100% | 7.2 |
| Speech Language Pathologist | 3 | 0 | 3 | 943 | 66 | 73% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 807 | 64 | 70% | 9.4 |
| RN Director of Nursing | 2 | 0 | 2 | 752 | 69 | 76% | 7.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 657 | 73 | 80% | 6.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 547 | 63 | 69% | 7.4 |
| Physical Therapy Assistant | 2 | 0 | 2 | 531 | 67 | 74% | 7.9 |
| Dietitian | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 303 | 39 | 43% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 176 | 22 | 24% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 62 | 18 | 20% | 3.4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
124
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 Delaware average
Delaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.8
17% better than Delaware average
Delaware average: 19.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.4%
39% better than Delaware average
Delaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
11.7%
41% better than Delaware average
Delaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
20% worse than Delaware average
Delaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
14% better than Delaware average
Delaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
2.6%
41% better than Delaware average
Delaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.8%
63% better than Delaware average
Delaware average: 2.1%
Percent of long-stay residents who lose too much weight
4.1%
30% better than Delaware average
Delaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
4.8%
21% better than Delaware average
Delaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
9.8%
10% better than Delaware average
Delaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
In line with Delaware average
Delaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Delaware average
Delaware average: 97.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.73
5% better than Delaware average
Delaware average: 1.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.77
29% worse than Delaware average
Delaware average: 1.37
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
8% better than Delaware average
Delaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
87% worse than Delaware average
Delaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.6%
9% better than Delaware average
Delaware average: 83.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.8%
43% worse than Delaware average
Delaware average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.2%
36% worse than Delaware average
Delaware average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
32% better than Delaware average
Delaware average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.5%
In line with Delaware average
Delaware average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.7%
22% better than Delaware average
Delaware average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
84% lower than Delaware average
Delaware average: $98K
46% fewer fines than Delaware average
Delaware average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Delaware average
Delaware average: 0.2
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
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| Foulk Living |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Wilmington | 44 | 92.5% | +15% | 4.66 | +21% | 0% | $19.8k | 19 | 9.5 | 1 | 43 | 33 | Leslie Johnson | $11.5M | $7.2M | 62.9% | 85060 | ||||
| Excelcare at Lewes LLC |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Lewes (Lewes Historic District) | 179 | 63.0% | -22% | 4.26 | -7% | -9% | $16.2k | 36 | 9.0 | 2 | 135 | 65 | - | $15.5M | $9.3M | 59.8% | 85034 | ||||
| Cardia Healthcare Silverside |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Wilmington | 128 | 88.2% | +9% | 4.55 | -25% | -2% | $10.4k | 22 | 5.5 | 1 | 98 | 29 | - | $25.5M | $9.7M | 38% | 85056 | ||||
| Cadia Rehabilitation Renaissance |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Millsboro | 130 | 82.4% | +2% | 3.96 | -21% | -15% | $13.6k | 51 | 7.3 | 1 | 109 | 52 | - | $22.8M | $8.8M | 38.6% | 85052 |
Historical financial and operational data for Excelcare at Lewes LLC based on CMS SNF Cost Reports.
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Excelcare at Lewes LLC is in the Lewes Historic District neighborhood of Lewes.
Amy Lynn Brockson is the Director of Nursing at Excelcare at Lewes LLC.
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.
According to DE state health department records, Excelcare at Lewes LLC's license number is 1067.
Excelcare at Lewes LLC's occupancy is 69%.
The team at Excelcare at Lewes LLC can be reached at [email protected].
Lisa Sierer is the administrator of Excelcare at Lewes LLC.
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