Excel Care at Manalapan
104 Pension Road · Manalapan, NJ · 07726 · 7324463600
132 certified beds For profit - Limited Liability company Chain: Accela Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Total nurse staffing below 3.0 hours per resident-day
2.99 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $63,238 |
Inspection citations (43 in the current record)
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Potential for harm · D January 8, 2026 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected February 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2026 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 9, 2026 · Resident Rights
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Potential for harm · D October 28, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 26, 2025 · Nursing and Physician Services
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Potential for harm · D August 13, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2025
Ensure each resident receives an accurate assessment.
Corrected September 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 22, 2025 · Pharmacy Service
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Potential for harm · E August 13, 2025
Ensure 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.
Corrected September 22, 2025 · Pharmacy Service
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Potential for harm · E August 13, 2025
Conduct 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.
Corrected September 22, 2025 · Administration
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Potential for harm · E August 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 26, 2025 · Pharmacy Service
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Potential for harm · D August 13, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 22, 2025 · Nutrition and Dietary
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Potential for harm · D August 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 22, 2025 · Infection Control
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Immediate jeopardy · J March 6, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 16, 2024 · Nutrition and Dietary
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Actual harm · H March 6, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 16, 2024 · Quality of Life and Care
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Actual harm · H March 6, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 16, 2024 · Quality of Life and Care
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Actual harm · H March 6, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected April 16, 2024 · Quality of Life and Care
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Potential for harm · F March 6, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected April 16, 2024 · Resident Rights
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Potential for harm · F March 6, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected April 16, 2024 · Resident Rights
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Potential for harm · D March 6, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected April 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2024
Provide activities to meet all resident's needs.
Corrected April 16, 2024 · Quality of Life and Care
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Potential for harm · D March 6, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 16, 2024 · Quality of Life and Care
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Potential for harm · F March 6, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 16, 2024 · Nursing and Physician Services
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Potential for harm · F March 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 16, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 6, 2024 | Fine | $63,238 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315282 · certified since July 13, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.