Nursing Care Index

Excel Care At Manalapan

Manalapan, Monmouth County, New Jersey · CCN 315282 · For-profit (LLC) · part of Accela Healthcare (4 facilities, chain average 2 stars)

CMS rates Excel Care At Manalapan 2 of 5 overall as of August 2026. 132 certified beds, 124 residents a day on average. 45 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $63,238.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing2.93926 hours per resident per day
Registered nurses0.30868 hours per resident per day
Weekend total2.65429 hours per resident per day
Nursing staff turnover50.6% (registered nurses 40%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-29
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-07-15
2026-05-29
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-07-15
2026-01-08
complaint survey
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies · tag F0635
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-10
2026-01-08
complaint survey
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-10
2025-12-09
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-09
2025-10-28
complaint survey
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.
Nursing and Physician Services Deficiencies · tag F0727
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-11-26
2025-08-13 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-22
2025-08-13 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.
Administration Deficiencies · tag F0838
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-22
2025-08-13 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-22
2025-08-13 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-22
2025-08-13 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-22
2025-08-13
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-26
2025-08-13 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-22
2025-08-13
complaint survey
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-22
2025-08-13
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-22
2024-03-06 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-04-16
2024-03-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
H Actual harm that is not immediate jeopardy; pattern Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
H Actual harm that is not immediate jeopardy; pattern Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
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.
Quality of Life and Care Deficiencies · tag F0742
H Actual harm that is not immediate jeopardy; pattern Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · tag F0567
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · tag F0568
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · tag F0569
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
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.
Resident Rights Deficiencies · tag F0584
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 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.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · tag F0865
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · tag F0868
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-16
2024-03-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Provide appropriate foot care.
Quality of Life and Care Deficiencies · tag F0687
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-16
2024-03-06
complaint survey
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-16
2024-03-06 Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · tag F0638
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-16
2024-03-06 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-16
2024-03-06 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-16
2021-11-23 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-01-10
2021-11-23 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-12

Fines and payment denials

DatePenaltyAmount
2024-03-06Fine$63,238

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Berkowitz, Cheskel
Individual
5% or greater direct ownership interest30%2025-03-20
Berkowitz, Sam
Individual
5% or greater direct ownership interest40%2025-03-20
Leifer, Joel
Individual
5% or greater direct ownership interest30%2025-03-20
Berkowitz, Cheskel
Individual
adp of the snf2023-08-08
Berkowitz, Sam
Individual
adp of the snf2023-08-08
Chaudhary, Ayesha
Individual
adp of the snf2026-03-03
Leifer, Joel
Individual
adp of the snf2023-08-08
Yudkowsky, Naftoli
Individual
adp of the snf2026-04-07
Zupnick, Joel
Individual
adp of the snf2023-08-08
Stern, Samuel
Individual
corporate officer2021-12-27
Yudkowsky, Naftoli
Individual
operational/managerial control2025-09-15

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Monmouth County.