New Jersey › Monmouth County › Manalapan
Excel Care At Manalapan
104 Pension Road, Manalapan, NJ 07726
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Excel Care At Manalapan, in Manalapan, New Jersey, is certified for 132 beds under for-profit, limited liability company ownership and belongs to the Accela Healthcare chain.
CMS gives it 2 of 5 stars overall, below the New Jersey median of 4; the health inspection rating is 1, staffing 2 and quality measures 5.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (15, 24, 6 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 34.1 per 100 beds, more than the state median of 15.2.
CMS lists 1 penalty in the period covered: fines totalling $63K.
Reported nurse staffing is 2.9 hours per resident per day (0.3 RN), close to the New Jersey median of 3.6; nursing staff turnover is 50.6%.
Compared with county, state and nation
| Measure | This facility | Monmouth Co. median | New Jersey median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 45 | 18 | 21 | 28.7 |
| Citations per 100 beds | 34.1 | 14.6 | 15.2 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 50.6% | 38.3% | 38.9% | 45.8% |
| Fines listed | $63,238 | $0 | $0 | — |
County and state figures are medians across facilities (32 in the county, 348 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Aug 2025, 6 Mar 2024.
Severity mix: J ×1 H ×3 D ×15 E ×10 F ×16
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 15 Jul 2026 |
| 29 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Jul 2026 |
| 8 Jan 2026 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 10 Feb 2026 |
| 8 Jan 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 10 Feb 2026 |
| 9 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 9 Jan 2026 |
| 28 Oct 2025 | F0727 | 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. | D | Complaint investigation | 26 Nov 2025 |
| 13 Aug 2025 | F0761 | 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. | E | Standard survey | 22 Sep 2025 |
| 13 Aug 2025 | F0838 | 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. | E | Standard survey | 22 Sep 2025 |
| 13 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 22 Sep 2025 |
| 13 Aug 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 22 Sep 2025 |
| 13 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Sep 2025 |
| 13 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 26 Sep 2025 |
| 13 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 22 Sep 2025 |
| 13 Aug 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 22 Sep 2025 |
| 13 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 22 Sep 2025 |
| 6 Mar 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | J | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | F | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0584 | 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. | F | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | F | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0727 | 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. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 16 Apr 2024 |
| 6 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | H | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0742 | 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. | H | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 16 Apr 2024 |
| 6 Mar 2024 | F0687 | Provide appropriate foot care. | E | Complaint investigation | 16 Apr 2024 |
| 23 Nov 2021 | F0761 | 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. | E | Standard survey | 10 Jan 2022 |
| 23 Nov 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 12 Dec 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Mar 2024 | Fine | $63,238 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 50.6%, RNs 40.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Jersey median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.7% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.1% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.9% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.1% | 11.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Pine Brook Care And Rehabilitation Center Llc. Chain: Accela Healthcare (4 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Monmouth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Applewood Village, Inc | Freehold | 60 | 5 | 5 | 5 | 2 | 3.3 | — | 27 Nov 2024 |
| Careone At Holmdel | Holmdel | 130 | 5 | 4 | 3 | 19 | 14.6 | — | 31 Jul 2025 |
| Careone At Wall | Wall | 130 | 5 | 4 | 4 | 21 | 16.2 | $69K | 25 Mar 2026 |
| Continuing Care At Seabrook | Tinton Falls | 86 | 5 | 5 | 5 | 6 | 7.0 | — | 12 Sep 2024 |
| De La Salle Hall | Lincroft | 32 | 5 | 4 | 5 | 6 | 18.8 | — | 15 May 2026 |
| Jewish Home For Rehabilitation and Nursing, The | Freehold | 150 | 5 | 4 | 4 | 14 | 9.3 | — | 3 Jun 2025 |
| Preferred Care At Wall | Allenwood | 135 | 5 | 4 | 2 | 11 | 8.1 | — | 9 Jun 2025 |
| Sunnyside Manor | Wall | 60 | 5 | 4 | 4 | 6 | 10.0 | — | 12 Sep 2025 |
All 32 facilities in Monmouth County
Questions and answers
How many deficiencies has Excel Care At Manalapan been cited for?
45 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.
Has Excel Care At Manalapan been fined?
Yes. CMS lists fines totalling $63K in the period covered.
How does staffing at Excel Care At Manalapan compare?
Reported total nurse staffing is 2.9 hours per resident per day against a New Jersey median of 3.6 and a national average of 3.9.
Who operates Excel Care At Manalapan?
It is part of the Accela Healthcare chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Excel Care At Manalapan last inspected?
The most recent survey or investigation in the CMS record is dated 29 May 2026; the most recent standard health survey was 13 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.