PlainNursing
CMS Nursing Home Compare · August 2026

Excel Care at Manalapan

104 Pension Road, Manalapan, NJ 07726

Excel Care at Manalapan, a 132-bed for profit - limited liability company nursing facility in Manalapan, NJ, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #301 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7324463600

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2 / 5
Below average · CMS overall · nat'l 3.0
#301 of 346
In-state rank among rated NJ homes
2.94
Well below average · nurse hrs/day · nat'l 3.86
45
Inspection findings · 4 serious

The verdict

Excel Care at Manalapan, a 132-bed for profit - limited liability company nursing facility in Manalapan, NJ, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #301 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#301 of 346
In-state rank among rated NJ homes
2.94
Nurse hrs/resident-day · national 3.86
45
Inspection findings · 4 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 348 NJ nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
315282
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
132
Residents
124
In Hospital
No
County
Monmouth
Last Inspection
Aug 13, 2025

Staffing Data

How the 2.94 total nursing hours per resident-day are staffed:

RN Hours
0.31 (nat'l avg: 0.69)
LPN Hours
0.83
CNA Hours
1.80
Total Nursing Hours
2.94 (nat'l avg: 3.86)
PT Hours
0.11
Nursing Turnover
50.6%
RN Turnover
40.0%

What the CMS Record Reveals About Excel Care at Manalapan

According to CMS Nursing Home Compare, Excel Care at Manalapan ranks #301 of 346 rated nursing homes in NJ on overall stars (tie-broken by health+staffing+quality, then fewer fines). Excel Care at Manalapan operates 132 certified beds in Manalapan, NJ with approximately 124 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 2★ · quality 5★).

The inspection file contains 45 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $63K. Per resident day, this facility reports 2.94 total nursing hours (national average 3.86) and 0.31 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Excel Care at Manalapan falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 50.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (45 most recent)

D - Isolated - Minimal harm May 29, 2026 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 15, 2026

E - Pattern - Minimal harm May 29, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 15, 2026

D - Isolated - Minimal harm Jan 8, 2026 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 10, 2026

D - Isolated - Minimal harm Jan 8, 2026 Tag: 0635

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 10, 2026

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 9, 2026

D - Isolated - Minimal harm Oct 28, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 26, 2025

D - Isolated - Minimal harm Aug 13, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 22, 2025

D - Isolated - Minimal harm Aug 13, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 22, 2025

D - Isolated - Minimal harm Aug 13, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 22, 2025

D - Isolated - Minimal harm Aug 13, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 26, 2025

D - Isolated - Minimal harm Aug 13, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2025

D - Isolated - Minimal harm Aug 13, 2025 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2025

E - Pattern - Minimal harm Aug 13, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2025

E - Pattern - Minimal harm Aug 13, 2025 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Sep 22, 2025

E - Pattern - Minimal harm Aug 13, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 22, 2025

E - Pattern - Minimal harm Mar 6, 2024 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

E - Pattern - Minimal harm Mar 6, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

H - Pattern - Actual harm Mar 6, 2024 Tag: 0742

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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

H - Pattern - Actual harm Mar 6, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

D - Isolated - Minimal harm Mar 6, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

D - Isolated - Minimal harm Mar 6, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

D - Isolated - Minimal harm Mar 6, 2024 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 16, 2024

E - Pattern - Minimal harm Mar 6, 2024 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Apr 16, 2024

E - Pattern - Minimal harm Mar 6, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 16, 2024

E - Pattern - Minimal harm Mar 6, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

F - Widespread - Minimal harm Mar 6, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

H - Pattern - Actual harm Mar 6, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

J - Isolated - Jeopardy Mar 6, 2024 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 16, 2024

D - Isolated - Minimal harm Nov 23, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 12, 2021

E - Pattern - Minimal harm Nov 23, 2021 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 10, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 3.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 24.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 89.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 85.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 1.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 87.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 50.0% No

Penalty History 1 penalties totaling $63K

Date Type Amount
Mar 6, 2024 Fine $63K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Excel Care at Manalapan, both outside NJ so the neighborhoods are not the same-state geography list below.

What the CMS records show for Excel Care at Manalapan

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NJ registry aggregates state averages and the highest-rated homes in this cohort. View NJ registry
  • Peer homes near 132 beds show how CMS stars vary at a similar scale in NJ. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Excel Care at Manalapan?
Excel Care at Manalapan has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (5★).
Where does Excel Care at Manalapan rank among nursing homes in NJ?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Excel Care at Manalapan ranks 301st among 346 rated nursing homes in NJ (#301 of 346). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Excel Care at Manalapan?
Excel Care at Manalapan reports 2.94 total nursing hours per resident day (national average: 3.86). RN hours are 0.31 per resident day (national average: 0.69). Nursing staff turnover is 50.6%.
How many beds does Excel Care at Manalapan have?
Excel Care at Manalapan has 132 certified beds with approximately 124 residents. The facility is located at 104 Pension Road, Manalapan, NJ 07726.
Does Excel Care at Manalapan have any deficiencies on record?
Yes, Excel Care at Manalapan has 45 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Excel Care at Manalapan received any fines or penalties?
Yes, Excel Care at Manalapan has received 1 penalties totaling $63K.
Who owns Excel Care at Manalapan?
Excel Care at Manalapan is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Excel Care at Manalapan last inspected?
The most recent health inspection for Excel Care at Manalapan was on Aug 13, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Excel Care at Manalapan?
Excel Care at Manalapan is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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