Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

EXCEL CARE AT WAYNE

WAYNE, NJ · 120 certified beds · Last Life Safety survey May 21, 2026

CMS Certification Number 315103 · first certified July 1970

Ownership

Operated by EXCELCARE · For profit - Limited Liability company

  • Ownership changed December 20, 2021 (change of ownership)from REGENCY GARDENS NURSING CENTER LLC
17
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
3
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within NJ

17 citations — more than 56% of the 348 certified nursing homes in NJ. Compared within NJ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 3 citations; the earlier surveys on file averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 10 months from now. This facility’s last Life Safety survey was May 2026. Facilities in NJ are typically surveyed 16–19 months after the last one (median 17), measured over 464 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

  • F-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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in NJ, and nationally. Surveyors differ markedly between states, so the NJ figure is the meaningful one.

This facility17NJ median15National median11
Citations in CMS's current file, compared
MeasureCitations
This facility17
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0982024-1232026-05
Citations at each Life Safety survey
Survey dateCitations
September 21, 20236
December 13, 20248
May 21, 20263

Most-cited tags

Most-cited tags at this facility
K-09182K-03452K-09142K-03211K-02111K-02221K-03551K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-12-13
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-05-21
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22026-05-21
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-12-13
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-09-21
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12026-05-21
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-12-13
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-12-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Egress Deficiencies 3
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies5
Egress Deficiencies3
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 21, 2026 — 3 citations

Citations issued on May 21, 2026
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 8, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 8, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 8, 2026)

December 13, 2024 — 8 citations

Citations issued on December 13, 2024
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 23, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 14, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 6, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 31, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 25, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 13, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 21, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (December 24, 2024)

September 21, 2023 — 6 citations

Citations issued on September 21, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 25, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 25, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (September 25, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 20, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (September 25, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 25, 2023)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.