The home failed to provide enough food and fluids to keep residents healthy. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
Harbor Healthcare & Rehab Ctr
Registered name: EXCELCARE AT LEWES LLC
LEWES, DE · Medicare-certified · 179 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall
Harbor Healthcare & Rehab Ctr in Lewes, DE has a 2-star overall rating, with 2-star health inspections, 3-star staffing, and 4-star quality measures. It has reported nurse staffing below the federal benchmark (3.89 vs 4.1 hours/resident/day), $106,560 in fines in the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.8899 hrs/resident/day
Quality measures
Last inspection: February 18, 2026Penalties, last 24 months: $106,560recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8899.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 1.08
- Nurse aides
- 2.32
- Weekend nursing
- 3.68
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 72%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.1%12.9%Worsening
Residents with a fall causing major injury
3.8%5%Worsening
Residents with pressure ulcers (bedsores)
3.7%1.7%Improving
Residents with a urinary tract infection
1%0.9%No change
Residents who lost too much weight
6.3%9.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11%12.5%Worsening
Residents whose ability to walk got worse
7.3%5.9%Improving
Long-stay residents on antianxiety or sleep medication
40%38.1%Improving
Short-stay residents newly given an antipsychotic
2.6%0.9%Improving
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
28.4%24%Improving
Residents with depressive symptoms
6.5%0.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.2%81%Worsening
Short-stay residents given the seasonal flu vaccine
—90.6%—
Short-stay residents given the pneumonia vaccine
82.7%75.4%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: D
Recent history
- PENALTY
A federal fine of $87,640 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $18,920 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $106,560 in total fines.
- $87,640
Federal fine
Feb 18, 2026
- $18,920
Federal fine
Nov 14, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EXCELCARE · 8 homes · 2.5 stars avg
- Occupancy
- 154 residents on an average day (86% of 179 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.