Excel Care at Manalapan: Resident Data Shared Without Consent - NJ
The resident at the center of the complaint, identified in inspection records only as Resident 6, was admitted to Excel Care at Manalapan with metabolic encephalopathy, secondary parkinsonism, and dementia. A cognitive assessment completed on April 21, 2026, scored the resident a 5 out of 15 on the Brief Interview of Mental Status, a threshold that indicates severe cognitive impairment. The resident could not consent to anything on their own behalf.
The facility had the resident's home address on file, along with the names and phone numbers of two family contacts.
None of those contacts were called before the administrator sent the referral.
According to the facility's own investigation summary, obtained by inspectors during the May 28 and 29 survey, Excel Care had already received a complaint alleging it improperly released Resident 6's contact information to an outside facility before inspectors arrived. The document confirmed what the complaint alleged: the facility had contacted a third-party facility and provided them with Resident 6's information, then asked that outside facility to reach out to the family directly.
The Licensed Nursing Home Administrator acknowledged all of it during an interview on May 29 at 12:36 PM. He said he identified the outside facility himself, sent the referral himself, and did so in preparation for Resident 6's eventual discharge. He said he didn't discuss any of this with Resident 6 because of the resident's low cognition. He also acknowledged that Resident 6 had no Power of Attorney on record.
When the inspector asked who gave him permission to contact the outside facility on the resident's behalf, the administrator said he was under the impression that the family wanted options.
No documentation was produced to show the family knew anything about it.
Later that afternoon, at 4:08 PM, the administrator sat down again with inspectors, this time joined by the Director of Nursing and the Regional Clinical Director. The administrator read through the facility's Release of Information policy while the surveyor watched. The policy, last revised in November 2009, states that all information in a resident's medical record is confidential and may only be released with written consent from the resident or their legal representative.
When the inspector asked whether he had followed that policy, the administrator said he had not completely followed it.
The full scope of what was sent to the outside facility became clearer after the inspection ended. On June 8, 2026, at 5:39 PM, the administrator emailed the surveyor a packet of documents he said made up the referral he had forwarded. The packet included Resident 6's care plan, a diagnosis report, the admission record, nursing notes covering a range of February through mid-March 2026, and an order summary report. All of it had been sent to a facility the family had never been told about, for a discharge the family had never been asked to weigh in on.
The inspection also noted that Resident 6's care plan contained no section addressing the resident's preferences about discharge or any future planning goals related to leaving the facility.
The violation was cited at a level of minimal harm or potential for actual harm, and affected one resident.
What it left unresolved was simpler than any regulatory category: a person with severe dementia, no power of attorney, and family contacts listed in a file, had their diagnosis, medication orders, and home address sent to strangers. The administrator who sent it said he thought the family wanted options. He never asked them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Excel Care At Manalapan from 2026-05-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
EXCEL CARE AT MANALAPAN in MANALAPAN, NJ was cited for violations during a health inspection on May 29, 2026.
The resident could not consent to anything on their own behalf.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.