Big Oak Rehabilitation and Healthcare Center
849 Big Oak Road · Pittsgrove, NJ · 08318 · 8564515000
84 certified beds For profit - Individual
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 76 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.31 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D March 26, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · E March 26, 2026
Dispose of garbage and refuse properly.
Corrected April 22, 2026 · Nutrition and Dietary
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Potential for harm · E March 26, 2026
Implement a program that monitors antibiotic use.
Corrected April 7, 2026 · Infection Control
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Potential for harm · F March 26, 2026 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · D December 11, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 12, 2024 · Resident Rights
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Potential for harm · E December 11, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D December 11, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · D December 11, 2024
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.
Corrected December 12, 2024 · Pharmacy Service
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Potential for harm · D December 11, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected December 12, 2024 · Nutrition and Dietary
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Potential for harm · D December 11, 2024
Dispose of garbage and refuse properly.
Corrected December 12, 2024 · Nutrition and Dietary
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Potential for harm · D December 11, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected December 12, 2024 · Administration
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Potential for harm · F December 11, 2024
Provide and implement an infection prevention and control program.
Corrected December 23, 2024 · Infection Control
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Potential for harm · E December 11, 2024
Implement a program that monitors antibiotic use.
Corrected December 24, 2024 · Infection Control
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Potential for harm · E December 11, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 24, 2024 · Infection Control
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Potential for harm · E December 11, 2024
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected December 24, 2024 · Infection Control
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Potential for harm · E December 11, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 12, 2024 · Environmental
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Potential for harm · D December 11, 2024 · found via complaint
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.
Corrected December 24, 2024 · Resident Rights
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Potential for harm · F December 11, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 12, 2024 · Nutrition and Dietary
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Potential for harm · D September 7, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 11, 2023 · Quality of Life and Care
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Potential for harm · D September 7, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 11, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 7, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 11, 2023 · Quality of Life and Care
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Potential for harm · E September 7, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 15, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315014 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.