Rose Garden Nursing and Rehabilitation Center
1579 Old Freehold Road · Toms River, NJ · 08753 · 7325054477
128 certified beds For profit - Individual
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $17,345 |
Inspection citations (21 in the current record)
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Immediate jeopardy · J October 31, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2025
Ensure each resident receives an accurate assessment.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 13, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · F September 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2025 · Nutrition and Dietary
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Potential for harm · D September 18, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected October 10, 2025 · Administration
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Potential for harm · E September 18, 2025
Provide and implement an infection prevention and control program.
Corrected October 14, 2025 · Infection Control
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Potential for harm · D September 18, 2025
Implement a program that monitors antibiotic use.
Corrected October 9, 2025 · Infection Control
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Potential for harm · D September 18, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected October 15, 2025 · Infection Control
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Potential for harm · D September 18, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 10, 2025 · Infection Control
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Potential for harm · D May 8, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 25, 2024 · Resident Rights
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Potential for harm · D May 8, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 1, 2024 · Quality of Life and Care
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Potential for harm · F May 8, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 1, 2024 · Nursing and Physician Services
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Potential for harm · E May 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 25, 2024 · Nutrition and Dietary
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Potential for harm · D May 8, 2024
Provide and implement an infection prevention and control program.
Corrected July 1, 2024 · Infection Control
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Potential for harm · E January 3, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 13, 2022 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 18, 2025 | Fine | $17,345 |
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 315421 · certified since December 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.