Home / New Jersey / Toms River
1579 Old Freehold Road, Toms River, NJ 08753 · Ocean County · (732) 505-4477
128 certified beds, about 114 residents a day · For profit - Individual · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 315421 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 18, 2025, inspectors cited 13 health deficiencies (the New Jersey average is 8.6, the national average 9.2).
Of 21 health citations since January 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $17,345 in the last three years; the largest was $17,345, and the latest is dated September 18, 2025.
Nurses and nurse aides worked 3.70 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
41.7% of nursing staff left within the year CMS measured (New Jersey average 39.7%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 21 health citations on file.
Inspectors wroteComplaint # 2561976Based on observation, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure residents were protected from neglect after an aphasic, cognitively impaired resident (Resident #1), was left unattended on the outside patio in the heat and sun from approximately 12:50 PM until approximately 3:30 PM on 7/3/25 (two hours and forty minutes). Resident #1 was sent to the hospital, was diagnosed with heatstroke and sustained second degree burns. This deficient practice was identified for 1 of 2 residents, (Resident #1) reviewed for neglect. On 7/3/25 at approximately 12:50 PM, a Certified Nursing Assistant (CNA #1) transported Resident #1 (who was cognitively impaired and required maximal staff assistance with mobility), in a wheelchair to the outside patio on the second floor. [...]
Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) ensure that washed utensils were dried in a manner to prevent contamination from foreign substances and potential for the development of food-borne illness; b.) maintain the kitchen equipment in a sanitary manner to prevent microbial growth; c.) store, label and date potentially hazardous foods to prevent food borne illness; and d.) ensure bottled drinking water supply was stored in a sanitary manner at least six inches from the floor. This deficient practice was evidenced by the following:On 9/11/2025 at 9:08 AM, the surveyor toured the kitchen with the Food Service Director (FSD) and observed the following:1. [...]
Inspectors wroteBased on observation, interview, review of medical record and pertinent facility documentation, it was determined that the facility failed to a.) provide residents with appropriate products for hand hygiene during mealtime identified in 2 of 3 dining room observations (1st floor Tea [NAME] and the Main dining rooms) and b.) implement and maintain a resident with stage 3 pressure ulcer wound on Enhanced Barrier Precautions (EBP) (an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDRO) in nursing homes identified in 1 of 1 resident (Resident #114) reviewed for pressure ulcer, to prevent the potential spread of infection in accordance with the Center for Disease Control and Prevention (CDC) guidelines and standards of infection control practice. This deficient practice was evidenced by the following: Reference: [...]
Inspectors wroteBased on observation, interview, review of electronic medical records (EMR) and other pertinent facility documentation it was determined that the facility failed to document non-pharmacological interventions to manage a resident's behavior prior to administration of psychotropic medications. This deficient practice was identified for 1 of 5 residents (Resident #37) reviewed for unnecessary medications and was evidenced by the following:Review of the resident Face Sheet (admission summary) indicated that Resident #37 was admitted to the facility with the diagnoses that included but was not limited to dementia with other behavior disturbance, anxiety disorder, hypothyroidism and hypertension. [...]
Inspectors wroteBased on observation, interview, review of medical records and other facility documentation, it was determined that the facility failed to accurately code a resident's oxygen (O2) administration on the quarterly Minimum Data Set (MDS) an assessment tool for 1 of 24 residents (Resident #9) reviewed and was evidenced by the following:Review of the Face Sheet (admission summary) indicated that Resident #9 was admitted to the facility with the diagnoses that included but was not limited to pneumonia (respiratory infection) and chronic obstructive pulmonary disease. Review of the quarterly Minimum Data Set (MDS) an assessment tool that facilitates a resident's care dated 8/15/25 indicated that Resident #9 scored an 8/15 on the Basic Interview for Mental Status (BIMS) which indicated moderate impairment of cognition. [...]
Inspectors wroteBased on observation, record review, interview, and review of pertinent facility documentation, it was determined that the facility failed to implement a comprehensive, person-centered care plan (CPCCP) for pain that was consistent with professional standards of practice and included measurable objectives and timeframes to meet a resident's medical needs. This deficiency was identified for 1 of 1 resident (Resident #129) reviewed for pain. This deficient practice was evidenced by the following: On 09/11/2025 at 10:42 AM, the surveyor observed Resident #129 in their bedroom, lying in bed with the head of the bed elevated to approximately 45 degrees. [...]
Inspectors wroteBased on observation, interview and review of medical records and other pertinent facility documentation it was determined that the facility failed to update and revise a resident's Interdisciplinary Care Plan (ICP) to accurately reflect the care for 1 of 24 residents (Resident #2) and was evidenced by the following: Review of the Face Sheet (admission summary) indicated that Resident #2 was admitted to the facility with diagnoses that included but were not limited to Alzheimer's disease, heart failure and diabetes mellites (DM). Review of the quarterly Minimum Date Set (MDS) an assessment tool that facilitates a resident's care dated 8/4/2025, indicated that Resident #2 had a score of 8/15 on the Brief Interview for Mental Status (BIMS) which indicated that the resident had moderate cognitive impairment. [...]
Inspectors wroteBased on record review, interview, and pertinent facility documentation, it was determined that the facility failed to ensure that the resident's environment was free of possible hazards. This deficiency was identified in 1 of 2 residents (Resident #128) reviewed for accidents. This deficient practice was evidenced by the following: On 09/15/2025 at 11:20 AM, the surveyor reviewed the facility's accident investigation for Resident #128's near-fall incident that occurred on 10/11/2024. The identified contributing factor was a broken right halo bar (a safety and mobility device attached to the resident's bed) that failed to lock into place. Measure to prevent recurrence was notifying the maintenance department. On 09/15/2024 at 11:30 AM, the surveyor reviewed the facility's Housekeeping and Maintenance Request Forms for the period of 09/2024-10/2024. [...]
Inspectors wroteBased on observation, interview, review of electronic medical records (EMR) and other pertinent facility documentation it was determined that the facility failed to document the administration of oxygen (O2) and failed to document the administration of O2 on the resident's Interdisciplinary Care Plan for 1 of 1 resident (Resident #9) reviewed for respiratory care and was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
Inspectors wroteBased on observation, interview, and review of the medical record and other facility documentation, it was determined that the facility failed to a.) develop an individualized comprehensive assessment and Care Plan (CP) with resident specific interventions to address dementia care, and b.) follow the facility policy for dementia care. This deficient practice was identified for Resident #37, 1 of 1 resident reviewed for dementia care and was evidenced by the following:Review of the resident Face Sheet (admission summary) indicated that Resident #37 was admitted to the facility with diagnoses that included but were not limited to dementia with other behavior disturbance, anxiety disorder, hypothyroidism and hypertension. [...]
Inspectors wroteBased on interview and review of pertinent facility documents, it was determined that the facility failed to a.) ensure the Infection Preventionist (IP) was present for quarterly Quality Assurance and Performance Improvement (QAPI) meetings, and b.) included as a member of the Quality Assessment and Assurance (QAA) Committee. This deficient practice was identified by the following: On 09/15/2025 at 12:35 PM, the surveyor interviewed the IP who stated that she had worked at the facility for the past two and a half years in her current role and had never attended a QAPI meeting. She reported that she provided infection control information to the Director of Nursing (DON), who presented it during the QAPI meetings. [...]
Inspectors wroteBased on interviews, record reviews, and a review of pertinent facility documentation, it was determined that the facility failed to consistently implement an Antibiotic Stewardship Program (ASP), a program designed to improve clinical outcomes and reduce harm by promoting the appropriate use of antibiotics and monitoring their use, in collaboration with the facility's consultant pharmacist and medical director. This deficiency was identified in 1 of 1 resident (Resident #44) reviewed for antibiotic use. The deficient practice was evidenced by the following: On 09/15/2025 at 1:00 PM, the surveyor reviewed the facility's monthly antibiotic roster for 08/2025, which is used to monitor all residents receiving antibiotics. [...]
Inspectors wroteBased on interview, and review of pertinent facility documentation, it was determined that the facility failed to ensure the Infection Preventionist (IP) actively performed responsibilities in accordance with the facility designated role implementing programs and activities to prevent and control infections. The deficient practice was evidenced by the following: During an interview with the surveyor on 09/15/2025 at 12:35 PM, the IP stated that she was not sure what specific criteria the facility used for diagnosing infections and would need to follow up to determine that information. She further stated that she is not familiar with established clinical criteria used to identify infections in long-term care facilities. [...]
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the pneumococcal vaccination was offered to all residents upon admission to the facility to prevent incidence of pneumonia for 1 of 5 residents (Resident # 87) reviewed for immunization administration. This deficient practice was evidenced by the followingDuring the initial tour of the facility on 09/11/2025 at 10:21 AM, Resident #87 was observed seated in a wheelchair in their bedroom. A review of Resident #87's admission Record revealed that the resident was admitted to the facility with diagnosis which included, but were not limited to, displaced fracture of the left lower leg and encounter for orthopedic aftercare. [...]
Inspectors wroteBased on interview, review of the Nurse Staffing Report and the PB&J (Payroll Based Journal) report and other facility documentation, it was determined that the facility failed to ensure there was sufficient nursing staff on a 24-hour basis to provide nursing care to the residents. This deficient practice was evidenced by the following: During the initial tour on 04/23/2024 at 10:30 AM, Resident #32 was just getting morning care. Resident #32 said, They are short of nurses and aides all the time, especially on weekends. On 04/23/2024 at 10:30 AM, Resident #72 stated that they do not have enough aides on the weekends. Resident #72 also stated that he/she did not receive their bed bath yesterday due to being short staffed. During the Resident Council Meeting on 04/24/2024 at 10:00 AM, 3 of 5 Residents reported there is not enough staff, especially at night. [...]
Inspectors wroteBased on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 4/23/2024 from 09:23 to 10:04 AM, the surveyor, accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. In the dry storage room on a middle shelf a quarter pan contained (7) bottles of Smucker's Breakfast syrup. (6) bottles had a best if used by date of [DATE]. The FSD removed the expired syrups from storage. 2. In the walk-in freezer on a middle shelf a plastic bag contained frozen hash brown potatoes. The product inside the bag was covered in ice. The bag had no dates. The FSD removed the frozen hash browns to the trash. [...]
Inspectors wroteBased on interview and review of other facility documentation, it was determined that the facility failed to issue the required beneficiary notices for 2 of 3 residents reviewed for Beneficiary Protection Notification, (Resident #32 and Resident #73). This deficient practice was evidenced by the following: The surveyor reviewed the SNF (Skilled Nursing Facility) SNF Beneficiary Protection Notification Review (SNFBPNR) completed by the facility for Resident #32. The SNFBPNR indicated the residents last covered Medicare day was 02/29/2024 and the resident remained in the facility. The SNFBPNR further revealed that a Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage Form CMS-10055 was given to Resident #32. When the surveyor requested a copy, the Administrator in Training (AIT) provided the surveyor with a copy of Resident #32's signed admission Agreement. [...]
Inspectors wroteBased on observation, interview, and review of the medical record and other facility documentation, it was determined that the facility failed to follow a physician order for weekly weights on 1 of 3 residents reviewed for nutrition. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling and provision of care supportive to or restorative of life and wellbeing, and executing medical regimes as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: [...]
Inspectors wroteBased on observation, interview, and review of the medical record and other facility records, it was determined that the facility failed to consistently assess or measure SPO2 (blood oxygen saturation) for a resident with an order for PRN (as necessary) supplemental oxygen use. This deficient practice occurred for 1 of 4 residents (Resident #46) reviewed for respiratory care. This deficient practice was evidenced by the following: On 04/23/2024 at 11:05 AM, the surveyor observed an oxygen concentrator against the wall in Resident #46's room. The oxygen concentrator was not observed to be in use and according to nursing staff Resident #46 didn't use it (oxygen) regularly. According to the Resident Face Sheet Resident #46 was admitted with diagnoses including but not limited to: [...]
Inspectors wroteBased on observation, interview, review of the medical record and other facility documentation, it was determined that the facility failed to a) change respiratory equipment tubing in a manner to prevent the spread of infection for 1 of 4 resident's (Resident #33) and b) properly store a nasal cannula (tube used to deliver oxygen to a person) in accordance with facility policy and not properly store a nebulizer (small machine that turns liquid medicine into a mist that can be easily inhaled) and nebulizer equipment according to facility policy for 1 of 4 residents (Resident #91) reviewed for respiratory care. This deficient practice was evidenced by the following: A) During the initial tour of the 2nd floor on 04/23/2024 at 09:53 AM, Surveyor #1 observed resident #33 sleeping in bed. Resident #33 was receiving oxygen at 3 liters per minute (lpm) via nasal cannula. [...]
Inspectors wroteBased on observations, interviews, and review of documentation provided by the facility, it was determined that the facility failed to maintain proper kitchen sanitation practices and properly store dry foods in a safe and sanitary environment to prevent the potential development of food borne illness. This deficient practice was evidenced by the following: On 12/17/21 at 09:34 AM, during the initial tour of the kitchen in the presence of the Food Service Director (FSD), the surveyor observed the following: Inside the brown rice storage bin, was a clear scoop resting directly on the rice. The FSD stated that it should not be there due to cross contamination and infection control. The slicer was covered in a clear plastic bag, The FSD removed the clear plastic bag and he noted there was a brown substance and crumbs underneath the blade. [...]
12 fire safety citations on file: 6 on September 18, 2025, 5 on May 8, 2024, 1 on January 3, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| September 18, 2025 | Fine | $17,345 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Jersey | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.70 | 3.85 | 3.86 |
| Registered nurses | 0.47 | 0.68 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.50 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 41.7% | 39.7% | 45.8% |
| Registered nurse turnover | 40.0% | 37.7% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.96 on weekdays and 3.07 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.70 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.70 | 0.47 | 3.96 | 3.07 | 21.7% | 0 of 90 | 114 |
| Oct to Dec 2025 | 3.43 | 0.52 | 3.69 | 2.78 | 17.5% | 0 of 92 | 112 |
| Jul to Sep 2025 | 3.46 | 0.48 | 3.68 | 2.88 | 15.7% | 0 of 92 | 118 |
| Apr to Jun 2025 | 3.26 | 0.39 | 3.39 | 2.94 | 0.5% | 0 of 91 | 121 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Jersey, Jan to Mar 2026 | 3.68 | 0.59 | 3.82 | 3.34 | 11.6% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Jersey, all employers | |||
| CNAs (nursing assistants) | $22.52 | $21.13 to $23.44 | 32,400 |
| LPNs and LVNs | $36.13 | $32.16 to $38.45 | 17,410 |
| Registered nurses | $51.20 | $47.94 to $61.41 | 92,680 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Jersey | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.1 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 2.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.2 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.0 | 8.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.5 | 12.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.6 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.6 | 8.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Rose Garden Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
55.4% this home
No different from the national rate
US median of homes 51.5% · New Jersey: 130 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 337 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · New Jersey: 2 better, 8 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 322 eligible stays.
8.8% this home
No different from the national rate
US median of homes 7.1% · New Jersey: 3 better, 13 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 203 eligible stays.
53.0% this home
Median of homes: New Jersey68.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 185 residents counted.
1.3% this home
Median of homes: New Jersey0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 239 residents counted.
2.7% this home
Median of homes: New Jersey1.7% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 239 residents counted.
98.0% this home
Median of homes: New Jersey99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 51 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: OCEAN CONVALESCENT CENTER INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shawn, Andrew | Direct ownership interest | Individual | 05/14/2005 | |
| Shawn, Andrew | Corporate director | Individual | 06/01/1984 | |
| Shawn, Andrew | Operational/managerial control | Individual | 04/15/2005 | |
| Shawn, Andrew | General partnership interest | Individual | 06/01/1984 | |
| Shawn, Andrew | Adp of the SNF | Individual | 02/07/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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