The nursing home failed to ensure nurse aides were properly trained and competent to provide safe care. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 728 — 42 CFR §483.35(e) — S/S: F
Nursing home report
GARDENS AT MONROE HEALTHCARE AND REHABILITATION, T
MONROE TOWNSHIP, NJ · Medicare-certified · 136 beds
In good standing
For-profit
4 of 5 overall
4 of 5 stars overall. Gardens at Monroe Healthcare and Rehabilitation has strong quality measures (5/5) and staffing (4/5), with health inspections at 3/5; reported nurse staffing is 4.08 hours per resident day, just below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0753 hrs/resident/day
Quality measures
Last inspection: April 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0753.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.45
- Weekend nursing
- 3.69
Hours per resident per day.
Total staff turnover: 17%
Registered nurse turnover: 11%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.5%Improving
Residents with a fall causing major injury
4.5%Improving
Residents with pressure ulcers (bedsores)
13%Improving
Residents with a urinary tract infection
1.2%Steady
Residents who lost too much weight
3.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.5%Worsening
Residents whose ability to walk got worse
10.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
15%Steady
Short-stay residents newly given an antipsychotic
0.9%Improving
Residents with a long-term catheter
0.5%Worsening
Residents with new or worsening incontinence
9.3%Improving
Residents with depressive symptoms
2.4%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
97.8%Steady
Short-stay residents given the pneumonia vaccine
99.1%Improving
What the inspectors found
The home failed to run its operations effectively and efficiently using its available resources. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 97.7 residents on an average day (72% of 136 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.