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
Data as of July 1, 2026
4 of 5 overall
Overall, GARDENS AT MONROE HEALTHCARE AND REHABILITATION has a 4 out of 5 star rating, with strong quality measures (5 stars) and staffing (4 stars), though health inspections are lower at 3 stars. Reported nurse staffing is 4.01 hours per resident per day, slightly below the federal benchmark of 4.1, there were no fines in the last 24 months, and recent inspection citations included infection control and nurse aide training issues.
Facility ratings
Health inspections
Staffing
4.011 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 4.011.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.39
- Weekend nursing
- 3.63
Hours per resident per day.
Total staff turnover: 20%
Registered nurse turnover: 21%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2%3.6%Worsening
Residents with a fall causing major injury
6%3.3%Improving
Residents with pressure ulcers (bedsores)
15.8%3.9%Improving
Residents with a urinary tract infection
1.5%3.5%Worsening
Residents who lost too much weight
3.2%5.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.7%14%Worsening
Residents whose ability to walk got worse
9.9%7.2%Improving
Long-stay residents on antianxiety or sleep medication
14.3%14%No change
Short-stay residents newly given an antipsychotic
1.2%1.2%No change
Residents with a long-term catheter
0%1.5%Worsening
Residents with new or worsening incontinence
15.2%5.5%Improving
Residents with depressive symptoms
1.6%3.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.8%—
Short-stay residents given the pneumonia vaccine
100%99.1%Worsening
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.
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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
- 99.7 residents on an average day (73% 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.