Gateway Care Center (EATONTOWN, NJ) has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating despite 4-star staffing and quality measures. It also has a recent federal penalty and $135,795 in fines over the last 24 months, and reported nurse staffing is 3.11 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: November 17, 2025Penalties, last 24 months: $135,795recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.108.
Staffing detail
Registered nurses
0.78
Licensed practical nurses
0.48
Nurse aides
1.85
Weekend nursing
2.67
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 31%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
15.2%14.5%Improving
Residents with a fall causing major injury
0%2.3%Worsening
Residents with pressure ulcers (bedsores)
2.9%3.3%No change
Residents with a urinary tract infection
1.7%0.8%Improving
Residents who lost too much weight
2.6%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.3%5.1%Improving
Residents whose ability to walk got worse
4.6%6.2%Worsening
Long-stay residents on antianxiety or sleep medication
17.9%24%Worsening
Short-stay residents newly given an antipsychotic
—3.1%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.9%27.8%Worsening
Residents with depressive symptoms
10.1%11.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
96.7%78.6%Worsening
Short-stay residents given the seasonal flu vaccine
—66.7%—
Short-stay residents given the pneumonia vaccine
44.7%20.3%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
PENALTY
A federal fine of $108,154 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $27,641 was recorded.
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $135,795 in total fines.
Federal fine
Nov 17, 2025
$108,154
Federal fine
Jan 9, 2025
$27,641
Operator & ownership
Ownership
For profit - Partnership
Chain
Part of THE ROSENBERG FAMILY · 16 homes · 2.2 stars avg
Occupancy
145.1 residents on an average day (82% of 178 beds)
Resident voice
Resident council
Medicare history
Certified for 45 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.