Gardens at Monroe Healthcare and Rehabilitation, T
189 Applegarth Road, Monroe Township, NJ 08831
Gardens at Monroe Healthcare and Rehabilitation, T, a 136-bed for profit - individual nursing facility in Monroe Township, NJ, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #88 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6094487036
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #88 of 346
- In-state rank among rated NJ homes
- 4.01
- About average · nurse hrs/day · nat'l 3.86
- 18
- Inspection findings
The verdict
Gardens at Monroe Healthcare and Rehabilitation, T, a 136-bed for profit - individual nursing facility in Monroe Township, NJ, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #88 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #88 of 346
- In-state rank among rated NJ homes
- 4.01
- Nurse hrs/resident-day · national 3.86
- 18
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 348 NJ nursing homes split by ownership sector
This facility is recorded as For profit - Individual. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 315336
- Ownership
- For profit - Individual
- Provider Type
- Medicare and Medicaid
- Beds
- 136
- Residents
- 100
- In Hospital
- No
- County
- Middlesex
- Last Inspection
- Apr 9, 2025
Staffing Data
How the 4.01 total nursing hours per resident-day are staffed:
- RN Hours
- 0.75 (nat'l avg: 0.69)
- LPN Hours
- 0.87
- CNA Hours
- 2.39
- Total Nursing Hours
- 4.01 (nat'l avg: 3.86)
- PT Hours
- 0.13
- Nursing Turnover
- 20.3%
- RN Turnover
- 21.1%
What the CMS Record Reveals About Gardens at Monroe Healthcare and Rehabilitation, T
According to CMS Nursing Home Compare, Gardens at Monroe Healthcare and Rehabilitation, T ranks #88 of 346 rated nursing homes in NJ on overall stars (tie-broken by health+staffing+quality, then fewer fines). Gardens at Monroe Healthcare and Rehabilitation, T operates 136 certified beds in Monroe Township, NJ with approximately 100 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 4★ · quality 5★).
The inspection file contains 18 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 4.01 total nursing hours per resident day (national average 3.86), with RN coverage at 0.75 per resident day.
Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Gardens at Monroe Healthcare and Rehabilitation, T falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 20.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (18 most recent)
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 16, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: May 16, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 16, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 16, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 15, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category: Pharmacy Service Deficiencies
Corrected: Jun 15, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Jun 15, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 15, 2023
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 15, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 15, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: Jun 15, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Jun 15, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jun 15, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 15, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 15, 2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: Jun 15, 2023
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 15, 2023
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Category: Nursing and Physician Services Deficiencies
Corrected: May 12, 2021
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.7% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 14.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 7.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 97.8% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Gardens at Monroe Healthcare and Rehabilitation, T, both outside NJ so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NJ (136 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NJ (3.75 here).
Nearby Nursing Homes in NJ
347 other nursing homes are on record in NJ; 6 are shown here.
Abigail House for Nursing & Rehabilitation
Camden, NJ
Abingdon Care & Rehabilitation Center
Green Brook, NJ
Accela Post Acute Care at Hamilton
Hamilton, NJ
Accelerate Skilled Nursing and Rehab Piscataway
Piscataway, NJ
Acclaim Rehabilitation and Nursing Center
Jersey City, NJ
Actors Fund Home
Englewood, NJ
Understanding Nursing Home Data
What the CMS records show for Gardens at Monroe Healthcare and Rehabilitation, T
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NJ registry aggregates state averages and the highest-rated homes in this cohort. View NJ registry
- Peer homes near 136 beds show how CMS stars vary at a similar scale in NJ. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Gardens at Monroe Healthcare and Rehabilitation, T?
Where does Gardens at Monroe Healthcare and Rehabilitation, T rank among nursing homes in NJ?
What are the staffing levels at Gardens at Monroe Healthcare and Rehabilitation, T?
How many beds does Gardens at Monroe Healthcare and Rehabilitation, T have?
Does Gardens at Monroe Healthcare and Rehabilitation, T have any deficiencies on record?
Has Gardens at Monroe Healthcare and Rehabilitation, T received any fines or penalties?
Who owns Gardens at Monroe Healthcare and Rehabilitation, T?
When was Gardens at Monroe Healthcare and Rehabilitation, T last inspected?
What quality measures are tracked for Gardens at Monroe Healthcare and Rehabilitation, T?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
