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Gardens at Monroe Healthcare and Rehabilitation, TCMS ratings, inspections and fines

Address
189 Applegarth Road, Monroe Township, NJ 08831
CCN
315336
Ownership type
For-profit, individual
Certified beds
136
Chain
None in the CMS record
Residents per day
100
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating3 of 5
Staffing rating4 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Gardens at Monroe Healthcare and Rehabilitation, T an overall rating of 4 of 5 stars. The last standard survey was on 9 Apr 2025. The latest survey cycle has 4 health citations. The median for nursing homes in New Jersey is 8. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Gardens at Monroe Healthcare and Rehabilitation, T, with medians
Rating (1 to 5 stars)This homeMiddlesex County medianNew Jersey medianUS average (CMS)
Overall rating44.04.03.0
Health inspection rating33.03.02.8
Staffing rating43.03.02.9
Quality measure rating55.05.03.6

A median is the middle value of the homes in the group: 25 homes in the county, 348 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Gardens at Monroe Healthcare and Rehabilitation, T in the last three survey cycles
Survey cycleStandard surveyCitationsNew Jersey median
Cycle 1 (latest)9 Apr 202548
Cycle 24 May 2023137
Cycle 3No date14

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 18 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 4 citations

Standard survey of this cycle: .

Health citations of Gardens at Monroe Healthcare and Rehabilitation, T in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
9 Apr 2025F0641Ensure each resident receives an accurate assessment.BStandard survey16 May 2025
9 Apr 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey16 May 2025
9 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey16 May 2025
9 Apr 2025F0880Provide and implement an infection prevention and control program.EStandard survey16 May 2025

Survey cycle 2: 13 citations

Standard survey of this cycle: .

Health citations of Gardens at Monroe Healthcare and Rehabilitation, T in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 May 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey15 Jun 2023
4 May 2023F0584Honor 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.DStandard survey15 Jun 2023
4 May 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey15 Jun 2023
4 May 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey15 Jun 2023
4 May 2023F0610Respond appropriately to all alleged violations.DStandard survey15 Jun 2023
4 May 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey15 Jun 2023
4 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey15 Jun 2023
4 May 2023F0728Ensure 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.FStandard survey15 Jun 2023
4 May 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey15 Jun 2023
4 May 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey15 Jun 2023
4 May 2023F0761Ensure 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.DStandard survey15 Jun 2023
4 May 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey15 Jun 2023
4 May 2023F0880Provide and implement an infection prevention and control program.DStandard survey15 Jun 2023

Survey cycle 3: 1 citation

The CMS provider file has no standard survey date for this cycle.

Health citations of Gardens at Monroe Healthcare and Rehabilitation, T in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 May 2021F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DStandard survey12 May 2021

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Gardens at Monroe Healthcare and Rehabilitation, T
StaffThis homeNew Jersey medianNew Jersey average (CMS)
All nurse staff4.013.603.85
Registered nurses (RN)0.750.500.68
Licensed practical nurses (LPN)0.870.93
Nurse aides2.392.23
All nurse staff, weekends3.633.303.50
Nurse staff turnover in a year
20.3%
Nurse staff turnover, New Jersey median
38.9%
RN turnover in a year
21.1%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Gardens at Monroe Healthcare and Rehabilitation, T, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNew Jersey medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.9%7.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.6%0.4%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.1%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.7%6.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay11.2%4.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay1.9%11.8%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, individual

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Middlesex County

The 12 nearest other nursing homes in Middlesex County, New Jersey
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Cranbury CenterMonroe Township2 of 59$24,7464 Dec 2025
The Elms Rehab and Healthcare Center of CranburyCranbury2 of 53$57,28219 Nov 2025
Village PointMonroe Township3 of 55$237,45124 Jul 2025
Complete Care at Park Place LLCMonmouth Junction4 of 59$013 Mar 2026
Merwick Care & Rehabilitation Center, LLCPlainsboro3 of 512$025 Apr 2025
Careone at East BrunswickEast Brunswick3 of 57$026 Jun 2025
Roosevelt Care Center at Old BridgeOld Bridge5 of 54$025 Sep 2025
Reformed Church HomeOld Bridge5 of 54$027 Apr 2026
Autumn Lake Healthcare at Old BridgeOld Bridge4 of 510$06 Feb 2026
Preferred Care at Old Bridge, LLCOld Bridge5 of 53$031 Mar 2025
Rose Mountain Care CenterNew Brunswick4 of 54$029 May 2026
Complete Care at Madison, LLCMatawan5 of 57$03 Mar 2026

All 25 nursing homes in Middlesex County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Gardens at Monroe Healthcare and Rehabilitation, T (CCN 315336). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/gardens-at-monroe-healthcare-and-rehabilitation-t-monroe-township-nj-315336/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Gardens at Monroe Healthcare and Rehabilitation, T last inspected?
The latest inspection with a citation in the CMS record was on 9 Apr 2025. It was a standard survey. It gave 4 citations. The standard survey before the last one was on 4 May 2023.
Who operates Gardens at Monroe Healthcare and Rehabilitation, T?
The CMS record gives the ownership type as for-profit, individual. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Gardens at Monroe Healthcare and Rehabilitation, T a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in New Jersey as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.