SHORE GARDENS REHABILITATION AND NURSING CENTER Inspection Report, Violations & Safety Grade (TOMS RIVER, New Jersey)

231 WARNER STREET, TOMS RIVER, New Jersey 08755

Phone: 7329420800

CMS Overall:1/5

Overview & Bed Count

Certified Beds

149

Avg Residents/Day

136.3

Ownership

For profit - Individual

Provider Type

Medicare and Medicaid

County

Ocean

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall1/5

Health1/5

Staffing4/5

QualityN/A

Nurse Staffing Check

Metric	This Facility	New Jersey Avg	Difference
RN Hours per Resident per Day	0.38	0.70	-0.32
Total Nurse Hours per Resident per Day	3.14	3.90	-0.76
CMS Staffing Rating	4/5	3.2/5	-
Nursing Staff Turnover	26.7%	39.3%	-

Health Citation History

43 health citations on record

Date	Category	Description	Severity
2026-06-26	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	J – Immediate Jeopardy
2026-06-26	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2026-06-26	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	F – Moderate Harm Potential
2026-06-26	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	F – Moderate Harm Potential
2026-06-26	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E – Moderate Harm Potential
2026-06-26	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	E – Moderate Harm Potential
2026-06-26	Resident Rights Deficiencies	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.	D – Moderate Harm Potential
2026-06-26	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2026-06-26	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2026-06-26	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2026-06-26	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2026-06-26	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	D – Moderate Harm Potential
2026-06-26	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2026-06-26	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D – Moderate Harm Potential
2026-01-05	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G – Actual Harm
2025-08-20	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D – Moderate Harm Potential
2025-05-08	Resident Rights Deficiencies	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.	F – Moderate Harm Potential
2025-05-08	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F – Moderate Harm Potential
2025-02-14	Resident Rights Deficiencies	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.	F – Moderate Harm Potential
2025-02-14	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2025-02-14	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2025-02-14	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2025-02-14	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D – Moderate Harm Potential
2025-02-14	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2025-02-14	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2025-02-14	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D – Moderate Harm Potential
2025-02-14	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D – Moderate Harm Potential
2025-02-14	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2024-11-22	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	J – Immediate Jeopardy
2024-11-22	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D – Moderate Harm Potential
2024-11-22	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	D – Moderate Harm Potential
2023-05-11	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2023-05-11	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E – Moderate Harm Potential
2023-05-11	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E – Moderate Harm Potential
2023-05-11	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E – Moderate Harm Potential
2023-05-11	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2023-05-11	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2023-05-11	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2023-05-11	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2023-05-11	Nursing and Physician Services Deficiencies	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.	D – Moderate Harm Potential
2023-05-11	Quality of Life and Care Deficiencies	Provide medically-related social services to help each resident achieve the highest possible quality of life.	D – Moderate Harm Potential
2023-05-11	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D – Moderate Harm Potential
2023-05-11	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D – Moderate Harm Potential

Fire Safety Citation History

22 fire safety citations on record

Date	Category	Description	Severity
2026-06-26	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	F – Moderate Harm Potential
2026-06-26	Smoke Deficiencies	Provide properly protected cooking facilities.	F – Moderate Harm Potential
2026-06-26	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2026-06-26	Smoke Deficiencies	Install an approved automatic sprinkler system.	F – Moderate Harm Potential
2026-06-26	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2026-06-26	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	F – Moderate Harm Potential
2026-06-26	Services Deficiencies	Have elevators that firefighters can control in the event of a fire.	F – Moderate Harm Potential
2026-06-26	Electrical Deficiencies	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	F – Moderate Harm Potential
2026-06-26	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	F – Moderate Harm Potential
2026-06-26	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2026-06-26	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2025-02-14	Services Deficiencies	Have elevators that firefighters can control in the event of a fire.	F – Moderate Harm Potential
2025-02-14	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2025-02-14	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2023-05-11	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2023-05-11	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	F – Moderate Harm Potential
2023-05-11	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	F – Moderate Harm Potential
2023-05-11	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	F – Moderate Harm Potential
2023-05-11	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	F – Moderate Harm Potential
2023-05-11	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	E – Moderate Harm Potential
2023-05-11	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential
2023-05-11	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	D – Moderate Harm Potential

Total Penalties & Fines

$248,226

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2026-06-26	Fine	$68,462	-
2026-01-05	Fine	$9,246	-
2025-05-08	Fine	$36,052	-
2025-02-14	Fine	$34,457	-
2024-11-22	Fine	$100,009	-

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Need Help Finding Safe Care?

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3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.