SNF

BIG OAK REHABILITATION AND HEALTHCARE CENTER

CCN: 315014 · PITTSGROVE, NJ 08318 · Salem County

Overview

Address
849 BIG OAK ROAD, PITTSGROVE, NJ 08318
Phone
8564515000
Certified beds
84
Avg daily residents
73 (87% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-01
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.28 3.47 3.64 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.34 0.61 0.38 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.01 0.77 1.12 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.92 2.09 2.14 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.35 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.09 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.99
hrs / resident / day
RN (weekend)
0.18
hrs / resident / day
Total nurse (adjusted, weekend)
3.32
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
47.8%
annual
RN turnover
80.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.23
higher acuity than avg
Case-Mix Index Ratio
0.89
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-12-11 17 17 2 112 1 112
Cycle 2/3 (prior) 2023-09-07 10 6 5 56 1 56
Total weighted health score
98.0
lower is better

Deficiencies (29)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

29 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-12-11 2024-12-17
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2024-12-11 2024-12-12
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-12-11 2024-12-16
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-12-11 2024-12-12
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-12-11 2024-12-18
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-12-11 2024-12-12
0761 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 2024-12-11 2024-12-12
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2024-12-11 2024-12-12
0814 Dispose of garbage and refuse properly. D 2024-12-11 2024-12-12
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly D 2024-12-11 2024-12-12
0880 Provide and implement an infection prevention and control program. F 2024-12-11 2024-12-23
0881 Implement a program that monitors antibiotic use. E 2024-12-11 2024-12-24
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2024-12-11 2024-12-24
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. E 2024-12-11 2024-12-24
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2024-12-11 2024-12-12
0584 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 2024-12-11 2024-12-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-12-11 2024-12-12
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-09-07 2023-09-11
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-09-07 2023-09-11
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. E 2023-09-07 2023-09-15
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2023-09-07 2023-09-11
0880 Provide and implement an infection prevention and control program. E 2023-09-07 2023-09-20
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-09-07 2023-09-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-09-07 2023-09-11
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-07-28 2023-09-09
0880 Provide and implement an infection prevention and control program. D 2023-07-28 2023-09-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-05-22 2023-06-28
0836 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. E 2021-07-02 2021-08-31
0908 Keep all essential equipment working safely. E 2021-07-02 2021-08-16

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 10.7% Medicaid 64.2% Other 25.0%

Operating performance

Operating Margin
-12.7%
Total Margin
-12.7%
Occupancy Rate
56.1%
Cost per Resident Day
$32

Revenue & costs

Net Patient Revenue
$5.2M
Total Costs
$551K
Net Income
-$666K

Balance sheet

Total Assets
$2.5M
Total Liabilities
$2.8M
Fund Balance
-$293K
Current Ratio
1.01

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (15)

Organization Role Association
GARDENS HOLDCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/02/2023
849 BIG OAK RD HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
849 BIG OAK RD LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
ABE AND RACHEL BAK FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
AMO HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
AMO TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
BAGZ HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
JCG HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
JGOP LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
JSOP HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
SJR HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
AMO HOLDINGS LLC GENERAL PARTNERSHIP INTEREST since 05/02/2023
JSOP HOLDINGS LLC GENERAL PARTNERSHIP INTEREST since 05/02/2023
CAPITAL FINANCE LLC 5% OR GREATER SECURITY INTEREST since 05/02/2023
CAPITAL FINANCE LLC 5% OR GREATER MORTGAGE INTEREST since 05/02/2023

Owner / manager individuals (6)

Name Role Association
GASTWIRTH, JOSHUA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
SCHUSTER, JEREMY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/02/2023
CZIMENT, RAFAEL OPERATIONAL/MANAGERIAL CONTROL since 11/06/2024
GASTWIRTH, JOSHUA OPERATIONAL/MANAGERIAL CONTROL since 11/06/2024
SCHUSTER, JEREMY OPERATIONAL/MANAGERIAL CONTROL since 11/06/2024
MANDEL, JOSEPH W-2 MANAGING EMPLOYEE since 05/02/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $32 metrics.cost_per_resident_day
Cost Report Current Ratio 1.01 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 64.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 10.7% metrics.medicare_day_share
Cost Report Net Income ($) $-666,458 metrics.net_income
Cost Report Net Patient Revenue ($) $5,237,048 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 56.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -12.7% metrics.operating_margin
Cost Report Total Assets ($) $2,500,136 metrics.total_assets
Cost Report Total Costs ($) $551,259 metrics.total_costs
Cost Report Total Fund Balances ($) $-293,343 metrics.fund_balance
Cost Report Total Liabilities ($) $2,793,479 metrics.total_liabilities
Cost Report Total Margin (%) -12.7% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.12192 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.13870 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.38169 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.64230 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.32493 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 73.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.77052 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.09409 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.60734 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.47194 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.06015 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town PITTSGROVE City/Town
Provider Information CMS Certification Number (CCN) 315014 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Salem County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 39.4869 Latitude
Provider Information Legal Business Name GARDENS OPERATOR LLC Legal Business Name
Provider Information Location 849 BIG OAK ROAD,PITTSGROVE,NJ,08318 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -75.122 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 84 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.22995 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.89279 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 849 BIG OAK ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name BIG OAK REHABILITATION AND HEALTHCARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 340 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 112 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 17 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-11 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 112 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 17 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-09-07 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 56 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 5 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 56 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 10 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.17536 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 80.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.35212 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.00888 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.92323 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.09483 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.34323 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.27535 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State NJ State
Provider Information Telephone Number 8564515000 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.98995 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 47.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 98.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 08318 ZIP Code