Shore Gardens Rehabilitation and Nursing Center
231 Warner Street · Toms River, NJ · 08755 · 7329420800
149 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $184,533 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$184,533 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.71 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 4 · $184,533 |
Inspection citations (32 in the current record)
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Actual harm · G January 5, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D August 20, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 8, 2025 · Resident Rights
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Potential for harm · F May 8, 2025 · found via complaint
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.
Corrected July 16, 2025 · Resident Rights
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Potential for harm · F May 8, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected July 16, 2025 · Administration
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Potential for harm · D February 14, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 11, 2025 · Resident Rights
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Potential for harm · D February 14, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 11, 2025 · Quality of Life and Care
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Potential for harm · D February 14, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 11, 2025 · Pharmacy Service
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Potential for harm · E February 14, 2025
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.
Corrected March 11, 2025 · Pharmacy Service
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Potential for harm · F February 14, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2025 · Nutrition and Dietary
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Potential for harm · D February 14, 2025
Dispose of garbage and refuse properly.
Corrected March 11, 2025 · Nutrition and Dietary
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Potential for harm · D February 14, 2025
Provide and implement an infection prevention and control program.
Corrected March 11, 2025 · Infection Control
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Potential for harm · F February 14, 2025 · found via complaint
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.
Corrected April 3, 2025 · Resident Rights
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Potential for harm · D February 14, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected March 4, 2025 · Resident Rights
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Immediate jeopardy · J November 22, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 22, 2024 · found via complaint
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.
Corrected December 23, 2024 · Resident Rights
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Potential for harm · D November 22, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 23, 2024 · Administration
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Potential for harm · D May 11, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 23, 2023 · Resident Rights
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Potential for harm · E May 11, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 11, 2023
Respond appropriately to all alleged violations.
Corrected June 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 11, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 11, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · E May 11, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · D May 11, 2023
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected June 23, 2023 · Nursing and Physician Services
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Potential for harm · D May 11, 2023
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected June 23, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 5, 2026 | Fine | $14,015 |
| May 8, 2025 | Fine | $36,052 |
| February 14, 2025 | Fine | $34,457 |
| November 22, 2024 | Fine | $100,009 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315454 · certified since June 10, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.