Ocean County, New Jersey · Nursing home
Shore Gardens Rehabilitation and Nursing Center
1 of 5 overall from CMS
231 Warner Street, Toms River, NJ 08755
At a glance
- Overall rating 1 of 5 Below the state average of 3.3
- Nurse time per resident, per day 3.03 hours Below the state average of 3.85
- Nursing staff who left in a year 28.9% Below the state average of 39.7%
- Health citations, last 3 inspection cycles 33 3 at the harm level or above
- Fines in 3 years $197,170 5 fines
- Certified beds in use 93.8% of 149 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Shore Gardens Rehabilitation and Nursing Center is a 149-bed nursing home in Toms River, New Jersey (Ocean County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.03 nurse staffing hours per resident per day, below the New Jersey average of 3.85. CMS lists 5 fines totaling $197,170 in the past three years.
- Certified beds
- 149
- Residents per day (average)
- 139.7
- Certified since
- 1999 (27 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Shore Gardens Rehabilitation and Nursing Center
Chosen from this home's public data.
- CMS lists 5 fines totaling $197,170 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on Feb 14, 2025 plus complaint and infection-control inspections); the New Jersey average is 8.6. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.71 hours per resident on weekends against 3.03 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 New Jersey average 3.3
- Health inspections 1 of 5 New Jersey average 2.8
- Staffing 4 of 5 New Jersey average 3.1
- Quality measures 3 of 5 New Jersey average 4.4
The vertical line marks the New Jersey average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.03 h New Jersey average 3.85
- Nurse aides 1.96 h New Jersey average 2.23
- Licensed practical nurses 0.75 h New Jersey average 0.93
- Registered nurses 0.33 h New Jersey average 0.68
- All staff, weekends 2.71 h New Jersey average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the New Jersey average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover28.9%
- New Jersey average39.7%
- Registered nurse turnover27.3%
- New Jersey average37.7%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New Jersey and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New Jersey | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.5% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.4% | 4.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.8% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 20.2% | 12.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% | 2.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.1% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 5.5% | 8.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.0% | 18.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.6% | 97.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.8% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.2% | 15.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 19.3% | 12.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.57 | 2.07 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.47 | 1.11 | 1.78 |
Short-stay residents
| Measure | This home | New Jersey | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.5% | 79.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.4% | 80.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.7% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% | 8.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 33 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 10 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 26, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 14, 2025 | 11 | 3 |
| May 11, 2023 | 19 | 8 |
| Apr 5, 2021 | 3 | 1 |
New Jersey homes averaged 8.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (33)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has no plan of correction
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 8, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 16, 2025)
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jul 16, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 3, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 11, 2025)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Mar 11, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 11, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Mar 11, 2025)
-
DPotential for more than minimal harm, isolated
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 11, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 4, 2025)
-
JImmediate jeopardy, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Dec 23, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 23, 2023)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 23, 2023)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 23, 2023)
-
EPotential for more than minimal harm, pattern
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 23, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 23, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Jun 23, 2023)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 23, 2023)
-
DPotential for more than minimal harm, isolated
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 23, 2023)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 23, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 30, 2023)
Showing the 30 most recent of 33.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jun 26, 2026 | Fine | $17,542 |
| Jan 5, 2026 | Fine | $9,110 |
| May 8, 2025 | Fine | $36,052 |
| Feb 14, 2025 | Fine | $34,457 |
| Nov 22, 2024 | Fine | $100,009 |
New Jersey homes averaged 0.7 fines and $34,926 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Jersey
Common questions
What is the CMS star rating for Shore Gardens Rehabilitation and Nursing Center?
Shore Gardens Rehabilitation and Nursing Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 3.
How many beds does Shore Gardens Rehabilitation and Nursing Center have?
Shore Gardens Rehabilitation and Nursing Center has 149 certified beds. It averages 139.7 residents per day, about 93.8% of its certified beds.
How much nursing care do residents get at Shore Gardens Rehabilitation and Nursing Center?
The home reports 3.03 hours of nurse staffing per resident per day, including 0.33 hours from registered nurses. The New Jersey average is 3.85 hours and 0.68 hours from registered nurses.
Has Shore Gardens Rehabilitation and Nursing Center been fined?
Yes. CMS lists 5 fines totaling $197,170 in the past three years.
Does Shore Gardens Rehabilitation and Nursing Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Complete Care at Green Acres 167beds 94.4%in use 3.67nurse hours a day
- 5 of 5 Harrogate Village 68beds 86.2%in use 3.99nurse hours a day
- 4 of 5 Hampton Ridge Healthcare and Rehabilitation 204beds 95.4%in use 3.37nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Ocean County
Who to call in New Jersey
These offices serve residents of every nursing home in New Jersey.
- Long-term care ombudsman New Jersey Long-Term Care Ombudsman 1-877-582-6995 (Fax 1-609-943-3479. Email: ombudsman@ltco.nj.gov. Mail: P.O. Box 852, Trenton, NJ 08625-0852.) An advocate for residents and their families.
- File a complaint about a nursing home Department of Health Complaint Hotline 1-800-792-9770 (24-hour hotline, seven days a week; complaints may be made by phone without giving a name. Long-term care complaints can also be faxed to 609-943-4977 (reviewed during business hours), submitted online (web.doh.nj.gov/fc/search.aspx), or mailed to NJ Department of Health, PO Box 367, Trenton, NJ 08625-0367.) The state agency that inspects nursing homes.
New Jersey staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 315454. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.