Federal inspection record · CMS data as of October 1, 2026
Big Oak Rehabilitation And Healthcare Center
849 Big Oak Road, Pittsgrove, NJ · (856) 451-5000
- Certified beds
- 84
- Residents per day
- 75
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Jersey.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Jersey homes
Big Oak Rehabilitation And Healthcare Center carries 55 inspection points. That is fewer than 47% of New Jersey's 346 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Jersey: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–37 pts
- 3★ 37–60 pts
- 2★ 60–93.75 pts
- 1★ over 93.75 pts
Bars show every rated home in New Jersey by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary6F
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Dispose of garbage and refuse properly.
- D
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- D
Dispose of garbage and refuse properly.
Infection Control6F
- E
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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
Provide and implement an infection prevention and control program.
Quality of Life and Care4E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning3E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Rights3D
- D
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
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service2E
- D
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
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration1D
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2026-03-26
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-12-11
17 health deficiencies · 11 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2023-09-07
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 17 min
New Jersey average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 88% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.1 | 1.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 96.9% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 98.6% | 96.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 0.8% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.4 pts better | 4.1% | 12.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 4.0% | 4.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6 pts worse | 24.8% | 18.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.9 pts better | 12.0% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.4 pts better | 1.9% | 7.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts better | 4.0% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.4% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.0% | 0.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts worse | 23.4% | 15.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.5 pts better | 0.8% | 5.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.6 pts worse | 58.4% | 79.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts worse | 10.5% | 8.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.1% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.4 pts worse | 57.1% | 79.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.2 pts worse | 32.3% | 24.1% | 23.4% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gardens Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| 849 Big Oak Rd Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| 849 Big Oak Rd LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Amo Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Amo Holdings LLC | General Partnership Interest · Organization | 0% | 2 facilities |
| Amo Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Amo Trust | Trustee Of The SNF · Organization | 0% | 2 facilities |
| Bagz Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Capital Finance LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 35 facilities |
| Capital Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 35 facilities |
| Cziment, Rafael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cziment, Rafael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gastwirth, Joshua | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Jcg Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Jgop LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Jsop Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Jsop Holdings LLC | General Partnership Interest · Organization | 0% | 1 facilities |
| Mandel, Joseph | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Schuster, Jeremy | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Schuster, Jeremy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Sjr Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have an alternate power supply for its alarm system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Install an approved automatic sprinkler system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress3F
- F
Install proper backup exit lighting.
- F
Have exits that are accessible at all times.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Emergency Preparedness2F
- F
Establish policies and procedures including evacuation.
- F
Include a process for Emergency Preparedness collaboration.
·
Other homes nearby
-
New Jersey Veterans Memorial Vineland
Vineland, NJ
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 10 min
- Fines
- $0
-
Bishop Mccarthy Center For Rehab & Healthcare
Vineland, NJ · Center Management Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0
-
South Jersey Extended Care
Bridgeton, NJ
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0