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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 151st out of 274 homes in New Jersey. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 21m per day | ▼ 49% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 1m per day | ▲ 9% State avg: 56m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 55m per day | ▼ 14% State avg: 2h 14m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 7m per day | ▼ 10% State avg: 3h 27m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ■ Avg State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 62% State avg: 29m per day · National avg: 28m per day |
Higher than the New Jersey average: 77%Big Oak Rehabilitation And Healthcare Center is administrated by Mr. Refael Cziment.
In New Jersey, the Department of Health, Health Facilities Evaluation and Licensing conducts mandatory unannounced surveys to ensure facilities provide safe and effective resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Jersey state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 56 | 18 | This facility has 211% more total deficiencies than a typical New Jersey nursing home (56 vs. NJ avg 18).↑ 211% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 11.2 | 3.6 | This facility has 211% more deficiencies per year than a typical New Jersey nursing home (11.2 vs. NJ avg 3.6).↑ 211% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4 | 2 | This facility has 100% more deficiencies per inspection than a typical New Jersey nursing home (4 vs. NJ avg 2).↑ 100% worse |
Inspections
| This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 14 | 9 | This facility has 56% more total inspections than a typical New Jersey nursing home (14 vs. NJ avg 9).↑ 56% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 20, 2025, found no deficiencies related to privacy practices. Earlier inspections showed a pattern of deficiencies primarily involving staffing ratios, medication administration, infection control, and care planning. Several complaint investigations were substantiated, particularly concerning inadequate staffing levels and failure to follow physician orders or infection prevention protocols. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows some improvement over time, with the latest inspection free of deficiencies after previous reports identified multiple issues.
New Jersey average 4
Last Health inspection on Dec 2024
New Jersey average 20.9
New Jersey average 5.35
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 29 citations resulted from standard inspections; 4 of 29 resulted from complaint investigations; and 3 of 29 came from combined inspections (standard and complaint).
100% better than New Jersey averageNew Jersey average: 0.7
100% better than New Jersey averageNew Jersey average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
23% worse than New Jersey average
5% worse than New Jersey average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursAssists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
129 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 14,344 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 28 | 0 | 28 | 7,056 | 92 | 100% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,283 | 91 | 99% | 7.4 |
| Registered Nurse | 4 | 0 | 4 | 1,162 | 81 | 88% | 9.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 804 | 71 | 77% | 6.3 |
| RN Director of Nursing | 4 | 0 | 4 | 749 | 71 | 77% | 6.9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 625 | 81 | 88% | 7.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapist | 1 | 0 | 1 | 498 | 61 | 66% | 8.2 |
| Dietitian | 1 | 0 | 1 | 458 | 66 | 72% | 6.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 432 | 44 | 48% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 344 | 44 | 48% | 7.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 304 | 51 | 55% | 6 |
| Qualified Social Worker | 1 | 0 | 1 | 266 | 44 | 48% | 6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 199 | 89 | 97% | 2.2 |
| Medical Director | 0 | 1 | 1 | 90 | 39 | 42% | 2.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 89 | 45 | 49% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 39 | 11 | 12% | 3.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
11% better than New Jersey averageNew Jersey average: 6.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.4
17% better than New Jersey averageNew Jersey average: 12.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
19% better than New Jersey averageNew Jersey average: 10.1%
Percent of long-stay residents whose ability to move independently worsened
7.7%
30% better than New Jersey averageNew Jersey average: 11.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.3%
In line with New Jersey averageNew Jersey average: 16.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
15% better than New Jersey averageNew Jersey average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
2.7%
56% better than New Jersey averageNew Jersey average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than New Jersey averageNew Jersey average: 1.0%
Percent of long-stay residents who lose too much weight
9.6%
107% worse than New Jersey averageNew Jersey average: 4.6%
Percent of long-stay residents who have depressive symptoms
8.0%
29% better than New Jersey averageNew Jersey average: 11.3%
Percent of long-stay residents who received an antipsychotic medication
8.3%
25% better than New Jersey averageNew Jersey average: 11.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.9%
10% worse than New Jersey averageNew Jersey average: 93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
In line with New Jersey averageNew Jersey average: 97.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.03
50% better than New Jersey averageNew Jersey average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.35
21% worse than New Jersey averageNew Jersey average: 1.12
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
49.9%
37% worse than New Jersey averageNew Jersey average: 78.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
60% better than New Jersey averageNew Jersey average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
47.2%
41% worse than New Jersey averageNew Jersey average: 80.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.2%
7% worse than New Jersey averageNew Jersey average: 25.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.4%
63% worse than New Jersey averageNew Jersey average: 8.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
16% worse than New Jersey averageNew Jersey average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.5%
In line with New Jersey averageNew Jersey average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.4%
In line with New Jersey averageNew Jersey average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Big Oak Rehabilitation And Healthcare Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #267 / 272Payroll — State benchmarkedThis home is ranked 267th out of 272 homes in New Jersey. Shows total annual staff payroll benchmarked to the New Jersey average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Pittsgrove's city center to Big Oak Rehabilitation And Healthcare Center's address, calculated via Google Maps.
Add your location
Big Oak Rehabilitation And Healthcare Center is located in Pittsgrove, New Jersey.
Here are the financial assistance programs available to residents in New Jersey.
The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.
| Fellowship Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Basking Ridge | 67 | 86.6% | +12% | 5.83 | +57% | +50% | $0 | 2 | 1.0 | - | 58 | - | 25 | Brian Lawrence | $67.1M | $22.8M | 34% | 315356 | ||||
| Harmony Village at CareOne Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Westwood | 98 | 89.8% | +17% | 3.40 | +18% | -12% | $9.8k | 6 | 1.5 | - | 88 | - | 56 | Careone At Valley | $23.6M | $9.3M | 39.6% | 315369 | ||||
| Peace Care St. Ann’s |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Jersey City (Greenville) | 120 | 88.3% | +15% | 4.07 | +170% | +5% | $0 | 12 | 3.0 | - | 106 | - | 86 | Peace Care Inc | $24.2M | $11.0M | 45.3% | 315413 | ||||
| Brighton Gardens of Edison |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Edison (Oak Tree Road) | 118 | 90.5% | +18% | 4.90 | +93% | +26% | $33.4k | 17 | 8.5 | 1 | 24 | A+ | 64 | Tracey Borges | $17.0M | $7.7M | 45.3% | 315351 | ||||
| Big Oak Rehabilitation And Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Pittsgrove | 84 | 100.0% | +30% | 3.57 | -60% | -8% | $0 | 29 | 5.8 | - | 84 | - | 18 | - | $7.6M | $3.3M | 43.5% | 315014 |
The legal owner and operator of Big Oak Rehabilitation And Healthcare Center is The Gardens Operator, Llc.
Big Oak Rehabilitation And Healthcare Center has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NJ state health department records, Big Oak Rehabilitation And Healthcare Center's license number is 061704.
According to NJ state health department records, Big Oak Rehabilitation And Healthcare Center's license expires on April 30, 2026.
Big Oak Rehabilitation And Healthcare Center's occupancy is 100%.
Mr. REFAEL CZIMENT is the administrator of Big Oak Rehabilitation And Healthcare Center.
Big Oak Rehabilitation And Healthcare Center has 84 beds.
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