New Jersey ›Pittsgrove

Big Oak Rehabilitation and Healthcare Center

849 Big Oak Road, Pittsgrove, NJ 08318 · Salem County · 84 certified beds · avg 79 residents/day · certified since Jan 1, 1967

3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.48
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (28)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Mar 26, 2026F · Potential for harm, facility-wideThe facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint
Mar 26, 2026E · Potential for harm, repeatedThe facility did not dispose of garbage and refuse properly.
Mar 26, 2026E · Potential for harm, repeatedThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Mar 26, 2026D · Potential for harm, one-offThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Dec 11, 2024F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Dec 11, 2024F · Potential for harm, facility-wideThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 11, 2024E · Potential for harm, repeatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 11, 2024E · Potential for harm, repeatedThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Dec 11, 2024E · Potential for harm, repeatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Dec 11, 2024E · Potential for harm, repeatedThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Dec 11, 2024E · Potential for harm, repeatedThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Dec 11, 2024D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Dec 11, 2024D · Potential for harm, one-offThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Dec 11, 2024D · Potential for harm, one-offThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Dec 11, 2024D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 11, 2024D · Potential for harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 11, 2024D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Dec 11, 2024D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 11, 2024D · Potential for harm, one-offThe facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Dec 11, 2024D · Potential for harm, one-offThe facility did not dispose of garbage and refuse properly.
Dec 11, 2024D · Potential for harm, one-offThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Sep 7, 2023E · Potential for harm, repeatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Sep 7, 2023E · Potential for harm, repeatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 7, 2023E · Potential for harm, repeatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 7, 2023D · Potential for harm, one-offThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Sep 7, 2023D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Sep 7, 2023D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 7, 2023D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 4).

YearCitationsSerious (G–L)Worst severity that year
202370E
2024170F
202640F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityNew Jersey avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.483.883.95bottom 38% in New Jersey; bottom 36% in the U.S.
Registered Nurse hours0.380.670.69bottom 16% in New Jersey; bottom 19% in the U.S.
Weekend total nurse staffing3.453.533.50top 41% in New Jersey; top 44% in the U.S.
Weekend RN hours (not acuity-adjusted)0.260.500.48bottom 21% in New Jersey; bottom 23% in the U.S.
Total nursing staff turnover (%)58.539.745.8bottom 8% in New Jersey; bottom 19% in the U.S.
RN turnover (%)83.337.742.9bottom 2% in New Jersey; bottom 4% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.09, RN 0.34, weekend 3.07. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Individual

Owner / managerTypeRoleStakeSince
849 Big Oak Rd Holdings LLCOrganization5% or Greater Indirect Ownership Interest—05/02/2023
849 Big Oak Rd LLCOrganization5% or Greater Indirect Ownership Interest—05/02/2023
Amo Holdings LLCOrganization5% or Greater Indirect Ownership Interest—05/02/2023
Amo TrustOrganization5% or Greater Indirect Ownership Interest—05/02/2023
Bagz Holdings, LLCOrganization5% or Greater Indirect Ownership Interest—05/02/2023
Gardens Holdco LLCOrganization5% or Greater Direct Ownership Interest100%05/02/2023
JCG Holdings LLCOrganization5% or Greater Indirect Ownership Interest—05/02/2023
Jgop LLCOrganization5% or Greater Indirect Ownership Interest—05/02/2023
Jsop Holdings LLCOrganization5% or Greater Indirect Ownership Interest—05/02/2023
Schuster, JeremyIndividual5% or Greater Indirect Ownership Interest—05/02/2023
SJR Holdings LLCOrganization5% or Greater Indirect Ownership Interest—05/02/2023
Amo Holdings LLCOrganizationGeneral Partnership InterestNOT APPLICABLE05/02/2023
Amo TrustOrganizationTrustee of the SNFNOT APPLICABLE05/02/2023
Capital Finance LLCOrganization5% or Greater Mortgage InterestNOT APPLICABLE05/02/2023
Capital Finance LLCOrganization5% or Greater Security InterestNOT APPLICABLE05/02/2023
Cziment, RafaelIndividualOperational/Managerial ControlNOT APPLICABLE11/06/2024
Cziment, RafaelIndividualADP of the SNFNOT APPLICABLE11/07/2024
Gastwirth, JoshuaIndividualOperational/Managerial ControlNOT APPLICABLE11/06/2024
Jsop Holdings LLCOrganizationGeneral Partnership InterestNOT APPLICABLE05/02/2023
Mandel, JosephIndividualW-2 Managing EmployeeNOT APPLICABLE05/02/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
New Jersey Veterans Memorial Vineland5.2 miVineland, NJ★★★☆☆2/5
Bishop McCarthy Center for Rehab & Healthcare5.9 miVineland, NJ★★☆☆☆2/5
South Jersey Extended Care6.5 miBridgeton, NJ★★★☆☆2/5
Millville Center6.6 miMillville, NJ★★☆☆☆1/5
Autumn Lake Healthcare at Vineland7.6 miVineland, NJ★★★☆☆3/5
Preferred Care at Cumberland9.0 miBridgeton, NJ★★★★☆4/5
Cedar Grove Respiratory and Nursing Center14.9 miWilliamstown, NJ★★★★☆4/5
Atlas Rehabilitation and Healthcare at Washington16.4 miSewell, NJ★★★☆☆2/5
United Methodist Communities at Pitman17.3 miPitman, NJ★★★★★5/5
The Center for Rehab & Nursing Washington Township17.6 miSewell, NJ★★★☆☆2/5
Autumn Lake Healthcare at Salem County18.2 miSalem, NJ★★☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Pittsgrove →

Facility data as of CMS processing date 2026-08-01. CCN 315014.