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Big Oak Rehabilitation and Healthcare Center
849 Big Oak Road, Pittsgrove, NJ 08318 (opens Google Maps) · Salem County · (856) 451-5000· 84 certified beds · avg 79 residents/day · certified since Jan 1, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Mar 26, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.48
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 28 inspection findings. Open the full record below to read every finding.
The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint F-0802
The facility did not dispose of garbage and refuse properly. F-0814
The 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. F-0881
View all 28 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 26, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint · F-0802 |
| Mar 26, 2026 | E · Potential for more than minimal harm, pattern | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Mar 26, 2026 | E · Potential for more than minimal harm, pattern | The 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. · F-0881 |
| Mar 26, 2026 | D · Potential for more than minimal harm, isolated | The 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. · F-0803 |
| Dec 11, 2024 | F · Potential for more than minimal harm, widespread | The 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 · F-0812 |
| Dec 11, 2024 | F · Potential for more than minimal harm, widespread | The 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. · F-0880 |
| Dec 11, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0656 |
| Dec 11, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0881 |
| Dec 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Dec 11, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0887 |
| Dec 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0600 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0623 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0686 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0761 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0810 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0868 |
| Sep 7, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Sep 7, 2023 | E · Potential for more than minimal harm, pattern | The 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. · F-0756 |
| Sep 7, 2023 | E · Potential for more than minimal harm, pattern | The 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. · F-0880 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The 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 · F-0558 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The 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. · F-0655 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The 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. · F-0695 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (17 → 4).
All citationsSerious citations (G–L)
2023
All citations: 7
Serious citations (G–L): 0
2024
All citations: 17
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 17 | 0 | F |
| 2026 | 4 | 0 | F |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew Jersey averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.48
New Jersey average: 3.88
U.S. average: 3.95
Registered Nurse hours
This facility: 0.38
New Jersey average: 0.67
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.45
New Jersey average: 3.53
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New Jersey avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.48 | 3.88 | 3.95 | bottom 38% in New Jersey; bottom 36% in the U.S. |
| Registered Nurse hours | 0.38 | 0.67 | 0.69 | bottom 16% in New Jersey; bottom 19% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.53 | 3.50 | top 41% in New Jersey; top 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.50 | 0.48 | bottom 21% in New Jersey; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 58.5 | 39.7 | 45.8 | bottom 8% in New Jersey; bottom 19% in the U.S. |
| RN turnover (%) | 83.3 | 37.7 | 42.9 | bottom 2% in New Jersey; bottom 4% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.09 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Big Oak Rehabilitation and Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 849 Big Oak Rd Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| 849 Big Oak Rd LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Amo Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Amo Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Bagz Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Gardens Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/02/2023 |
| JCG Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Jgop LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Jsop Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Schuster, Jeremy | Individual | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| SJR Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Amo Holdings LLC | Organization | General Partnership Interest | NOT APPLICABLE | 05/02/2023 |
| Amo Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 05/02/2023 |
| Capital Finance LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/02/2023 |
| Capital Finance LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/02/2023 |
| Cziment, Rafael | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/06/2024 |
| Cziment, Rafael | Individual | ADP of the SNF | NOT APPLICABLE | 11/07/2024 |
| Gastwirth, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/06/2024 |
| Jsop Holdings LLC | Organization | General Partnership Interest | NOT APPLICABLE | 05/02/2023 |
| Mandel, Joseph | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/02/2023 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 59% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| New Jersey Veterans Memorial Vineland | 5.2 mi | Vineland, NJ | ★★★☆☆ | 2/5 | |
| Bishop McCarthy Center for Rehab & Healthcare | 5.9 mi | Vineland, NJ | ★★☆☆☆ | 2/5 | |
| South Jersey Extended Care | 6.5 mi | Bridgeton, NJ | ★★★☆☆ | 2/5 | |
| Millville Center | 6.6 mi | Millville, NJ | ★★☆☆☆ | 1/5 | |
| Autumn Lake Healthcare at Vineland | 7.6 mi | Vineland, NJ | ★★★☆☆ | 3/5 | |
| Preferred Care at Cumberland | 9.0 mi | Bridgeton, NJ | ★★★★☆ | 4/5 | |
| Cedar Grove Respiratory and Nursing Center | 14.9 mi | Williamstown, NJ | ★★★★☆ | 4/5 | |
| Atlas Rehabilitation and Healthcare at Washington | 16.4 mi | Sewell, NJ | ★★★☆☆ | 2/5 | |
| United Methodist Communities at Pitman | 17.3 mi | Pitman, NJ | ★★★★★ | 5/5 | |
| The Center for Rehab & Nursing Washington Township | 17.6 mi | Sewell, NJ | ★★★☆☆ | 2/5 | |
| Autumn Lake Healthcare at Salem County | 18.2 mi | Salem, NJ | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Salem, NJ — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Autumn Lake Healthcare at Memorial Bridge — Penns Grove, NJ · overall 2/5
- Autumn Lake Healthcare at Southgate — Carneys Point, NJ · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 315014.
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