Roosevelt Care Center at Old Bridge

Name: Roosevelt Care Center at Old Bridge
Address: 1133 MARLBORO ROAD, Old Bridge, NJ, 08857, US
Telephone: 7323609830

1133 Marlboro Road, Old Bridge, NJ 08857 · Middlesex County · 180 certified beds · avg 163 residents/day · certified since Mar 1, 2012

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.49

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 (16)

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

Date	Severity	What the facility was cited for
Sep 25, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 25, 2025	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Sep 25, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Sep 25, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Aug 27, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Aug 27, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 8, 2022	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Dec 8, 2022	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 8, 2022	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 8, 2022	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Dec 8, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 8, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Dec 8, 2022	D · Potential for harm, one-off	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.
Dec 8, 2022	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Dec 8, 2022	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them.
Dec 8, 2022	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 4).

Year	Citations	Worst severity that year
2022	10	F
2024	2	D
2025	4	E

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)

Measure	This facility	New Jersey avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.49	3.88	3.95	top 18% in New Jersey; top 23% in the U.S.
Registered Nurse hours	0.69	0.67	0.69	top 34% in New Jersey; top 37% in the U.S.
Weekend total nurse staffing	4.22	3.53	3.50	top 14% in New Jersey; top 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.50	0.48	top 31% in New Jersey; top 30% in the U.S.
Total nursing staff turnover (%)	31.4	39.7	45.8	top 28% in New Jersey; top 17% in the U.S.
RN turnover (%)	23.1	37.7	42.9	top 22% in New Jersey; top 18% 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 4.56, RN 0.71, weekend 4.28. Staffing rating: 4/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Middlesex County Improvement Authority	Organization	5% or Greater Direct Ownership Interest	100%	03/01/2012
Gold, Evan	Individual	Operational/Managerial Control	NOT APPLICABLE	12/23/2023
Gold, Evan	Individual	ADP of the SNF	NOT APPLICABLE	12/23/2023
Middlesex County Improvement Authority	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2015
Niemiera, Mark	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2012

Questions to ask on your visit

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

"Who completes resident assessments here, and how do you check them for accuracy?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can I see where garbage is stored and how often it's removed?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Reformed Church Home	1.7 mi	Old Bridge, NJ	★★★★★	4/5
Preferred Care at Old Bridge, LLC	2.4 mi	Old Bridge, NJ	★★★★★	4/5
Autumn Lake Healthcare at Old Bridge	3.7 mi	Old Bridge, NJ	★★★★☆	3/5
Excel Care at Manalapan	3.8 mi	Manalapan, NJ	★★☆☆☆	1/5
Meadowbrook Respiratory and Nursing Center	4.9 mi	Matawan, NJ	★★★★☆	4/5
Complete Care at Madison, LLC	5.0 mi	Matawan, NJ	★★★★★	4/5
Careone at Holmdel	6.2 mi	Holmdel, NJ	★★★★★	4/5
Careone at East Brunswick	6.2 mi	East Brunswick, NJ	★★★☆☆	3/5
Village Point	6.6 mi	Monroe Township, NJ	★★★☆☆	2/5
Complete Care at Bayshore LLC	7.1 mi	Holmdel, NJ	★★★★☆	3/5
Allaire Rehab & Nursing	7.3 mi	Freehold, NJ	★☆☆☆☆	1/5	abuseSFF
Anchor Care and Rehabilitation Center	7.8 mi	Hazlet, NJ	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Old Bridge →

Facility data as of CMS processing date 2026-08-01. CCN 315509.

The Care File

Visit checklist — Roosevelt Care Center at Old Bridge

1133 Marlboro Road, Old Bridge, NJ 08857 · 7323609830

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 315509 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)