Nursing HomeMedicaid

Big Oak Rehabilitation and Healthcare Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

849 Big Oak Road, Pittsgrove, NJ 08318|84 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

4.5/5

based on 106 Google reviews

(856) 451-5000 Directions Website

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What this means for your family

While the facility has a dedicated core of aides who provide excellent, compassionate care, the recurring reports of hygiene issues and bed bugs are a critical red flag. We strongly recommend that you conduct an unannounced visit to inspect the cleanliness of the rooms and ask management directly about their pest control protocols and nursing-to-patient ratios before admitting a loved one.

Google Reviews

106 reviews on Google

“Big Oak Rehabilitation and Healthcare Center receives highly polarized feedback, with many families praising specific staff members like Millie Lewis for their compassionate, personalized care. However, significant concerns regarding facility hygiene, including reports of bed bugs and cleanliness issues, as well as inconsistent nursing care and poor food quality, persist across multiple negative reviews. Families should be aware that while many report a positive, family-like atmosphere, others have experienced severe neglect and communication failures.”

Quality Themes

Tap a score for details

Strengths

Highly compassionate and attentive individual nursing aides
Strong, dedicated physical therapy department
Small, cozy facility environment
Helpful administrative staff for admissions and respite care

Concerns

Hygiene and sanitation issues (bed bugs, dirty linens, odors) (mentioned by 4 reviewers)
Poor food quality and unappealing meals (mentioned by 4 reviewers)
Inconsistent nursing care and neglect (medication errors, hygiene neglect) (mentioned by 5 reviewers)
Poor communication and difficulty reaching management (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 97 analyzed

⚡15 reviews posted between Oct 5, 2025 – Oct 9, 2025 · 14 were 5-star

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

1Given the recent feedback regarding facility cleanliness, what specific protocols and schedules are currently in place to ensure resident rooms and linens remain sanitized and odor-free?
2I noticed the facility has a dedicated physical therapy department; how do you integrate those services into the daily routine for residents who need consistent mobility support?
3Could you walk me through your current process for medication administration and how you ensure accuracy and consistency for residents with complex health needs?
4We value open communication; what is the best way for family members to reach management or nursing leadership if we have urgent questions or concerns about our loved one's care?
5Regarding the dining experience, what steps are being taken to improve the quality and variety of meals provided to residents?
6I see that you actively engage with online feedback; how do you use that input from families to make tangible improvements to the daily life and care standards here?

Personalized based on this facility's data

Key Review Excerpts

“Millie Lewis has been takes care of our cousin who is currently in rehab. We are very thankful to have such a wonderful lady taking care of our family member.”

Rehab patient's family · 2025★★★★★

“The nurses have been on top of his care from day one, caregivers that were not assigned to my family member would come in just to check in on him and other residents, the physical therapists have been patient and caring.”

Long-term resident's family · 2023★★★★☆

“My boyfriend’s just had to sign out his grandma out of this place not even an hour ago due to bugs being in the food. When she brought it up it one of the nurses they had the audacity to smirk in her face and tell her it was perfectly fine.”

Resident's family · 2025★☆☆☆☆

Source: 106 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.29hrs

38%

Registered nurses for medical care

Total Nursing

3.56hrs

87%

All nurses + aides combined

Staff Turnover

55%

Lower is better (< 30% = good)

RN Turnover

88%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility3.8%

Better than Avg

Here

3.8%

15.3%

9.1%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility3.1%

Better than Avg

Here

3.1%

14.4%

9.2%

😔

Residents with depression symptoms

↓ Lower is better

This Facility2.6%

Better than Avg

Here

2.6%

12.1%

11.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility13.9%

Better than Avg

Here

13.9%

19.4%

15.7%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility24.5%

Worse than Avg

Here

24.5%

19.5%

18.9%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility10.3%

Better than Avg

Here

10.3%

15.5%

12.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility33.1%

Worse than Avg

Here

33.1%

81.8%

78.7%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility47.2%

Worse than Avg

Here

47.2%

79.8%

80.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.2%

Worse than Avg

Here

2.2%

1.6%

1.2%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies

Well below state avg (8.5)

8 complaint-triggered

Big Oak Rehabilitation has a concerning pattern with 45 deficiencies across 6 surveys, including 8 complaint-triggered issues where families reported problems. The facility shows recurring problems with infection control, fire safety systems, and medication management that persist across multiple inspections. While all deficiencies have correction dates, the repeated nature of issues in critical areas like infection prevention and safety systems suggests ongoing operational challenges that families should carefully consider.

Mar 26, 2026Routine7 findings

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0344Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an alternate power supply for its alarm system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

Mar 26, 2026Complaint1 finding

0802Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Jul 25, 2025Complaint1 finding

0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

Dec 11, 2024Routine25 findings

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · PatternCorrected

Infection Control Deficiencies

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.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0868Potential for harm · IsolatedCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Dec 11, 2024Complaint2 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Sep 7, 2023Complaint2 findings

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Big Oak Rehabilitation and Healthcare Center

Organization Type

for profit

Ownership & Management

Owners

Gardens Holdco LLC

Owner · Organization

100%

849 Big Oak Rd Holdings LLC