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Nursing HomeMedicaid Investigative

Shore Gardens Rehabilitation and Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

231 Warner Street, Toms River · Toms River, NJ 08755149 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 63 Google reviews

5
4
3
2
1
Shore Gardens Rehabilitation and Nursing Center Nursing Home in Toms River, NJ — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (13 vs median 7)

Bottom 25% in NJ · Critically understaffed (RN) · $188,976 in fines

Source: Medicare data

What this means for your family

While the facility's therapy team and activities program receive high marks, the recurring, serious reports of medication errors and neglect are significant red flags. If you are considering this facility, we strongly recommend conducting an unannounced visit and asking specifically about their medication administration protocols and how they handle patient hygiene requests.

Google Reviews

Google Reviews

63 reviews on Google
Shore Gardens Rehabilitation and Nursing Center receives highly polarized reviews, with some residents praising the therapy team and specific staff members, while others report severe neglect and safety concerns. Frequent criticisms include poor hygiene, medication errors, and significant delays in basic patient care, such as assistance with toileting and feeding. Families considering this facility should be aware of the stark contrast between positive experiences and reports of dangerous lapses in medical oversight.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean3.0Activities8.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly regarded physical and occupational therapy team
  • Specific staff members noted for kindness and professionalism
  • Cheerful and well-decorated common areas
  • Autonomy provided to long-term residents

Concerns

  • Neglect of basic hygiene and toileting needs (mentioned by 8 reviewers)
  • Medication management errors and over-prescribing (mentioned by 5 reviewers)
  • Poor food quality and lack of nutritional support (mentioned by 5 reviewers)
  • Understaffing leading to slow response times (mentioned by 4 reviewers)
  • Development or worsening of bed sores/wounds (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'18(1)'20(6)'22(11)'24(6)'26(4)

Distribution · 65 analyzed

5
35
4
4
3
2
2
4
1
20

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the facility's focus on physical and occupational therapy, how do you coordinate those sessions with daily care routines to ensure residents remain comfortable?
  • 2Can you walk me through the specific protocols in place for monitoring skin integrity and preventing pressure wounds for residents with limited mobility?
  • 3What is the current process for ensuring timely assistance with toileting and hygiene, especially during shift changes or peak hours?
  • 4How does the nursing team manage medication administration and reconciliation to ensure accuracy for residents with complex health needs?
  • 5What steps are being taken to improve the variety and nutritional quality of the dining program to better meet the dietary preferences of your residents?
  • 6How do you ensure consistent communication with families regarding changes in a resident's health status or care plan?

Personalized based on this facility's data


Key Review Excerpts

My father was a known fall risk. More than once in the day he was found undressed and unfed alone in a room. Furniture is broken and filthy in every room.

Long-term resident's family · 2024☆☆☆☆

Shore Gardens almost killed my father today by overdosing him with the wrong medication bcuz the nurse Cathy did not read his chart correctly. Also my mom went to see my father only to find him in filth.

Long-term resident's family · 2024☆☆☆☆

My experience with all the therapists was excellent. With their help, I was able to come home and am doing very well.

Rehab patient · 2023★★★★★
Source: 63 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.30hrs
41%
Registered nurses for medical care
Total Nursing
3.01hrs
73%
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
40%
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

Quality Measures

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

Medicare Rating
3/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
19.4%
NJ
15.7%
Ocean
19.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
15.4%
NJ
12.7%
Ocean
11.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.3%
NJ
9.1%
Ocean
8.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility17.4%
Worse than Avg
Here
17.4%
US
12.1%
NJ
11.7%
Ocean
11.0%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility88.5%
Worse than Avg
Here
88.5%
US
93.4%
NJ
93.0%
Ocean
89.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.7%
Worse than Avg
Here
23.7%
US
19.5%
NJ
18.9%
Ocean
22.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility41.5%
Worse than Avg
Here
41.5%
US
81.8%
NJ
78.7%
Ocean
71.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility61.4%
Worse than Avg
Here
61.4%
US
79.7%
NJ
80.1%
Ocean
76.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.1%
Worse than Avg
Here
4.1%
US
1.6%
NJ
1.2%
Ocean
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
4penalties
Well above state avg (8.5)
14 complaint-triggered
$188,976 in fines

Shore Gardens has faced recurring issues with families filing multiple complaints about resident rights violations, abuse and neglect response protocols, and food service quality. Key problem areas include maintaining a safe and comfortable environment for residents, proper medication management, and infection control procedures. While most deficiencies show correction dates, the pattern of repeated violations in core care areas and the significant number of family-initiated complaints suggest ongoing quality concerns that warrant careful evaluation during any visit.

Jan 5, 2026Complaint
1
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Aug 20, 2025Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

May 8, 2025Complaint
2
0584Potential for harm · WidespreadCorrected

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.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Feb 14, 2025Routine
11
0531Potential for harm · WidespreadCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0761Potential for harm · PatternCorrected

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 14, 2025Complaint
2
0584Potential for harm · WidespreadCorrected

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.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Nov 22, 2024Complaint
3
0610Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0835Potential for harm · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Federal Penalties

Fine

Jan 5, 2026

$14,015

Fine

May 8, 2025

$35,432

Fine

Feb 14, 2025

$34,457

Fine

Nov 22, 2024

$100,009

Ownership & Operations

Who Operates This Facility

Owner / Operator

Shore Gardens Rehabilitation and Nursing Center

Organization Type

for profit

Ownership & Management

Owners

Abramczyk, Jacob

Owner

31%

Abramczyk, Joseph

Owner

21%

Abramczyk, Naftoli

Owner

25%

Shapiro, Sima

Owner

23%

Key personnel

Engelson, DanielW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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