Nursing home
Gardens at Monroe Healthcare and Rehabilitation
189 Applegarth Road, Monroe Township, NJ 08831 · Map
For profit - Individual · 136 certified beds
Gardens at Monroe Healthcare and Rehabilitation is a Medicare-certified nursing home in Monroe Township, New Jersey. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.92 hours per resident per day, above the New Jersey average of 3.86. Its most recent inspection on Apr 9, 2025 cited 4 deficiencies.
- 1 fine totaling $61,120In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Gardens at Monroe Healthcare and Rehabilitation compares
This facility vs. the New Jersey and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Jersey avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.92 | 3.86 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.84 | 0.69 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.33 | 2.23 | 2.34 | above avg |
| Nursing staff turnover | 22.7% | 40.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 8.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 9, 2025 inspection was corrected by May 16, 2025
Penalties in CMS records: 1 fine totaling $61,120, 1 total penalty.
What inspectors found at Gardens at Monroe Healthcare and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 9, 2025 · Full report (PDF) - Minimal
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · May 4, 2023
Show all 12 deficiencies
- Potential for harm
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies · May 4, 2023 - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · May 4, 2023 - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 4, 2023 - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 4, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 4, 2023 - Potential for harm
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.
Resident Rights Deficiencies · May 4, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · May 4, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 189 Applegarth Road
Monroe Township, NJ 08831 - CMS certification #
- 315336
- Ownership
- For profit - Individual
- Certified beds
- 136
- Avg residents/day
- 100.3
- Provider type
- Medicare and Medicaid
- First certified
- 1994-10-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Gardens at Monroe Healthcare and Rehabilitation using Google Maps.
Other public records
- Website says Respite stays, works with hospice
- Emergency In hurricane evacuation zone Middlesex-G3
Full public records, with dates and sources
Care and services
From the community’s website
What Gardens at Monroe Healthcare and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
For families who are providing care for a loved one at home, respite care is available for stays of three days to a few weeks.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
For those who have been diagnosed with terminal illness, we also provide compassionate in-house hospice care.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- University Medical Center Of Princeton At Plainsboro, Plainsboro. 8.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Cranbury Center, Monroe Township. 1.6 miles away, straight line.
- Nearest home health agency office
- Penn Medicine Home Health Princeton Health, Princeton. 8.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 3.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 08831 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Monroe Township Dialysis, Monroe Township, 1.8 miles away, straight line (CMS rating 5 of 5 stars)
Dci Monroe, Monroe, 3.9 miles away, straight line (CMS rating 4 of 5 stars)
Davita Princeton Junction Dialysis, Princeton Junction, 7.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 32 Medicare hospices tell CMS they serve ZIP code 08831.
Penn Medicine Hospice Princeton Health, office in Princeton, 8.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Dove Hospice Services Of New Jersey, LLC, office in Manalapan, 9.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Spero Hospice & Palliative Care, office in East Brunswick, 10.6 miles away, straight line - Nearest geriatric medicine practice
- Saint Peter'S Healthcare System Physician Associates, Monroe. 1.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Middlesex-G3 (Zone G: Captures the flooding hazard areas of Lawrence Brook/Westons Mill Pond, etc.) on the New Jersey hurricane evacuation zones (2020 hurricane evacuation study). (FEMA Region 2 / New Jersey Office of Emergency Management, map updated Jan 8, 2024)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively moderate, inland flooding very high, wildfire relatively low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Gardens at Monroe Healthcare and Rehabilitation a good nursing home?
CMS gives Gardens at Monroe Healthcare and Rehabilitation an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Gardens at Monroe Healthcare and Rehabilitation staffed?
Gardens at Monroe Healthcare and Rehabilitation reports 3.92 total nurse hours per resident per day, compared with the New Jersey average of 3.86.
Has Gardens at Monroe Healthcare and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Gardens at Monroe Healthcare and Rehabilitation have?
Gardens at Monroe Healthcare and Rehabilitation is certified for 136 beds.