Rose Garden Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
but getting in and out of the door to the second-floor patio would be challenging. The AA also stated that
she thought Resident #1 would be able to get water from the cooler. The AA acknowledged that Resident #1 should have been monitored. The AA was unable to answer to the clothing Resident #1 was wearing on 7/3/25, or a skin assessment prior to being transferred because 911 was called immediately and the resident was sent out to the hospital.The facility submitted an acceptable Removal Plan (RP) indicating what actions the facility implemented post incident to prevent serious harm from occurring or recurring. The facility implemented a corrective action plan to remediate the deficient practice to include; 15-minute checks were implemented on all outdoor areas (patio, courtyard, entrance) for 72 hours, checks recorded on log sheets. Notifications to NJDOH, Ombudsman Office and facility administrative staff were sent. Patio keypad was changed from opening from 8:00 AM to 8:00 PM to locked. All employees at the facility were educated
on Resident Safety/Heat Advisory. CNA #1 received inservice/education on Resident Safety and CNA #2 received inservice/education on Resident Safety, knowing your assigned resident's whereabouts, making rounds on assigned residents and received a 3-day suspension. A facility wide inservice on the new Outdoor Resident Policy was initiated with Resident Safety/Updated Log Sheets and camera installation on
the patio was completed. In addition, 30-minute checks remain on all outdoor areas recorded on log sheets.The facility self-corrected their non-compliance on 7/11/25. The surveyor verified the implementation of the RP on-site on 10/31/25 during a continuation of the survey.NJAC 8:39-4.1(a)(5)
Event ID:
Facility ID:
If continuation sheet
ROSE GARDEN NURSING AND REHABILITATION CENTER in TOMS RIVER, NJ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TOMS RIVER, NJ, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ROSE GARDEN NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.