The Gardens at Monroe Healthcare and Rehabilitation

    189 Applegarth Rd, Monroe Township, NJ, 08831
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Good care with communication concerns

    I'm grateful for the caring, professional nurses, CNAs and therapists who helped my loved one - the place was very clean, well-run, with strong rehab, private rooms and pleasant outdoor spaces. Meals were hit-or-miss and communication/safety had some troubling lapses (lost items, medication/notification issues and a few unhelpful staff). Overall I felt my family received very good care and would recommend the facility, but I'd advise asking specific questions about communication and safety before admitting someone.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.80 · 258 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.7
    • Staff

      4.7
    • Meals

      3.9
    • Amenities

      4.3
    • Value

      2.3

    Pros

    • Compassionate, attentive nursing staff and CNAs
    • Outstanding physical and occupational therapy / strong rehab outcomes
    • Clean, well-maintained facility and rooms
    • Welcoming lobby and attractive gardens / outdoor spaces
    • Engaging activities and programs (bingo, religious services, sing-alongs, holiday events)
    • Frequent, proactive family communication and regular family meetings
    • Responsive, hands-on administration and praised leadership (named administrator mentioned)
    • Private-room options when available
    • Prompt call responses and good nurse/aid ratios
    • Long-tenured, familiar staff who know residents by name and history
    • Many on-site medical services and clear medical updates (x-rays, progress reports)
    • Helpful, friendly front-desk and admissions staff
    • Good value for money
    • Reliable transportation and discharge/transition assistance
    • Free laundry and other supportive services
    • Clean, bright common areas and renovated sections reported
    • Supportive, motivating, and personalized therapy approach
    • Respectful, family-like atmosphere reported by many families
    • Dietary accommodations and some reports of delicious, well-presented meals
    • Strong infection control/PPE and thorough isolation care in some accounts

    Cons

    • Inconsistent food quality—some describe meals as awful or hit-or-miss
    • Reports of safety lapses including falls and near-falls
    • Instances of poor communication or withheld medical information
    • Occasional apathetic or disengaged staff (nurses or therapists)
    • Older areas of the building needing renovation; some sections described as dated or motel-like
    • Musty odors reported in parts of the facility
    • Noisy hallways at times
    • Cramped or outdated therapy spaces reported by some reviewers
    • Medication management concerns (psychotropic meds, antibiotics, potential over/under-treatment)
    • Perceived discriminatory or insurance-driven discharge practices in isolated incidents
    • Management unresponsiveness reported in some serious cases
    • Lost personal belongings with unsatisfactory resolution
    • COVID infections and related outbreaks reported in a few reviews
    • At least one report of a serious adverse outcome (patient death) linked to care delays
    • Front-desk or administrative staff described as unfriendly or unhelpful in some accounts
    • Inconsistent cleanliness/maintenance perceptions across reviewers
    • Cases of delayed diagnoses or untimely medical responses
    • Reports of staff burnout or a “cranky” nurse affecting experience
    • Variability in therapy quality—some outstanding, some inadequate
    • Concerns about follow-up or continuity post-discharge in a few reviews

    Summary review

    Overall sentiment: The Gardens at Monroe Healthcare and Rehabilitation receives predominantly positive feedback across a large number of reviews, with many families and residents describing outstanding, compassionate, and professional care—especially in nursing, CNAs, and rehabilitation services. A strong, recurring theme is the excellence of the physical and occupational therapy teams and the facility's ability to deliver effective rehab outcomes. Many reviewers report significant recovery and improvement during their stays. Cleanliness and maintenance are frequently praised, with numerous mentions of bright, open common areas, a welcoming lobby (fireplace noted), and beautiful gardens that contribute to a family-like and healing environment. Administrative leadership is often singled out positively by name, and staff longevity—people who know residents’ histories—reinforces a sense of continuity and trust for many families.

    Care quality and staff: The dominant positive narrative highlights warm, attentive, and skilled staff at nearly every level: nurses, CNAs, therapists, social workers, dietary and housekeeping personnel. Families frequently report prompt responsiveness to calls and needs, individualized therapy, and proactive updates from staff and social work. Many reviewers felt their loved ones were treated like family, appreciated the hand-holding during transitions, and valued the respectful, compassionate interactions. However, these strengths coexist with notable negative accounts. A minority of reviewers report apathetic or disengaged caregivers, lapses in nursing oversight, incidents of falls without timely family notification, and in rare but serious cases delayed diagnoses or withheld medical information (for example, x-ray/pneumonia communication issues). There are also reports of medication management concerns, including use of psychotropic medications and perceived decline in mental state after admission in isolated instances. These adverse reports suggest variable consistency in care practices across shifts or units.

    Rehabilitation and therapy: The Gardens is repeatedly described as a top-tier rehab facility by many reviewers. Physical and occupational therapy teams receive particularly high marks for motivating, supportive, and effective rehabilitation programs. Some reviewers credit the therapy staff with significant functional gains and improved mobility within short stays. A few reviews, however, describe unsupervised or inadequate therapy sessions and an apathetic therapist—indicating uneven experiences for a minority of patients. Overall, the pattern strongly favors high-quality rehab care, but prospective families should confirm therapy schedules and staff credentials during admission.

    Facilities, cleanliness and amenities: Most reviewers describe the facility as very clean, well-maintained, and recently updated in many areas, praising private rooms, clean bathrooms, laundry service, and pleasant outdoor courtyard spaces. The gardens and inviting lobby are recurring positives. Nevertheless, multiple reviewers note that parts of the building are older and need renovation; several described a motel-like appearance or musty odors and noisy hallways. There are specific comments about cramped or outdated PT/OT rooms in some reports, even as others describe excellent, updated rehab areas. These mixed observations indicate that physical condition may vary by wing or over time depending on recent renovations.

    Dining and activities: Dining receives mixed-to-positive commentary. Many reviewers describe meals as delicious, plentiful, well-presented, and accommodating to dietary needs, and some report weight gain due to appealing food. Others criticize the food as unappealing or “awful” and describe inconsistent quality. Activities programming (bingo, Yahtzee, religious services, sing-alongs, holiday events) and social opportunities are frequently praised; residents and families note a lively activity calendar that supports engagement and a family atmosphere.

    Management, communication and policies: Administration and leadership receive strong praise from many reviewers, with specific staff and the administrator named for going above and beyond, providing regular family meetings, and facilitating transitions. Families highlight proactive communication, regular progress updates, and a responsive director. Conversely, several reviews describe management unresponsiveness in serious situations (lost belongings, perceived discrimination tied to insurance status, or failure to address safety issues). A few reviewers report forced discharges they felt were related to insurance or discriminatory attitudes. Communication appears to be a strength for many families but a critical failure point in a minority of serious incidents.

    Safety and adverse incidents: While many reviews indicate residents felt safe and well-cared for, there are repeated concerns about safety lapses in a subset of reviews—particularly falls, near-falls due to equipment problems (e.g., ill-fitting bedside commode bowl), and at least one report of a patient suffering another stroke and a death linked by the reviewer to delayed/unresponsive care. Infection control and PPE/isolation care were praised by some reviewers, but there are also mentions of COVID infection events and perceived mismanagement associated with lost items and lack of reimbursement. These opposing accounts suggest generally effective infection control most of the time, but also occasional lapses or outbreak events.

    Patterns and reliability: The most consistent pattern is overwhelmingly positive experiences centered on caring staff, excellent rehab outcomes, and a clean, garden-like environment. However, there is a non-negligible minority of reviews that report serious problems—safety lapses, communication breakdowns, medication-management concerns, and administrative unresponsiveness. These negative reports are relatively less frequent but often describe more severe consequences and therefore warrant attention. Variability in experience may reflect differences among units, shifts, individual staff members, or changing conditions over time.

    Recommendation and caveats: Based on the aggregated reviews, The Gardens at Monroe appears to be a strong choice for post-acute rehabilitation and skilled nursing care for many families, particularly when therapy and compassionate nursing are priorities. Prospective residents and families should tour the facility, ask about recent renovations and which wing their loved one will be placed in, review safety protocols (fall prevention, medication management), confirm communication practices and escalation procedures, and discuss dietary options if meal quality is important. It is also prudent to ask about infection-control measures and procedures for handling lost personal items. While the overall consensus is very favorable—with many reviewers highly recommending the facility—the highlighted negative incidents suggest verifying current management responsiveness and consistency of care before and during admission.

    Location

    Map showing location of The Gardens at Monroe Healthcare and Rehabilitation

    About The Gardens at Monroe Healthcare and Rehabilitation

    The Gardens at Monroe Healthcare and Rehabilitation sits on 11 scenic acres in Monroe Township, NJ, so seniors who move here can enjoy a quiet country setting while still having access to the services they might need as they age, and with 136 certified beds and a steady resident population of about 122 people, there's enough space but it never feels too crowded. The facility provides a range of care options, including independent living for healthy seniors who want fewer chores, assisted living for those needing help with daily tasks, and memory care designed for people with Alzheimer's or dementia, where staff focus on safety and preventing wandering. People who just need a little help can find home care here, with trained aides offering support and companionship, and long-term care is available for those who need more constant nursing supervision. Rehabilitation services cover short-term stays, post-surgical recovery, wound care, pain management, pulmonary and cardiac rehab, and even hospice care when it's needed, because you really get all kinds of medical support here.

    Staff spend an average of about 1.16 hours per resident on direct care, including 0.68 hours by registered nurses and 2.25 hours by CNAs, and people talk about how staff are friendly, helpful, and joyful, always aiming for kindness, and the community is known for taking meals seriously, with "Kitchen George" preparing food planned out by chefs and meal planners who care about taste and nutrition. The community has won awards like Best Meals and Dining, Best Activities, and Most Friendly, and it's not hard to see why, since activities are planned to help keep seniors active, both in body and mind, and there's a warm social environment that helps residents feel they belong. There are family and resident councils so people living here and their loved ones can have a say in how things work.

    When it comes to health, the numbers show that 23% of short-stay residents have pressure sores, 15% report moderate to severe pain, but 0% had delirium, and vaccinations rates stay high; 99% got the pneumococcal shot and 90% received a flu shot during flu season, while long-term residents do somewhat better, with 4% of low-risk and 15% of high-risk folks having pressure sores, 1% with moderate or severe pain, and 13% seeing an increase in help needed with daily activities-still, 5% develop UTIs, 18% feel more depressed or anxious, and a 6% rate of restraint use is something to be aware of, as is the 64% of low-risk residents losing control of bowels or bladder. The Gardens is a for-profit corporation and participates in both Medicare and Medicaid, and it has fully sprinklered buildings to keep residents safe in case of fire. There's not any type of continuing care contract, but there's a staff of nurses, personal care aides, physical therapists, administrative workers, and support staff, all working to deliver reliable care and a stable, vibrant place for older adults to live with dignity in a peaceful environment.

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