Overall Score
CMS Five-Star Quality Rating- Much below average
- Below average
- Average
- Above average
- Much above average
Where it ranks
- New JerseyAbove 53% of peers344 rated homes · average 3.3★
- Monmouth CountyAbove only 44% of peers33 rated homes · average 3.6★
- United StatesAbove 61% of peers14,574 rated homes · average 3.0★
How the rating is built
- Health inspectionsStarting point3★+0.2 vs NJ avg
- StaffingCan add or remove a star3★±0.0 vs NJ avg
- Quality measuresCan add or remove a star5★+0.6 vs NJ avg
CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.
Ratings & measures
Tap a row to see what it meansHealth inspection ratingCMS stars from the last three on-site inspection cycles3★Above only 45% of peersNJ avg2.8★U.S. avg2.8★
Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.
It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.
Staffing ratingCMS stars from payroll-reported hours and turnover3★Above only 35% of peersNJ avg3.0★U.S. avg2.9★
Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.
More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.
Quality measures ratingCMS stars from clinical outcomes and resident assessments5★Above only 42% of peersNJ avg4.4★U.S. avg3.6★
Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.
It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.
Total nurse hoursPer resident per day, all nursing staff3.31hrsAbove only 21% of peersNJ avg3.86Benchmark4.10
All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.
Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.
RN hoursPer resident per day, registered nurses only0.79hrsAbove 74% of peersNJ avg0.69Benchmark0.75
Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.
RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.
Nursing staff turnoverShare of nursing staff who left within a year · lower is better41%Above only 47% of peersNJ avg41%RN turnover35%
The share of nursing staff who left within the past year, from the same payroll data.
High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.
Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$33,000Above only 24% of peersNJ avg$35,495Fines · denials1 · 0
Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.
Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.
Inspection history
Last three inspection cyclesCitations by monthJan 2021 – Mar 2025
- No actual harm (D–F)
- Actual harm (G–I)
- Immediate jeopardy (J–L)
- $Fine or payment denial
Showing
Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.
Mar 19, 2025Cycle 1worst F · no actual harm
- F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Apr 30, 2025
- F880Provide and implement an infection prevention and control program.Infection ControlF · widespreadCorrected Apr 30, 2025
- F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Resident RightsC · widespreadCorrected Apr 30, 2025
- F583Keep residents' personal and medical records private and confidential.Resident RightsD · isolatedCorrected Apr 30, 2025
Mar 3, 2023Cycle 2worst J · immediate jeopardy$33,000
- F759Ensure medication error rates are not 5 percent or greater.Pharmacy ServiceD · isolatedCorrected Apr 12, 2023
- F760Ensure that residents are free from significant medication errors.Pharmacy ServiceJ · isolatedCorrected Apr 12, 2023
- F880Provide and implement an infection prevention and control program.Infection ControlF · widespreadCorrected Apr 12, 2023
- F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningD · isolatedCorrected Apr 12, 2023
- F732Post nurse staffing information every day.Nursing and Physician ServicesD · isolatedCorrected Apr 12, 2023
- F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy ServiceD · isolatedCorrected Apr 12, 2023
Jan 20, 2021Cycle 3worst E · no actual harm
- F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Apr 30, 2021
Staffing
From quarterly payroll reportsHours per resident per day
- All nursing staffRNs, LPNs and aides combined3.31hrs
- Registered nursesRN hours only0.79hrs
- Licensed practical nursesLPN hours0.77hrs
- Nurse aidesCNA hours1.75hrs
- Weekend nursingAll staff on Saturdays and Sundays2.76hrs
- New Jersey average
- Research benchmark (4.10 total, 0.75 RN)
Turnover & capacity
- Nursing staff turnoverShare who left within a year · lower is better41%Above only 47% of peersNJ avg 41%
- RN turnoverRegistered nurses only35%Not ranked by CMS
- Administrators who leftIn the past year0Stable leadership
- Occupancy151 certified beds · ~96 residents a day64%Above only 9% of peersNJ avg 82%
Fines & penalties
Roughly the past three yearsEnforcement summary
- $33,000In fines
- 1Fine
- 0Payment denials
- $35,495NJ avg in fines
Actions on record
- Mar 3, 2023Civil money penalty$33,000
Ownership
As filed with CMSStructure
- Ownership type
- For profit - Partnership
- Chain
- Independent
- Certification
- Medicare and Medicaid
- Location type
- Urban
- Ownership change
- None in the last 12 months
People and entities on file
- 18 Karat LLC
- Esther Friedman Revocable Trust for Heshy Sobel
- Kaszirer Family Trust
- Route 9 North LLC
- Wedgwood Gardens Care Center
- Miriam Kaszirer
- Sarah Kaszirer
- Henry Kaszirer
- Robert Kaszirer
- Henry Kaszirer
- Heshy Sobel
- Robert Kaszirer
- Sarah Kaszirer
Person Organization
Sources & notes
Public data, updated quarterlyData sources
- CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
- CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
- CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.
Notes
- CMS Certification Number 315504 · 3419 HIGHWAY 9, FREEHOLD, NJ, 07728.
- Percentiles compare this facility with every rated nursing home in New Jersey and Monmouth County. Turnover and fines are inverted so a high percentile is always good.
- This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.
