Pine Acres Healthcare & Rehabilitation Center

    51 Madison Ave, Madison, NJ, 07940
    4.0 · 87 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Compassionate care but inconsistent staffing

    My experience was mostly very positive: the staff were compassionate, attentive and professional, therapies (PT/OT) and nursing care were excellent, meds and pain were well-managed, the facility was clean, modern and welcoming, management was accessible and admissions were smooth - giving our family real peace of mind. That said, I saw inconsistent staffing (nights/one floor), some communication lapses (including DNR confusion), isolated incidents of missed care, cold meals and even a few issues with belongings, so quality can vary by shift. I would recommend Pine Acres for rehab and long-term care but advise staying engaged and clarifying staffing/communication expectations up front.

    Pricing

    Schedule a Tour

    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

    4.05 · 87 reviews

    Overall rating

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

      4.1
    • Staff

      4.1
    • Meals

      2.8
    • Amenities

      4.4
    • Value

      4.0

    Pros

    • Skilled, caring nursing staff
    • Compassionate and attentive aides
    • Outstanding physical and occupational therapy (OT/PT)
    • Successful short-term rehab and discharges home
    • Responsive, accessible administration and admissions staff
    • Personalized, individualized care and name recognition
    • Clean, well-maintained and freshly decorated facility
    • State-of-the-art, modern sections and well-kept older building
    • 24-hour supervised care and safe environment
    • Warm, welcoming, home-like atmosphere
    • Engaging recreational and activity programming
    • Meaningful social work and family communication (when present)
    • Dietary oversight and ability to accommodate food preferences
    • Delicious/appealing menu reported by some families
    • Peace of mind and emotional support for families
    • Proactive therapy teams and encouraging therapists
    • Responsive bedside/front desk staff and helpful reception
    • Proximity to Morristown Memorial Hospital
    • Dedicated hospice coordination and compassionate end-of-life support
    • Multiple common areas and pleasant outdoor landscaping/walking areas
    • Private-room availability and comfortable shared-room accommodations
    • Admissions process described as smooth and hands-on
    • Staff who “go the extra mile” and provide above-and-beyond care
    • Acceptance of Medicaid
    • Administrative staff who follow up by phone/email and hold family/resident meetings

    Cons

    • Chronic understaffing, especially on second floor and nights/weekends
    • Delayed or missed pain medications and medication management issues
    • Serious clinical lapses reported (untreated UTI, sepsis, failure to monitor CHF weight)
    • Inconsistent quality of care between floors and shifts
    • Poor or delayed communication with families
    • Rude or unprofessional staff and front-desk/reception issues
    • Incidents of neglect (unanswered call button, prolonged wet diapers)
    • Unsafe or inappropriate meal service (wrong textures, feeding while lying down)
    • Food served cold and meals not consistently liked
    • Misinterpretation or miscommunication about DNR status
    • Theft or mishandling of valuables and personal belongings
    • Perception by some that facility is profit-driven
    • Shared bathrooms (4-to-1) and some outdated areas
    • Failure to read charts or follow care plans
    • Hospitalizations attributed to facility care lapses
    • Poor nighttime responsiveness and long delay in assistance
    • Limited weekend visitation reported by some
    • Variability in administrative responsiveness (names: some highly praised while others unresponsive)
    • Safety concerns during transport (e.g., sent to dialysis without proper clothing)
    • Occasional staffing that forces residents to eat with their hands
    • Emotional distress and loss of trust after adverse events
    • Reports of patients deteriorating or dying after perceived neglect
    • Inadequate management of infection risks
    • Instances where long-term placement was pushed over short-term rehab recommendations
    • Mixed reviews on long-term suitability despite strong subacute/rehab reputation

    Summary review

    Overall sentiment: The reviews for Pine Acres Healthcare & Rehabilitation Center are mixed but contain strong recurring themes. A large portion of reviewers praise the facility for excellent short-term rehabilitation, highly skilled therapy teams, compassionate bedside caregivers, and a clean, welcoming physical environment. Many families describe staff who are warm, attentive, and willing to “go the extra mile,” and multiple administrators and front-line staff are individually named and commended for hands-on responsiveness and follow-up. At the same time, there is a persistent and significant subset of reviews that describe serious clinical lapses, staffing shortages, communication failures, safety incidents, and episodes of neglect. These negative reports range from poor customer service to life-threatening failures of care.

    Care quality and clinical themes: The strongest and most consistent positive theme is excellence in rehabilitation services—physical and occupational therapy repeatedly receive high marks for knowledge, encouragement, and effective outcomes, with several cases describing successful discharges home. Many reviewers also praise skilled nursing care and compassionate aides who provide individualized attention. Conversely, the most alarming negative reports describe critical clinical failures: untreated urinary tract infections progressing to sepsis, failure to monitor weight in congestive heart failure patients, delayed or missed medications including pain meds, and charts not being read or followed. These incidents are not isolated to minor complaints; multiple reviews attribute hospitalizations and even deaths to perceived neglect or incompetence. A clear pattern emerges that clinical quality and safety can vary substantially by floor, shift, and staff on duty.

    Staffing, consistency and variability: Across reviews there is a pronounced variability in experience tied to staffing levels and specific teams. Many reviewers singled out first-floor and rehab-floor staff as “terrific,” while the second floor, nights and weekends are repeatedly criticized as understaffed and slow to respond. Nighttime delays, unanswered call buttons, and long waits for bathroom assistance are recurring concerns. Several families described situations where understaffing led to compromised feeding, hygiene, and timely medication—instances that directly impacted residents’ health. This inconsistency suggests that while strong teams exist within Pine Acres, coverage and adherence to standards are not uniform across the facility or across time periods.

    Management, communication and administration: Administrative responsiveness is another mixed area. Numerous reviews highlight highly engaged admissions directors and administrators (several by name) who provide personal attention, frequent communication, meetings with families, and prompt problem resolution. These administrators contributed significantly to positive impressions and to smooth admissions and discharges. However, other reviews accuse leadership and the Director of Nursing of being unresponsive, dismissive, or even profit-driven—especially in complaints about pushing long-term placement against hospital recommendations. The net takeaway is that management engagement is a major driver of family satisfaction, but experiences vary; some families feel well-informed and supported, while others feel ignored.

    Facility, cleanliness and amenities: Many reviews praise Pine Acres’ cleanliness, recent renovations, bright and modern sections, pleasant landscaping, and multiple common areas. The environment is described as home-like and safe, with private and shared-room options. Several families appreciated proximity to Morristown Memorial Hospital. At the same time, a subset of reviewers mention older, unattractive areas and shared bathrooms (4-to-1) that make long-term residency less appealing. Odor and cleanliness complaints appear in some negative reviews (e.g., wheelchair odor, strong bodily odors), suggesting that environmental standards are excellent in many parts of the facility but inconsistent in others.

    Dining and nutrition: Dining receives mixed commentary. Positives include appealing menus, nutritionist oversight, the ability to accommodate special diets and even allow home-cooked food, and instances where food was described as delicious. Negatives include repeated notes of food served cold, meals not to residents’ liking, and serious safety lapses—such as wrong-texture food served to residents who required pureed diets and feeding while a resident was lying down, contributing to aspiration. These are not mere taste complaints; they represent safety issues when diet texture and feeding protocols are not followed.

    Activities, social work and family engagement: Recreational programming and social work are generally positively regarded, with families noting engaging activities, meaningful therapy-led programs, and staff who treat residents with dignity and respect. Several reviews emphasize family meetings, regular doctor/psychiatrist rounds, and social work involvement that improved family trust and resident outcomes. Positive communication from therapy teams and social work is repeatedly connected to successful rehab outcomes and family satisfaction.

    Safety, theft and ethical concerns: A notable cluster of severe concerns centers on safety and integrity: reports of theft or mishandling of valuables, inconsistent charting and failure to follow care plans, and at least one allegation of cash stored insecurely and belongings lost. Combined with reported clinical lapses and neglect, these incidents erode trust for some families and raise questions about systems for accountability, resident property security, and care oversight.

    Patterns and recommendations implied by reviews: The dominant pattern is one of polarizing experiences—many families rave about the staff, therapists, clean environment, and successful rehab stays, while others recount traumatic experiences involving neglect, mismanagement, or clinical error. Positive reports cluster around rehab/subacute stays and named staff who were engaged and available; negative reports cluster around nights, weekends, certain floors, and systemic issues such as staffing shortages, communication breakdowns, and safety violations. Prospective families should weigh Pine Acres’ strong rehab reputation and many accounts of compassionate care against the documented variability and serious adverse incidents. When considering placement, families may want to (a) ask about the specific floor and staffing levels for the anticipated level of care, (b) request named contacts for day/night administrative support, (c) verify protocols for diet texture and feeding safety, medication administration, and valuables security, and (d) seek recent facility quality and incident data if available.

    Conclusion: Pine Acres demonstrates many strengths—excellent therapy services, compassionate staff members and administrators, a clean and welcoming environment, and successful short-term rehab outcomes reported by numerous families. However, consistent themes of understaffing, communication gaps, inconsistent care quality, and several serious safety and neglect reports temper that praise. The facility appears capable of delivering top-tier care in many circumstances but also shows vulnerabilities that have, in some cases, led to severe harm. Families considering Pine Acres should do targeted due diligence, clarify expectations for the specific unit and shift patterns, and maintain active communication with named administrative contacts to mitigate the risk of the negative scenarios described in the reviews.

    Location

    Map showing location of Pine Acres Healthcare & Rehabilitation Center

    About Pine Acres Healthcare & Rehabilitation Center

    Pine Acres Healthcare & Rehabilitation Center sits at 51 Madison Ave in Madison, New Jersey, and specializes in both skilled nursing and rehabilitation services for seniors who need long-term care or recovery after a hospital stay, and the building holds 102 certified beds in a setting that's been family owned and operated for years, with an affiliation to MB Healthcare, and offers both sub-acute rehabilitation and long-term care, with a team usually ranging from 51 to 200 workers, including an RN, BSN nurse and a wound care nurse manager, and you'll find staff available 24 hours a day to help with anything residents need, including medication management and getting to medical appointments, plus there's always management checking in with families about care plans, medication changes, or special needs.

    Nurses at Pine Acres have a turnover rate of 49.3% and on average residents get about 3.48 nurse hours each day, which means some staff come and go but you'll still see pleasant, attentive nursing around the clock, as care is coordinated through an interdisciplinary team that involves families and patients with regular care planning, though they've been cited with deficiencies in both infection prevention and developing comprehensive care plans, so they're careful but still working to improve in those areas-residents do get a wide range of medical services like EKGs, lab work, bladder scans, IV therapy, TPN, orthopedic and trauma rehab, stroke and cardiac care, congestive heart failure management, wound care, tracheostomy care, and post-surgical rehab, so most recovery needs can be met right on site.

    The facility is designed so long-term care sits in a separate wing from rehab, and you get a home-like environment with garden areas, park-like grounds, and outdoor activities for those able to join, along with private or semi-private rooms that're set up with cable TV, attractive common rooms, a dining room that serves chef-prepared meals, and snacks in a restaurant-style setting, and plenty of comfort touches like a beauty and barber shop, daily exercise and entertainment programs, and wireless internet to help residents keep in touch or browse the web.

    Rehabilitation services are available seven days a week, and every care plan is personalized for individual needs, whether someone's there for short-term rehab, a respite stay, long-term care, or more specialized sub-acute services after a hospital visit, and the wound care nurse manager keeps an eye on anyone with complex healing needs, while ongoing recreation, social activities, and support from a director of social services help residents feel at home, with encouragement for open communication and feedback to keep families involved.

    Transportation and parking are close by, and you'll often hear from folks in the community that Pine Acres has a high standard for customer satisfaction and is known for compassionate, dedicated care, though there've been documented deficiencies in areas like infection prevention and care planning, they're still widely recognized for providing thorough support for seniors through challenging times, and anyone interested can take a virtual tour on their website at https://pineacresrehab.com to see what the facility looks like before planning a visit.

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