Teresa's father gets admitted into the ICU just in time for her daughter, Gia's, 12th birthday party. Kathy plays the tough guy with her family but can't erase the damage done by what she said to Teresa. Caroline returns to her Franklin Lakes mansion to find it's turned into a pig sty. Meanwhile, Jacqueline checks in with her new friend, Melissa, but can't save her when a little white lie makes Teresa see red!

Tempers flare between Joe and Melissa over accusations Teresa lobbed (along with her water bottle) at the gym. As Jacqueline deals with a crushing setback with her son, Caroline fears her kids are following too closely in her husband's shoes. Meanwhile, Richie oversteps, sparking the wrath of Kathy, and Rosie extends an olive branch to Teresa. But all bets are off when the unpredictable cousins face-off.