New Jersey › Monmouth County › Atlantic Highlands
Careone At Middletown
1040 State Route 36, Atlantic Highlands, NJ 07716
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Careone At Middletown, in Atlantic Highlands, New Jersey, is certified for 127 beds under for-profit, limited liability company ownership and belongs to the Careone chain.
CMS gives it 2 of 5 stars overall, below the New Jersey median of 4; the health inspection rating is 2, staffing 4 and quality measures 4.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (8, 10, 2 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 15.7 per 100 beds, about the same as the state median of 15.2.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 3.3 hours per resident per day (0.7 RN), close to the New Jersey median of 3.6; nursing staff turnover is 25.4%.
Compared with county, state and nation
| Measure | This facility | Monmouth Co. median | New Jersey median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 20 | 18 | 21 | 28.7 |
| Citations per 100 beds | 15.7 | 14.6 | 15.2 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 25.4% | 38.3% | 38.9% | 45.8% |
| Fines listed | $8,788 | $0 | $0 | — |
County and state figures are medians across facilities (32 in the county, 348 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Jan 2025, 9 Mar 2023.
Severity mix: G ×3 D ×9 E ×6 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Feb 2025 |
| 10 Jan 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Standard survey | 2 Feb 2025 |
| 10 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 2 Feb 2025 |
| 10 Jan 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 2 Feb 2025 |
| 10 Jan 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 2 Feb 2025 |
| 10 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Feb 2025 |
| 10 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 2 Feb 2025 |
| 10 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 2 Feb 2025 |
| 24 Dec 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | G | Complaint investigation | 24 Jan 2025 |
| 24 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Jan 2025 |
| 24 Dec 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | Complaint investigation | 24 Jan 2025 |
| 24 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 24 Jan 2025 |
| 24 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 Jan 2025 |
| 9 Mar 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 10 Apr 2023 |
| 9 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Apr 2023 |
| 9 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Apr 2023 |
| 9 Mar 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 10 Apr 2023 |
| 9 Mar 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 10 Apr 2023 |
| 8 Jan 2021 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 26 Jan 2021 |
| 8 Jan 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Apr 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Dec 2024 | Fine | $8,788 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 25.4%, RNs 16.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Jersey median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.4% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.7% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.9% | 11.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: King James Care Center Of Middletown, Llc. Chain: Careone (37 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Care One LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 02/04/2002 |
| Des-C 2009 Grat | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 10/26/2009 |
| Des Holding Co., Inc. | 5% or greater indirect ownership interest | 24% | 12/16/2007 |
| Care One Management, LLC | Operational/managerial control | NOT APPLICABLE | 03/31/2004 |
| Healthbridge Management LLC | Operational/managerial control | NOT APPLICABLE | 02/04/2002 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Monmouth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Applewood Village, Inc | Freehold | 60 | 5 | 5 | 5 | 2 | 3.3 | — | 27 Nov 2024 |
| Careone At Holmdel | Holmdel | 130 | 5 | 4 | 3 | 19 | 14.6 | — | 31 Jul 2025 |
| Careone At Wall | Wall | 130 | 5 | 4 | 4 | 21 | 16.2 | $69K | 25 Mar 2026 |
| Continuing Care At Seabrook | Tinton Falls | 86 | 5 | 5 | 5 | 6 | 7.0 | — | 12 Sep 2024 |
| De La Salle Hall | Lincroft | 32 | 5 | 4 | 5 | 6 | 18.8 | — | 15 May 2026 |
| Jewish Home For Rehabilitation and Nursing, The | Freehold | 150 | 5 | 4 | 4 | 14 | 9.3 | — | 3 Jun 2025 |
| Preferred Care At Wall | Allenwood | 135 | 5 | 4 | 2 | 11 | 8.1 | — | 9 Jun 2025 |
| Sunnyside Manor | Wall | 60 | 5 | 4 | 4 | 6 | 10.0 | — | 12 Sep 2025 |
All 32 facilities in Monmouth County
Questions and answers
How many deficiencies has Careone At Middletown been cited for?
20 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.
Has Careone At Middletown been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Careone At Middletown compare?
Reported total nurse staffing is 3.3 hours per resident per day against a New Jersey median of 3.6 and a national average of 3.9.
Who operates Careone At Middletown?
It is part of the Careone chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Care One LLC, Des-C 2009 Grat and Des Holding Co., Inc.. Individual owners and managers are not listed on this site.
When was Careone At Middletown last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jan 2025; the most recent standard health survey was 10 Jan 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.