nursing home in Atlantic Highlands, NJ
Careone at Middletown
1040 State Route 36, Atlantic Highlands, NJ 07716 · (732) 291-3400
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Careone at Middletown at a glance
Careone at Middletown is a 127-bed for-profit nursing home in Atlantic Highlands, New Jersey (Monmouth County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the New Jersey average of 3.3.
Residents receive about 3.3 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (May 26, 2026) found 7 health citations. The New Jersey average is 8.5.
Federal regulators fined it 1 time in the past three years, totaling $8,788.
Nursing staff turnover is 25.4% per year (state average 39.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 127
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Careone
- Medicare-certified since
- June 11, 1968
- Resident/family council
- Resident
- County
- Monmouth County
- CMS Certification Number
- 315087
Ratings
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.4 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.5 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 4.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.31 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.68 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.91 hrs | 2.23 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.79 hrs | 3.50 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 25.4% | 39.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 16.7% | 37.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 77 | 72.3 | 80.6 | Average |
Penalties
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,788 | $34,926 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 127 | 147 | 107 | |
| Average residents per day | 96 | 122 | 86 | |
| Occupancy | 75.4% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 2.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 5.4% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 12.9% | 12.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.4% | 8.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.7% | 8.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.5% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 16.9% | 12.1% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16% | 18.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16% | 15.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.4% | 97.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.6% | 93% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.1% | 1.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 82.7% | 80.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 79% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 26, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 26, 2026 Fire safety | Have an externally vented heating system. Services Deficiencies · Tag K0522 | F Potential harm, widespread | Corrected July 13, 2026 |
| May 26, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected July 13, 2026 |
| May 26, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 29, 2026 |
| May 26, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected July 10, 2026 |
| May 26, 2026 Fire safety | Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. Services Deficiencies · Tag K0523 | D Potential harm, isolated | Corrected July 13, 2026 |
| May 26, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected July 10, 2026 |
| May 26, 2026 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | D Potential harm, isolated | Corrected July 13, 2026 |
| May 26, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected July 10, 2026 |
| May 26, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected July 10, 2026 |
| May 26, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected July 13, 2026 |
| May 26, 2026 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Corrected July 10, 2026 |
| May 26, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected July 10, 2026 |
| May 26, 2026 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | F Potential harm, widespread | Corrected June 26, 2026 |
| May 26, 2026 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | F Potential harm, widespread | Corrected June 26, 2026 |
| May 26, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 26, 2026 |
| May 26, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 26, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 26, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 26, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 26, 2026 |
| January 10, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 10, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected February 2, 2025 |
| January 10, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected February 2, 2025 |
| January 10, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 10, 2025 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected February 2, 2025 |
| January 10, 2025 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 10, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 2, 2025 |
| January 10, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 10, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 10, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected February 2, 2025 |
| January 10, 2025 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | F Potential harm, widespread | Corrected February 2, 2025 |
| January 10, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 10, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected February 2, 2025 |
| January 10, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected February 2, 2025 |
| January 10, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected February 2, 2025 |
| January 10, 2025 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | F Potential harm, widespread | Corrected February 2, 2025 |
| January 10, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected February 2, 2025 |
| January 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 2, 2025 |
| January 10, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected February 2, 2025 |
| January 10, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected February 2, 2025 |
| January 10, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 2, 2025 |
| January 10, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected February 2, 2025 |
| December 24, 2024 Complaint | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | G Actual harm, isolated | Corrected January 24, 2025 |
| December 24, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | G Actual harm, isolated | Corrected January 24, 2025 |
| December 24, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected January 24, 2025 |
| December 24, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 24, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected January 24, 2025 |
| March 9, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 10, 2023 |
| March 9, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected April 10, 2023 |
| March 9, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected April 10, 2023 |
| March 9, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 10, 2023 |
| March 9, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 10, 2023 |
| March 9, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected April 10, 2023 |
| March 9, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,788 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 24, 2024 | Fine | $8,788 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CARE ONE LLC Organization | 5% or greater direct ownership interest | — | 02/04/2002 |
| DES-C 2009 GRAT Organization | 5% or greater direct ownership interest | — | 10/26/2009 |
| STRAUS, DANIEL Individual | 5% or greater direct ownership interest | — | 09/01/2004 |
| DES 2009 GST TRUST Organization | 5% or greater indirect ownership interest | — | 12/01/2021 |
| DES HOLDING CO., INC. Organization | 5% or greater indirect ownership interest | 24% | 12/16/2007 |
| BARUCH, DAVID Individual | corporate officer | NOT APPLICABLE | 12/01/2021 |
| CARE ONE MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 03/31/2004 |
| HEALTHBRIDGE MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 02/04/2002 |
| BARUCH, DAVID Individual | w-2 managing employee | NOT APPLICABLE | 12/01/2021 |
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Frequently asked questions
What is Careone at Middletown's rating?
Careone at Middletown has 2 out of 5 stars on the CMS overall star rating. The average for New Jersey nursing homes is 3.3 stars.
How many inspection citations did Careone at Middletown receive?
Its most recent standard health inspection found 7 citations, compared with a New Jersey average of 8.5. Every citation is listed on this page with its severity.
Does Careone at Middletown accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Careone at Middletown?
It is for profit - limited liability company and part of Careone. The ownership section on this page lists the owners and managers reported to CMS.
Where is Careone at Middletown and how do I contact it?
Careone at Middletown is at 1040 State Route 36, Atlantic Highlands, NJ 07716. Phone: (732) 291-3400.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.