All states › New Jersey › Atlantic Highlands › Careone at Middletown
1040 State Route 36 Atlantic Highlands, NJ 07716 · Monmouth County
CMS certification number 315087 · See this home on Medicare Care Compare
Is Careone at Middletown a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Careone at Middletown as of October 2026.
CMS rates it 2 out of 5 stars overall, below the New Jersey average of 3.5.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.52 hours per resident per day at Careone at Middletown, below the New Jersey median of 3.67 (US median: 3.72). About 0.71 of those hours are from registered nurses. On weekends it falls to 2.83 hours, 20% below its all-week average. Ask how weekends are staffed. 30.8% of nursing staff left within a year (New Jersey median 38.1%).
About this nursing home
Paying for care at Careone at Middletown: Medicare and Medicaid
Careone at Middletown is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New Jersey's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 26, 2026 and found 7 deficiencies. In total, inspectors issued 25 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 25 citations at Careone at Middletown across 4 inspection dates, 5 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on December 24, 2024. The most common areas cited were quality of life and care (11) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted" (tag F0655, level G, December 24, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 26, 2026 · 7 citations
FProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
FNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DReasonably accommodate the needs and preferences of each resident.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
January 10, 2025 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure that a working call system is available in each resident's bathroom and bathing area.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide activities to meet all resident's needs.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
December 24, 2024 · 5 citations, includes actual harm · includes complaint inspection
GCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide medically-related social services to help each resident achieve the highest possible quality of life.
DRespond appropriately to all alleged violations.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 9, 2023 · 5 citations
EEnsure 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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
Questions to ask on a tour of Careone at Middletown
- Inspectors cited the home at the actual-harm level on December 24, 2024 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 24, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,788 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 24, 2024 | Fine | $8,788 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
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Location
Hospitals near Careone at Middletown
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.1 mi
Riverview Medical Center Red BankEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 22m for patients treated and sent home
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7.6 mi
Bayshore Community Hospital HolmdelEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 41m for patients treated and sent home
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8.7 mi
Monmouth Medical Center Long BranchEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 16m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Careone at Middletown › All nursing homes in Atlantic Highlands ›
Compare Careone at Middletown with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- De La Salle Hall · Lincroft · 5 stars · 7.2 mi
- Anchor Care and Rehabilitation Center · Hazlet · 5 stars · 7.6 mi
- Careone at Holmdel · Holmdel · 5 stars · 8.6 mi
- Redbank Center for Rehabilitation and Healing · Red Bank · 4 stars · 5.6 mi
Other Careone nursing homes in New Jersey
- Careone at Wayne · Wayne · 5 stars
- CareOne at Wall · Wall · 5 stars
- Careone at Holmdel · Holmdel · 5 stars
- Careone at Valley · Westwood · 5 stars
- Careone at Somerset Valley · Bound Brook · 4 stars
- CareOne at Moorestown · Moorestown · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Careone nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.