facebook tracking Careone at Middletown, Atlantic Highlands NJ: CMS Ratings
Skip to content

Careone at Middletown

All states › New Jersey › Atlantic Highlands › Careone at Middletown

1040 State Route 36 Atlantic Highlands, NJ 07716 · Monmouth County

(732) 291-3400

Accepts Medicare Accepts Medicaid 127 certified beds For profit

CMS certification number 315087 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 25 citations in the last three years. CMS imposed 1 penalty, including $8,788 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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%).

Nursing care per resident per day 3.52 hours
Below the New Jersey median of 3.67 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.71 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.83 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 30.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 21.4% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds127
Residents per day 89 About 70% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJune 1968
Part of a chainCareone
Legal business nameKING JAMES CARE CENTER OF MIDDLETOWN, LLC

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Deficient, Provider has date of correction (Jun 26, 2026)

FNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (Jun 26, 2026)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 26, 2026)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Jun 26, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jun 26, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jun 26, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jun 26, 2026)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 2, 2025)

FMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Feb 2, 2025)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Feb 2, 2025)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Feb 2, 2025)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 2, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 2, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Feb 2, 2025)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Feb 2, 2025)

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

Actual harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Complaint inspection · Deficient, Provider has date of correction (Jan 24, 2025)

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 24, 2025)

GProvide medically-related social services to help each resident achieve the highest possible quality of life.

Actual harm · Quality of Life and Care Deficiencies · Tag F0745 · Complaint inspection · Deficient, Provider has date of correction (Jan 24, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Jan 24, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Jan 24, 2025)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0809 · Deficient, Provider has date of correction (Apr 10, 2023)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 10, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 10, 2023)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Apr 10, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 10, 2023)

Questions to ask on a tour of Careone at Middletown

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on December 24, 2024. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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.

DateTypeAmount or length
Dec 24, 2024 Fine $8,788

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 4/5
August 2026 2/5 2/5 4/5 4/5
Add this rating badge to your websiteFree. Shows Careone at Middletown's Medicare star rating and updates itself.

Size and colour

Preview

Careone at Middletown Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

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.

  • 4.1 mi
    Riverview Medical Center Red Bank
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 22m for patients treated and sent home
  • 7.6 mi
    Bayshore Community Hospital Holmdel
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 41m for patients treated and sent home
  • 8.7 mi
    Monmouth Medical Center Long Branch
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median 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

The Atrium at Navesink Harbor Red Bank · 4.4 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 43 beds · Medicaid
Complete Care at Shrewsbury Shrewsbury · 4.6 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 140 beds · Medicaid
Arnold Walter Nursing & Rehabilitation Center Hazlet · 5.1 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 202 beds · Medicaid
Redbank Center for Rehabilitation and Healing Red Bank · 5.6 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 180 beds · Medicaid
Laurel Bay Health & Rehabilitation Center Keansburg · 5.6 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 123 beds · Medicaid

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

Other Careone nursing homes in New Jersey

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.

Compare

https://www.nursinghomesineachstate.com/new-jersey/atlantic-highlands/careone-at-middletown/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.