11 Best Medicaid Nursing Homes in Middlesex County, New Jersey

Nurse hours

6.52 /day

Staff turnover

15%

Serious cites

0

Brighton Gardens of Edison runs 6.52 nurse hours per resident day, roughly 69% above the national average, and its staff turnover sits at 14.6% against a national 45.8%. Those numbers explain a lot about how the place holds together day to day. The catch is the inspection record: 17 deficiencies, including one at the harm level and four tied to abuse. That combination, strong staffing and retention alongside a real citation history and a February 2026 inspection, is worth asking about directly. With only 30 certified beds, staffing swings show up fast, and weekend coverage already runs about 7% under weekday levels.

Nurse hours

4.56 /day

Staff turnover

31%

Serious cites

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Roosevelt Care Center At Old Bridge runs on county money and 180 certified beds, and the staffing numbers are the first thing worth noticing: 4.56 nurse hours per resident day, roughly 18% above the national average, with turnover at 31.4% against a national 45.8%. Weekend coverage dips about 6% from weekday levels, which is common but still worth asking about. The inspection record shows 16 deficiencies, none at the harm or jeopardy level, one tied to abuse, and the most recent visit was September 2025, so the record is current. A five-star inspection rating and five-star quality measures sit behind that. If you tour, ask how the abuse-related finding was resolved and what weekends actually look like on the floor.

Nurse hours

4.76 /day

Staff turnover

13%

Serious cites

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St. Joseph's runs 4.76 nurse hours per resident day against a national average of 3.86, and its staff turnover sits at 13.2% while the country averages 45.8%, those two numbers together tell you people stay and there are enough of them. Weekend coverage dips about 12% below its own weekday pace, which is worth asking about if your family visits mainly on Saturdays and Sundays. Four deficiencies on record, none involving harm or abuse, and the most recent inspection was April 2025. A stable nonprofit workforce shows up where it matters.

Nurse hours

3.72 /day

Staff turnover

25%

Serious cites

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Rose Mountain Care Center runs on numbers that don't all point the same direction. The 112-bed for-profit partnership in New Brunswick keeps its staff remarkably well, 25.3% turnover against a national average of 45.8%, and CMS gives it top marks for staffing and quality measures. But nurse hours per resident sit at 3.72, about 4% under the national figure, with weekends running roughly 5% leaner than weekdays. The inspection record is the real outlier: 39 deficiencies, including three tied to abuse, and a one-star health inspection rating. Nothing on the current record reached harm or jeopardy level, and the most recent inspection was December 2024, so the picture is recent. Strong retention and thin weekend coverage can coexist, worth asking how.

Nurse hours

4.75 /day

Staff turnover

34%

Serious cites

0

Roosevelt Care Center in Edison runs on 4.75 nurse hours per resident day, roughly 23% above the national average, and its weekend staffing only dips about 4% below weekday levels, a small gap compared to many homes. Staff turnover sits at 33.9%, better than the 45.8% national figure, which matters for residents who need consistent caregivers. The county-owned home's inspection record shows 20 deficiencies, including one at the harm level and one abuse-related, plus a single $27,360 fine; its last inspection was December 18, 2025. Staffing and quality measures both earned top marks, but that harm-level deficiency is worth asking about directly before you decide.

Nurse hours

4.03 /day

Staff turnover

24%

Serious cites

0

Careone at the Highlands sits in Edison with 122 certified beds and runs about 4.03 nurse hours per resident day, a bit above the national average of 3.86. Weekends dip roughly 9% below its own weekday staffing, so coverage thins out when families tend to visit. The turnover picture is the real standout: 23.7% annually against a national average of 45.8%, meaning aides and nurses here tend to stick around. Inspections in May 2025 turned up 27 deficiencies, none at harm or jeopardy level, though three were abuse-related, worth asking about directly. Quality measures score 5/5, staffing 4/5, inspections 3/5. Steady hands, decent numbers, with a few things to press on.

Nurse hours

3.75 /day

Staff turnover

33%

Serious cites

0

Reformed Church Home runs on a church-affiliated nonprofit model in Old Bridge, and the numbers mostly back up what that setup suggests. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends drop about 9% below its own weekday coverage, worth asking about if your family visits mainly on Saturdays and Sundays. Where it stands out is consistency: staff turnover of 33.3% is well below the 45.8% national figure, and the inspection record shows six deficiencies with none at the harm level, though two are abuse-related. A December 2024 inspection, five stars on health inspections and quality measures, and four on staffing round out the picture.

Nurse hours

4.29 /day

Staff turnover

34%

Serious cites

0

Village Point runs a nonprofit home with 120 beds in Monroe Township, and its staffing is the strongest part of the picture, 4.29 nurse hours per resident day, roughly 11% above the national average, with turnover at 34% against a national 45.8%. Weekends dip about 8% below its own weekday coverage. Where it gets harder is inspections: 15 deficiencies on the current record, two at harm or jeopardy level and one abuse-related, with two fines totaling $237,451 and a July 2025 inspection date, which is recent enough to be current. The quality measure score is strong, but the inspection history is what pulls the overall picture down.

Nurse hours

3.59 /day

Staff turnover

36%

Serious cites

0

Complete Care at Madison runs about 3.6 nurse hours per resident day, roughly 7% under the national average of 3.86, and weekends dip another 5% below its own weekday numbers, so the leanest coverage shows up exactly when families tend to visit. Turnover sits at 36.1%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The 23 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was March 2026, so the 4-star inspection and 5-star quality scores rest on recent findings.

Nurse hours

3.29 /day

Staff turnover

43%

Serious cites

0

Alameda Center for Rehabilitation and Healthcare is a 250-bed for-profit home in Perth Amboy, run by a limited liability company. The staffing numbers are the weak spot: 3.29 nurse hours per resident day, roughly 15% under the national average, with weekends about 11% leaner than weekdays. Turnover sits at 42.5%, slightly better than the 45.8% national figure, so the problem looks more like thin coverage than a churning workforce. Inspections are current, and the 28 deficiencies on record include none at the harm or jeopardy level and none tied to abuse. What you're weighing, then, is a home that scores well on clinical quality measures and adequately on inspections, but asks residents to get by on less daily nursing time than most places provide.

Nurse hours

4.01 /day

Staff turnover

20%

Serious cites

0

Staffing at Gardens At Monroe runs about 4% above the national average, and the 20.3% turnover rate is less than half the norm, that kind of stability matters when aides and nurses stick around. Weekend coverage dips roughly 9% below weekdays, worth knowing if your visits fall on Saturdays or Sundays. The current record shows 18 deficiencies, none at the harm level, though three are abuse-related, which is the number I'd ask about directly. The last inspection was April 2025, so the picture is recent. A for-profit individual owner, 136 beds, strong quality scores but a middle-of-the-road inspection history.