24 Nursing Homes That Accept Medicaid in Middlesex County, New Jersey
24 of the 25 Medicare-certified nursing homes in Middlesex County, New Jersey (96%) are Medicaid-certified, and all are listed below. 11 of the 24 graded homes earn an A and 1 earn a D or F. They average 3.87 nursing hours per resident per day, 0.08 hours below the 3.95 for every home in Middlesex County, New Jersey. Roosevelt Care Center At Old Bridge in Old Bridge grades highest at A (94 out of 100).
How Medicaid-certified homes in Middlesex County, New Jersey compare
This group set against every nursing home in Middlesex County, New Jersey, from the current CMS release.
Nursing hours per resident per day
3.87
All homes in Middlesex County, New Jersey: 3.95
Worse than the local average
Nurse staff turnover
35.3%
All homes in Middlesex County, New Jersey: 34.6%
Worse than the local average
Average ElderGrade score
81.6/100
All homes in Middlesex County, New Jersey: 82.1/100
Worse than the local average
Grade spread
A
B
11 grade A, 12 grade B, 1 grade D,
The best-graded Medicaid-certified home in Middlesex County, New Jersey is
Roosevelt Care Center At Old Bridge
in Old Bridge, NJ, grade A, 94/100.
Every Medicaid-certified nursing home in Middlesex County, New Jersey
Spring Creek runs about 3.31 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday levels. That thin margin matters more than the inspection record, which is solid: 15 deficiencies on file with three at the harm level and none tied to abuse, and a survey completed in April 2025. Staff turnover sits at 48.5%, a few points above the national figure, so the people around your family member change often. It's an individually owned, for-profit home with 179 beds, and the staffing numbers are the piece worth watching.
Cranbury Center runs 154 beds in Monroe Township under corporate ownership, and the numbers to focus on are staffing and safety. Nurses give residents 3.21 hours of care per day, about 17% under the national average, and weekends drop roughly 13% below the home's own weekday level. Staff turnover sits at 52.5% against a national 45.8%. The inspection record shows 20 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with $10,361 in fines and a December 2025 inspection. Two stars each for health inspections and staffing say the same thing the deficiency count does: this home has unresolved problems, and families should ask pointed questions before choosing it.
The Elms in Cranbury runs 120 beds under for-profit LLC ownership, and its staffing numbers are the first thing to look at: 3.82 nurse hours per resident day, just under the national average, with weekends running about 7% thinner than weekdays. More striking is turnover, 62.5% of staff leaving annually against a national average of 45.8%, which means the people caring for residents are, more often than not, still learning the building. The inspection record shows 11 deficiencies, three of them serious enough to involve harm or jeopardy and two tied to abuse, plus a $57,282 fine. A recent November 2025 inspection and strong quality measures don't erase that combination.
The staffing numbers at this Piscataway home look decent on paper, 3.94 nurse hours per resident day, a bit above the national average, but weekends drop about 9% below weekday coverage, and a 1-out-of-5 inspection rating tells you the care isn't matching the payroll. Thirty-seven deficiencies sit on the current record, four of them serious enough to put residents in harm's way and five tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's poorest performers, and the most recent inspection was in December 2024. Ownership is for-profit, through a limited liability company. Staff turnover, at 41.9%, is actually slightly better than average, the problem here isn't retention, it's what's happening on the floor.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Middlesex County, New Jersey?
There are 24 Medicaid-certified Medicare-certified nursing homes in Middlesex County, New Jersey, 96% of the 25 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Middlesex County, New Jersey they average 3.87 total nursing hours per resident per day, against 3.95 for all nursing homes in Middlesex County, New Jersey, a difference of -0.08 hours. Staff turnover averages 35.3% against 34.6%.
Which Medicaid-certified nursing home grades best in Middlesex County, New Jersey?