16 Chain-Owned Nursing Homes in Middlesex County, New Jersey
16 of the 25 Medicare-certified nursing homes in Middlesex County, New Jersey (64%) are chain-owned, and all are listed below. 6 of the 16 graded homes earn an A and 1 earn a D or F. Nurse staff turnover runs 37.4%, 2.8 points higher than the 34.6% across all homes there. Brighton Gardens Of Edison in Edison grades highest at A (94 out of 100).
How chain-owned 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
3.77
All homes in Middlesex County, New Jersey: 3.95
Worse than the local average
Nurse staff turnover
37.4%
All homes in Middlesex County, New Jersey: 34.6%
Worse than the local average
Average ElderGrade score
79.8/100
All homes in Middlesex County, New Jersey: 82.1/100
Worse than the local average
Grade spread
A
B
6 grade A, 9 grade B, 1 grade D,
The best-graded chain-owned home in Middlesex County, New Jersey is
Brighton Gardens Of Edison
in Edison, NJ, grade A, 94/100.
Every chain-owned nursing home in Middlesex County, New Jersey
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.
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.
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.
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.
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.
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.
AristaCare at Cedar Oaks runs 230 beds in South Plainfield, and the nurse staffing works out to about 3.21 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends dip another 10 percent below its own weekday level, so coverage thins out exactly when families tend to visit. What stands out is the inspection record: 20 deficiencies, two of them serious enough to put residents in harm's way and one tied to abuse, with the most recent inspection in November 2024. The quality measure stars look strong on paper, but a survey history like this is the part worth asking about directly.
Careone At East Brunswick runs a 132-bed for-profit home in Middlesex County, and its staffing is the strongest part of the picture: 4.09 nurse hours per resident day, roughly 6% above the national average, with a 4-out-of-5 staffing rating. Turnover sits at 28.7%, well under the national 45.8%, so the people caring for residents tend to stick around. The caution is in the inspection record, 13 deficiencies, including 4 tied to abuse, though none rose to the harm or jeopardy level. A June 2025 inspection means the findings are recent. Weekend staffing drops about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays.
Merwick runs about 3.05 nurse hours per resident day, well under the national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekend coverage dips about 8% below what the building manages on weekdays, so the thinnest shifts are the ones families often visit. Turnover is genuinely low at 29.7% against a 45.8% national rate, which suggests less churn in who's actually at the bedside. The health inspection record is the weak spot: 31 deficiencies, one tied to abuse, and a two-star inspection rating, though none rose to harm or jeopardy. The five-star quality measures and a recent April 2025 inspection round out a mixed picture.
Complete Care At Park Place runs 94 beds in Monmouth Junction, and the people taking care of your relative get about 3.05 nursing hours each day, roughly a fifth less time than the national average of 3.86. That gap matters most on weekends, when staffing drops another 9 percent below the home's own weekday numbers, though the 25.8 percent turnover rate is well below the 45.8 percent national figure, so the aides who are there tend to stay. Inspectors visited in March 2026 and logged 18 deficiencies, two serious enough to involve harm or jeopardy, none tied to abuse.
Preferred Care At Old Bridge runs 140 beds under limited-liability, for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 7% below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. Staff turnover is 47.4%, a bit above the national 45.8%. Inspections are recent (March 2025) and the health inspection rating is strong at 4 of 5, with 15 deficiencies on record, 2 of them at harm or jeopardy level and none abuse-related. Quality measures score 5 of 5, but staffing scores 2 of 5.
Autumn Lake Healthcare At Old Bridge runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekend coverage holds steady with no drop from weekday levels, which matters, but annual turnover of 59.4% is well above the 45.8% national figure, meaning caregivers are cycling through faster than average. The current record shows 20 deficiencies, none at the harm or jeopardy level, with one abuse-related citation; the most recent inspection was February 2026. Quality measures score well, though the staffing and inspection ratings both land mid-range.
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 chain-owned nursing homes are there in Middlesex County, New Jersey?
There are 16 chain-owned Medicare-certified nursing homes in Middlesex County, New Jersey, 64% of the 25 nursing homes there.
Are chain-owned nursing homes better staffed?
In Middlesex County, New Jersey they average 3.77 total nursing hours per resident per day, against 3.95 for all nursing homes in Middlesex County, New Jersey, a difference of -0.18 hours. Staff turnover averages 37.4% against 34.6%.
Which chain-owned nursing home grades best in Middlesex County, New Jersey?