ElderGrade
C

66.5/100

Average

Careone At Middletown

1040 State Route 36, Atlantic Highlands, NJ 07716

CMS 2/5 stars #23 of 32 in Monmouth County (732) 291-3400
Certified beds
127
Occupancy
75%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,788 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

18/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 3 actual-harm citation(s) in the last 3 years

Staffing

13.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.49 total nurse hours per resident per day (national median 3.77)
  • 0.65 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 25% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,788 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.31 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.65 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.79 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 25.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: January 10, 2025 (1 year ago).

F Jan 10, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

F Jan 10, 2025 F0919

Environmental Deficiencies

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

No actual harm, potential for more than minimal harm

E Jan 10, 2025 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

E Jan 10, 2025 F0679

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

No actual harm, potential for more than minimal harm

E Jan 10, 2025 F0761

Pharmacy Service Deficiencies

Ensure 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...

No actual harm, potential for more than minimal harm

E Jan 10, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jan 10, 2025 F0658

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 10, 2025 F0677

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CAREONE, which operates 37 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BARUCH, DAVID Individual W-2 MANAGING EMPLOYEE
BARUCH, DAVID Individual CORPORATE OFFICER
CARE ONE MANAGEMENT, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
HEALTHBRIDGE MANAGEMENT LLC Organization OPERATIONAL/MANAGERIAL CONTROL
CARE ONE LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
DES-C 2009 GRAT Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
STRAUS, DANIEL Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
DES 2009 GST TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
DES HOLDING CO., INC. Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Careone At Middletown

What is the ElderGrade for Careone At Middletown? +

Careone At Middletown holds an ElderGrade of C (66.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Careone At Middletown? +

Residents receive an average of 3.31 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Careone At Middletown been cited for harming residents? +

Yes. 3 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Careone At Middletown accept Medicaid? +

Yes, Careone At Middletown is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.