Careone at Holmdel

Name: Careone at Holmdel
Address: 188 HIGHWAY 34, Holmdel, NJ, 07733, US
Telephone: 7329464200

188 Highway 34, Holmdel, NJ 07733 · Monmouth County · 130 certified beds · avg 98 residents/day · certified since Oct 4, 1968

Part of chain: CAREONE (37 facilities, chain avg rating 3.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.51

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (19)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 31, 2025	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Jul 31, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 31, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 13, 2024	F · Potential for harm, facility-wide	The facility did not have enough backup water supply for essential areas of the building.
Mar 13, 2024	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 13, 2024	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 13, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 13, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Mar 13, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 13, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Mar 13, 2024	D · Potential for harm, one-off	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · from a complaint
Dec 7, 2021	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Dec 7, 2021	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 7, 2021	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 7, 2021	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 7, 2021	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).

Year	Citations	Worst severity that year
2021	5	D
2024	8	F
2025	6	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New Jersey avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.51	3.88	3.95	bottom 41% in New Jersey; bottom 37% in the U.S.
Registered Nurse hours	0.62	0.67	0.69	top 42% in New Jersey; top 46% in the U.S.
Weekend total nurse staffing	3.12	3.53	3.50	bottom 35% in New Jersey; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.50	0.48	top 36% in New Jersey; top 34% in the U.S.
Total nursing staff turnover (%)	15.4	39.7	45.8	top 2% in New Jersey; top 1% in the U.S.
RN turnover (%)	0.0	37.7	42.9	top 1% in New Jersey; top 1% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.73, RN 0.66, weekend 3.31. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Care One LLC	Organization	5% or Greater Direct Ownership Interest	100%	09/01/2004
Des 2009 GST Trust	Organization	5% or Greater Indirect Ownership Interest	—	12/01/2021
Des Holding Co., INC.	Organization	5% or Greater Indirect Ownership Interest	24%	09/01/2004
Des-C 2009 Grat	Organization	5% or Greater Indirect Ownership Interest	21%	10/26/2009
Straus, Daniel	Individual	5% or Greater Direct Ownership Interest	—	02/20/2001
Baruch, David	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2021
Baruch, David	Individual	Corporate Officer	NOT APPLICABLE	12/01/2021
Care One Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2004
Healthbridge Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/28/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If the water supply is interrupted, how do you keep residents supplied with drinking water and sanitation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Complete Care at Bayshore LLC	2.7 mi	Holmdel, NJ	★★★★☆	3/5
Meadowbrook Respiratory and Nursing Center	2.8 mi	Matawan, NJ	★★★★☆	4/5
Anchor Care and Rehabilitation Center	3.6 mi	Hazlet, NJ	★★★★☆	4/5
Complete Care at Madison, LLC	4.0 mi	Matawan, NJ	★★★★★	4/5
De la Salle Hall	4.1 mi	Lincroft, NJ	★★★★★	4/5
Arnold Walter Nursing & Rehabilitation Center	4.7 mi	Hazlet, NJ	★★★☆☆	2/5
Roosevelt Care Center at Old Bridge	6.2 mi	Old Bridge, NJ	★★★★★	5/5
Laurel Bay Health & Rehabilitation Center	6.3 mi	Keansburg, NJ	★★☆☆☆	2/5
Redbank Center for Rehabilitation and Healing	6.5 mi	Red Bank, NJ	★★☆☆☆	2/5
Preferred Care at Old Bridge, LLC	6.8 mi	Old Bridge, NJ	★★★★★	4/5
Atrium at Navesink Harbor, the	6.9 mi	Red Bank, NJ	★★☆☆☆	1/5
Reformed Church Home	7.1 mi	Old Bridge, NJ	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Holmdel →

Facility data as of CMS processing date 2026-08-01. CCN 315092.

The Care File

Visit checklist — Careone at Holmdel

188 Highway 34, Holmdel, NJ 07733 · 7329464200

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If the water supply is interrupted, how do you keep residents supplied with drinking water and sanitation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 315092 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)