Careone at Madison Avenue
151 Madison Avenue, Morristown, NJ 07960 · Morris County · 178 certified beds · avg 110 residents/day · certified since Jan 4, 2005
Part of chain: CAREONE (37 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 (21)
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 |
|---|---|---|
| Apr 11, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 11, 2025 | F · Potential for harm, facility-wide | 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. |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 11, 2025 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 11, 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. |
| Apr 11, 2025 | 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. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 11, 2025 | 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. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 13, 2023 | 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. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 27, 2021 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 27, 2021 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 16).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | E |
| 2023 | 3 | 0 | D |
| 2025 | 16 | 0 | F |
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) | 3.83 | 3.88 | 3.95 | top 38% in New Jersey; top 47% in the U.S. |
| Registered Nurse hours | 0.51 | 0.67 | 0.69 | bottom 43% in New Jersey; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.56 | 3.53 | 3.50 | top 36% in New Jersey; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.50 | 0.48 | bottom 31% in New Jersey; bottom 33% in the U.S. |
| Total nursing staff turnover (%) | 21.0 | 39.7 | 45.8 | top 7% in New Jersey; top 3% in the U.S. |
| RN turnover (%) | 27.3 | 37.7 | 42.9 | top 32% in New Jersey; top 24% 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 4.03, RN 0.54, weekend 3.74. Staffing rating: 4/5.
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 | — | 12/01/2004 |
| Des 2009 GST Trust | Organization | 5% or Greater Indirect Ownership Interest | 18% | 01/25/2017 |
| Des Holding Co., INC. | Organization | 5% or Greater Indirect Ownership Interest | 24% | 01/25/2017 |
| Des-C 2009 Grat | Organization | 5% or Greater Indirect Ownership Interest | — | 10/26/2009 |
| Straus, Daniel | Individual | 5% or Greater Indirect Ownership Interest | — | 12/01/2004 |
| 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 | 12/01/2004 |
| Healthbridge Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/25/2008 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "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 | Flags |
|---|---|---|---|---|---|
| Morristown Post Acute Rehab and Nursing Center | 0.1 mi | Morristown, NJ | ★★★★★ | 4/5 | |
| Florham Park Rehabilitation and Healthcare Center | 2.7 mi | Florham Park, NJ | ★★★★★ | 5/5 | |
| Pine Acres Rehabilitation and Healthcare | 3.5 mi | Madison, NJ | ★★★★★ | 4/5 | |
| Careone at Hanover Township | 3.7 mi | Whippany, NJ | ★★☆☆☆ | 2/5 | |
| Morris View Healthcare Center | 3.8 mi | Morristown, NJ | ★★☆☆☆ | 1/5 | abuse |
| Cheshire Home | 4.2 mi | Florham Park, NJ | ★★★★★ | 4/5 | |
| Chatham Hills Subacute Care Center | 4.4 mi | Chatham, NJ | ★★★★☆ | 3/5 | |
| Livia Health and Senior Living | 4.8 mi | East Hanover, NJ | ★★★★★ | 4/5 | |
| Holly Manor Center | 5.4 mi | Mendham, NJ | ★★★☆☆ | 2/5 | |
| Troy Hills Center | 5.6 mi | Parsippany, NJ | ★★☆☆☆ | 1/5 | |
| Careone at Parsippany | 6.4 mi | Parsippany Troy Hill, NJ | ★★★★☆ | 3/5 | |
| Careone at Livingston | 6.9 mi | Livingston, NJ | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315488.