Careone at Middletown

Name: Careone at Middletown
Address: 1040 STATE ROUTE 36, Atlantic Highlands, NJ, 07716, US
Telephone: 7322913400

1040 State Route 36, Atlantic Highlands, NJ 07716 · Monmouth County · 127 certified beds · avg 96 residents/day · certified since Jun 11, 1968

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

2/5

Health inspection rating (on-site)

Serious findings on record

$8,788

Fines, last 3 years

3.49

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Dec 24, 2024 · F-0655 · triggered by a complaint

The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.

Why it matters: In the critical first days, staff may not know a new resident's medications, diet, or fall risks.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 24, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Dec 24, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 24, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Dec 24, 2024 · F-0745 · triggered by a complaint

The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life.

Why it matters: Without social services support, residents can struggle emotionally and miss out on help they're entitled to.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 24, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (20)

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
Jan 10, 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.
Jan 10, 2025	F · Potential for harm, facility-wide	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.
Jan 10, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 10, 2025	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jan 10, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 10, 2025	E · Potential for harm, repeated	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.
Jan 10, 2025	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.
Jan 10, 2025	D · Potential for harm, one-off	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.
Dec 24, 2024	▲ G · Actual harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Dec 24, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 24, 2024	▲ G · Actual harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint
Dec 24, 2024	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. · from a complaint
Dec 24, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 9, 2023	E · Potential for harm, repeated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 8, 2021	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 8, 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 (5 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2021	2	0	E
2023	5	0	E
2024	5	3	G ▲
2025	8	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)

1 fine totaling $8,788.

Date	Type	Amount / length
Dec 24, 2024	Fine	$8,788

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)	3.49	3.88	3.95	bottom 39% in New Jersey; bottom 36% in the U.S.
Registered Nurse hours	0.69	0.67	0.69	top 35% in New Jersey; top 38% in the U.S.
Weekend total nurse staffing	2.94	3.53	3.50	bottom 19% in New Jersey; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.50	0.50	0.48	top 36% in New Jersey; top 33% in the U.S.
Total nursing staff turnover (%)	25.4	39.7	45.8	top 15% in New Jersey; top 8% in the U.S.
RN turnover (%)	16.7	37.7	42.9	top 10% in New Jersey; top 9% 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 3.31, RN 0.65, weekend 2.79. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Care One LLC	Organization	5% or Greater Direct Ownership Interest	—	02/04/2002
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%	12/16/2007
Des-C 2009 Grat	Organization	5% or Greater Direct Ownership Interest	—	10/26/2009
Straus, Daniel	Individual	5% or Greater Direct Ownership Interest	—	09/01/2004
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	03/31/2004
Healthbridge Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/04/2002

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 does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who provides social services here, and how would they support my family member's emotional and social needs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Atrium at Navesink Harbor, the	4.4 mi	Red Bank, NJ	★★☆☆☆	1/5
Complete Care at Shrewsbury LLC	4.6 mi	Shrewsbury, NJ	★★★☆☆	2/5
Arnold Walter Nursing & Rehabilitation Center	5.1 mi	Hazlet, NJ	★★★☆☆	2/5
Redbank Center for Rehabilitation and Healing	5.6 mi	Red Bank, NJ	★★☆☆☆	2/5
Laurel Bay Health & Rehabilitation Center	5.6 mi	Keansburg, NJ	★★☆☆☆	2/5
De la Salle Hall	7.2 mi	Lincroft, NJ	★★★★★	4/5
Anchor Care and Rehabilitation Center	7.6 mi	Hazlet, NJ	★★★★☆	4/5
Complete Care at Bayshore LLC	7.7 mi	Holmdel, NJ	★★★★☆	3/5
Shore Pointe Care Center	8.3 mi	Eatontown, NJ	★☆☆☆☆	1/5
Careone at Holmdel	8.6 mi	Holmdel, NJ	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Atlantic Highlands →

Facility data as of CMS processing date 2026-08-01. CCN 315087.

The Care File

Visit checklist — Careone at Middletown

1040 State Route 36, Atlantic Highlands, NJ 07716 · 7322913400

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $8,788

Most serious findings on record:

▲ Dec 24, 2024 (F-0655, Actual harm, one-off): The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
▲ Dec 24, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Dec 24, 2024 (F-0745, Actual harm, one-off): The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life.

Questions for the administrator:

☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who provides social services here, and how would they support my family member's emotional and social needs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 315087 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)