Careone at Middletown
1040 State Route 36, Atlantic Highlands, NJ 07716 · (732) 291-3400
For profit - Limited Liability company · 127 certified beds
Careone at Middletown has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 7 citations (the New Jersey average is 8.6). It was fined 1 time in the last three years, $8,788 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 26, 2026 found 7 citations. What an inspection citation means
- Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.May 26, 2026 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.May 26, 2026 · F0569 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 26, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Reasonably accommodate the needs and preferences of each resident.May 26, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 26, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 26, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.May 26, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 5 citations.
- Respond appropriately to all alleged violations.December 24, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDecember 24, 2024 · F0655 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 24, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide medically-related social services to help each resident achieve the highest possible quality of life.December 24, 2024 · F0745 · Level of harm: Actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 24, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $8,788December 24, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | New Jersey average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.31 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.65 | 0.68 | 0.69 |
| Licensed practical nurses (LPN) | 0.75 | 0.93 | 0.86 |
| Nurse aides | 1.91 | 2.23 | 2.32 |
| Total nursing staff turnover | 25.4% | 39.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 127 |
| Average residents per day | 95.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Preferred Care at Wall Allenwood · ★★★★★ 5 out of 5 stars
- CareOne At Wall Belmar · ★★★★★ 5 out of 5 stars
- Sunnyside Manor Belmar · ★★★★★ 5 out of 5 stars
- Jersey Shore Center Eatontown · ★★★★★ 4 out of 5 stars
- Shore Pointe Care Center Eatontown · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Careone at Middletown on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.