Nursing Homes · Medicare certified
Careone at Middletown
1040 State Route 36 · Atlantic Highlands, NJ 07716 · 127 certified beds
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About Careone at Middletown
Careone at Middletown is a nursing home in Atlantic Highlands, New Jersey. Its capacity is 127 beds, below the Monmouth County median of 130 for nursing homes. It is run by a for-profit operator and is part of Careone. It is Medicare certified. Its public inspection record shows 20 citations, the most recent on January 10, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.52 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
4.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (20)
Records from January 2021 to January 2025.
January 10, 2025
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 2, 2025.
January 10, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 2, 2025.
January 10, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 2, 2025.
January 10, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 2, 2025.
January 10, 2025
Tag F0761Ensure 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 drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 2, 2025.
January 10, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 2, 2025.
January 10, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 2, 2025.
January 10, 2025
Tag F0679Provide activities to meet all resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 2, 2025.
December 24, 2024
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity G: isolated, actual harm. Corrected January 24, 2025.
December 24, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 24, 2025.
December 24, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected January 24, 2025.
December 24, 2024
Tag F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.
Severity G: isolated, actual harm. Corrected January 24, 2025.
December 24, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 24, 2025.
March 9, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 10, 2023.
March 9, 2023
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 10, 2023.
March 9, 2023
Tag F0761Ensure 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 drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 10, 2023.
March 9, 2023
Tag F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 10, 2023.
March 9, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 10, 2023.
January 8, 2021
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2021.
January 8, 2021
Tag F0761Ensure 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 drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 26, 2021.
Penalties (1)
Total fines: $8,788
December 24, 2024 · Fine
CMS recorded a civil money penalty of $8,788 against this nursing home on December 24, 2024.
Staffing
3.52 nurse hours per resident per day in Q2 2026, down from 3.65 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Careone, a chain of 37 nursing homes.
Average CMS star ratings across the chain: 3.5 overall, 3.0 for health inspections, 3.5 for staffing, 4.5 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in New Jersey.
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