Nursing home
Careone at Middletown
1040 State Route 36, Atlantic Highlands, NJ 07716 · Map
For profit - Limited Liability company · Part of Careone (37 facilities) · 127 certified beds
Careone at Middletown is a Medicare-certified nursing home in Atlantic Highlands, New Jersey. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.70 hours per resident per day, below the New Jersey average of 3.86. Its most recent inspection on Jan 10, 2025 cited 8 deficiencies.
- 1 fine totaling $8,788In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Careone at Middletown compares
This facility vs. the New Jersey and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Jersey avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.70 | 3.86 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.77 | 0.69 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.00 | 2.23 | 2.34 | below avg |
| Nursing staff turnover | 23.8% | 40.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 8.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $8,788, 1 total penalty.
What inspectors found at Careone at Middletown
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Ensure 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.
Pharmacy Service Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Jan 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jan 10, 2025 · Full report (PDF) - Actual harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Dec 24, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 24, 2024 · Full report (PDF) - Actual harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Dec 24, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Dec 24, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1040 State Route 36
Atlantic Highlands, NJ 07716 - CMS certification #
- 315087
- Ownership
- For profit - Limited Liability company
- Certified beds
- 127
- Avg residents/day
- 83.7
- Provider type
- Medicare and Medicaid
- First certified
- 1968-06-11
- Chain
- Careone (37 facilities)
- Setting
- Urban
Part of Careone
Careone operates 37 nursing facilities across the United States. View all Careone facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Careone at Middletown using Google Maps.
Other public records
- Emergency In hurricane evacuation zone Monmouth-C
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Riverview Medical Center, Red Bank. 4.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- The Atrium at Navesink Harbor, Red Bank. 4.4 miles away, straight line.
- Nearest home health agency office
- Seabrook Home Health Agency, Tinton Falls. 12.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Bayshore Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 07716 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Middletown Dialysis Center, Red Bank, 3.3 miles away, straight line (CMS rating 2 of 5 stars)
Meridian Fresenius Dialysis Red Bank, Red Bank, 4.2 miles away, straight line (CMS rating 4 of 5 stars)
Davita Holmdel Dialysis, Hazlet, 7.0 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 07716.
Hackensack Meridian Hospice, office in Neptune, 14.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Embracing Hospice Care Of New Jersey, office in Wall, 16.8 miles away, straight line (CMS family survey rating 1 of 5 stars)
Grace Healthcare Services LLC, office in Edison, 17.2 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Jersey Shore Geriatrics Inc, Middletown. 3.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Monmouth-C (Evacuation Zones mirror Surge Maps from FEMA but remove islands of higher elevations surrounded by lower elevations.) on the New Jersey hurricane evacuation zones (2020 hurricane evacuation study). (FEMA Region 2 / New Jersey Office of Emergency Management, map updated Jan 8, 2024)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively moderate, coastal flooding relatively low, wildfire relatively low, tornado very low, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Careone at Middletown a good nursing home?
CMS gives Careone at Middletown an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Careone at Middletown staffed?
Careone at Middletown reports 3.70 total nurse hours per resident per day, compared with the New Jersey average of 3.86.
Has Careone at Middletown had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Careone at Middletown have?
Careone at Middletown is certified for 127 beds.