Careone at Middletown
1040 State Route 36 · Atlantic Highlands, NJ · 07716 · 7322913400
127 certified beds For profit - Limited Liability company Chain: Careone
Why this verdict
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 25% | median 45% |
| Fines (3-yr window) | 1 · $8,788 |
Inspection citations (20 in the current record)
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Potential for harm · E January 10, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 2, 2025 · Quality of Life and Care
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Potential for harm · E January 10, 2025
Provide activities to meet all resident's needs.
Corrected February 2, 2025 · Quality of Life and Care
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Potential for harm · E January 10, 2025
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.
Corrected February 2, 2025 · Pharmacy Service
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Potential for harm · F January 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 2, 2025 · Nutrition and Dietary
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Potential for harm · E January 10, 2025
Provide and implement an infection prevention and control program.
Corrected February 2, 2025 · Infection Control
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Potential for harm · F January 10, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 2, 2025 · Environmental
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Actual harm · G December 24, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Actual harm · G December 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 24, 2025 · Quality of Life and Care
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Actual harm · G December 24, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected January 24, 2025 · Quality of Life and Care
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Potential for harm · D December 24, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 24, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 9, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 10, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected April 10, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
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.
Corrected April 10, 2023 · Pharmacy Service
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Potential for harm · E March 9, 2023
Ensure 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.
Corrected April 10, 2023 · Nutrition and Dietary
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Potential for harm · E January 8, 2021
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.
Corrected January 26, 2021 · Pharmacy Service
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Potential for harm · D January 8, 2021
Provide and implement an infection prevention and control program.
Corrected April 21, 2021 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 24, 2024 | Fine | $8,788 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315087 · certified since June 11, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.