Careone at Middletown
Nursing Home · Atlantic Highlands, NJ
CMS certification number315087
Contact & location
1040 State Route 36Atlantic Highlands, NJ 07716
Monmouth County
- Phone
- (732) 291-3400
- ZIP code
- 07716 – all care providers
Facility details
- Certified beds
- 127
- Residents per day
- 95.7 (75% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- King James Care Center of Middletown, LLC
- Chain
- Careone (37 facilities, avg 3.4★)
- Medicare certified since
- June 11, 1968
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.31 (state 3.85 · U.S. 3.86)
- Registered nurses (RN)
- 0.65 (state 0.68 · U.S. 0.69)
- Licensed practical nurses
- 0.75 (state 0.93 · U.S. 0.86)
- Nurse aides
- 1.91 (state 2.23 · U.S. 2.32)
- Weekend total
- 2.79 (state 3.50 · U.S. 3.42)
- Nursing staff turnover
- 25.4 (state 39.7 · U.S. 45.8)%
- RN turnover
- 16.7 (state 37.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 10, 2025
- Health deficiencies (last cycle)
- 8.0 (state 8.8 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 20 health · 16 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-01-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-02-02 |
| 2025-01-10 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-02-02 |
| 2025-01-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-02 |
| 2025-01-10 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-02 |
| 2025-01-10 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-02 |
| 2025-01-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-02 |
| 2025-01-10 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-02 |
| 2025-01-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-02 |
| 2024-12-24 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-01-24 |
| 2024-12-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-01-24 |
| 2024-12-24 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-01-24 |
| 2024-12-24 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-24 |
| 2024-12-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-24 |
| 2023-03-09 | 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. F0809 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-10 |
| 2023-03-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-10 |
| 2023-03-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-10 |
| 2023-03-09 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-10 |
| 2023-03-09 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-10 |
| 2021-01-08 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-01-26 |
| 2021-01-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-04-21 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $8,788 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-12-24 | Fine | $8,788 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Care One LLC (organization) | 5%+ Direct Ownership Interest | |
| Des-C 2009 Grat (organization) | 5%+ Direct Ownership Interest | |
| Straus, Daniel (individual) | 5%+ Direct Ownership Interest | |
| Des 2009 GST Trust (organization) | 5%+ Indirect Ownership Interest | |
| Des Holding Co., INC. (organization) | 5%+ Indirect Ownership Interest · 24% | |
| Baruch, David (individual) | Corporate Officer · NOT APPLICABLE | |
| Care One Management, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Healthbridge Management LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Baruch, David (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Careone at Middletown?
Careone at Middletown has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in New Jersey.
How many beds does Careone at Middletown have?
It has 127 certified beds and cares for about 96 residents per day.
Has Careone at Middletown been fined?
Yes. CMS lists 1 penalty totaling $8,788 in the last three years.
Who owns Careone at Middletown?
It is part of Careone and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Careone at Middletown?
(732) 291-3400. The facility is located at 1040 State Route 36, Atlantic Highlands, NJ 07716.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.