Skilled NursingCMS verified

Careone at Middletown

1040 State Route 36, Atlantic Highlands, NJ 07716 · Monmouth County

CareOne at Middletown, a Middletown rehab center and skilled nursing facility, provides comprehensive senior care.

2.0CMS overall rating(732) 291-3400 Visit website ↗

Good

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates good.

Photos via google places, facility website.

Availability outlookUsually has openings

Typically 68% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A below-average federal rating — worth a careful look in Atlantic Highlands

Careone at Middletown is a for-profit skilled nursing facility in Atlantic Highlands, NJ, with 127 certified beds and an average of about 87 residents per day. It operates as part of the Careone network.

Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 4/5 on staffing, 4/5 on quality measures.

Staff provide about 3.65 total nurse hours per resident each day (0.85 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 25.4%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 8 health deficiencies at its most recent standard survey, and 1 federal fine totaling $8,788 in the recent record.

Strengths

✓Low staff turnover (continuity of care)
✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 2-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.65 hrs/resident/day)

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Atlantic Highlands options — our advisors can help you compare.

At a glance

Certified beds: 127
Avg. residents/day: 87
Ownership: For profit - Limited Liability company
Part of a chain: Careone
Continuing care: No
CMS provider #: 315087

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$12,170–$16,340/mo (median $13,830)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Lakewood prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Careone at Middletown →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.65; National avg ≈ 3.9
RN hrs / resident / day: 0.85; National avg ≈ 0.75
Nursing staff turnover: 25.4%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 8
Federal fines: 1 ($8,788)
Total penalties: 1
Last standard survey: 2025-01-10
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (20 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-01-10Severity F — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-01-10Severity F — potential for harmEnvironmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

2025-01-10Severity E — potential for harmResident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-01-10Severity E — potential for harmQuality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

2025-01-10Severity E — potential for harmPharmacy Service Deficiencies

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, compar…

2025-01-10Severity E — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2025-01-10Severity D — potential for harmResident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

2025-01-10Severity D — potential for harmQuality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

Date	Type	Amount
2024-12-24	Fine	$8,788

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Physical therapy
✓ Occupational therapy
✓ Rehabilitation services
✓ Memory care
✓ Respite / short-term stays
✓ Scheduled transportation
✓ Restaurant-style dining
✓ Fitness center
✓ Wellness programs
✓ Daily activities & events
✓ Courtyard / outdoor space
✓ Gardens / walking paths
✓ Private rooms available

Location

1040 State Route 36, Atlantic Highlands, NJ

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

4.2

90 reviews →

Verified family reviews

No verified family reviews yet for Careone at Middletown.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Careone at Middletown

How much does Careone at Middletown cost?

Careone at Middletown does not publish exact rates. Comparable skilled nursing in the Atlantic Highlands, NJ area typically runs $12,170–$16,340 per month (median $13,830, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Careone at Middletown's Medicare rating?

Medicare (CMS) rates Careone at Middletown 2 out of 5 stars overall, including 2/5 for health inspections, 4/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at Careone at Middletown?

Staff provide about 3.65 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 25.4% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Careone at Middletown?

Careone at Middletown has 20 health citations on its recent federal inspection record (last standard survey: 2025-01-10). The full citation-by-citation detail, with severity levels, is published on this page.

Does Careone at Middletown have availability?

Typically 68% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Careone at Middletown offer?

Careone at Middletown in Atlantic Highlands, NJ offers skilled nursing and is licensed for 127 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Lakewood.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

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Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Careone at Middletown — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
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