Nursing HomeInspections

Careone at Middletown

Nursing home in Atlantic Highlands, NJ

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
1040 State Route 36, Atlantic Highlands, NJ 07716
Phone
(732) 291-3400
Listed under
For-profit
Medicare CCN
315087
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
127
Average residents per day
89
Ownership
For-profit, limited Liability company
Legal business name
King James Care Center of Middletown, LLC
Chain
Careone (37 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 11, 1968
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 315087. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 26, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 9, 2023 to May 26, 2026): 5 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
May 26, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
May 26, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 26, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 26, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 26, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
May 26, 2026Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights		F
Potential for more than minimal harm, widespread
May 26, 2026Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights		F
Potential for more than minimal harm, widespread
Jan 10, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 10, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 10, 2025Develop 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		E
Potential for more than minimal harm, pattern
Jan 10, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jan 10, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,788 in the last three years.

Dec 24, 2024Fine: $8,788

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.52 hours
Registered nurse (RN) time per resident per day
0.71 hours
Nurse aide time per resident per day
1.98 hours
Total nurse staffing on weekends
2.83 hours
Nursing staff turnover (yearly)
31%
RN turnover (yearly)
21%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error