The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: G
Nursing home report
CAREONE AT MIDDLETOWN
ATLANTIC HIGHLANDS, NJ · Medicare-certified · 127 beds
Needs attention
For-profitChain member
2 of 5 overall
CAREONE AT MIDDLETOWN (ATLANTIC HIGHLANDS, NJ) has an overall rating of 2 out of 5 stars, with 2-star health inspections but stronger 4-star staffing and quality measures. It reported 3.65 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $8,788 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6454 hrs/resident/day
Quality measures
Last inspection: January 10, 2025Penalties, last 24 months: $8,788recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6454.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.74
- Nurse aides
- 2.05
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.2%10.9%Improving
Residents with a fall causing major injury
1.8%4.4%Worsening
Residents with pressure ulcers (bedsores)
12.1%3.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.4%5.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.5%1.8%Improving
Residents whose ability to walk got worse
9.4%0%Improving
Long-stay residents on antianxiety or sleep medication
15.2%14.5%Improving
Short-stay residents newly given an antipsychotic
1.8%2.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.8%22.7%Worsening
Residents with depressive symptoms
4%21.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.4%—
Long-stay residents given the pneumonia vaccine
100%98.5%Worsening
Short-stay residents given the seasonal flu vaccine
—82.7%—
Short-stay residents given the pneumonia vaccine
93.5%100%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide needed social services to help each resident reach the best possible quality of life. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 745 — 42 CFR §483.40 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,788 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,788 in total fines.
- $8,788
Federal fine
Dec 24, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CAREONE · 37 homes · 3.4 stars avg
- Occupancy
- 86.7 residents on an average day (68% of 127 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.