Careone at Middletown
Nursing home in Atlantic Highlands, New Jersey, CMS certification number 315087
1040 State Route 36, Atlantic Highlands, NJ 07716 · Monmouth County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 127
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 26, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- $8,788 (1)
Does Careone at Middletown take Medicare and Medicaid?
Yes to both. Careone at Middletown is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Careone at Middletown reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.52
- Registered nurse hours
- 0.71
- Licensed practical nurse hours
- 0.83
- Nurse aide hours
- 1.98
- Weekend total hours
- 2.83
- Nursing staff turnover
- 30.8%
- Registered nurse turnover
- 21.4%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on May 26, 2026 and cited 7 deficiencies, plus 0 from complaint visits.
The visit before, on January 10, 2025, found 8.
Infection control citations: 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Careone at Middletown 1 time in the past 3 years, for $8,788 in total.
Beds and residents
On an average day 89 residents live here, about 70% of its 127 certified beds.
- Certified beds
- 127
- Average residents per day
- 89
- Certified since
- June 11, 1968
- Resident or family council
- Resident
Who owns Careone at Middletown
- Legal business name
- King James Care Center of Middletown, LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 37 homes nationally under Careone, 3.5-star chain average
Other nursing homes near Careone at Middletown
- The Atrium at Navesink Harbor40 Riverside Avenue, Red Bank 07701
- Complete Care at Shrewsbury LLC89 Avenue At The Common, Shrewsbury 07702
- Arnold Walter Nursing & Rehabilitation Center622 S Laurel Avenue, Hazlet 07730
- Redbank Center for Rehabilitation and Healing100 Chapin Avenue, Red Bank 07701
- Laurel Bay Health & Rehabilitation Center32 Laurel Avenue, Keansburg 07734
Who inspects nursing homes in New Jersey
New Jersey's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in New Jersey, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Careone at Middletown, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Careone at Middletown
What is the CMS star rating of Careone at Middletown?
2 out of 5 stars overall.
Does Careone at Middletown accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Careone at Middletown?
7 cited at the last standard visit.
Who owns Careone at Middletown?
King James Care Center of Middletown, LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.