Careone at Middletown
Nursing Home Facility
1040 Highway 36, Navesink, NJ 07716
Conveniently located on Highway 36, just 10 miles from the Garden State Parkway, CareOne at King James has been an integral part of the quaint shoreline community of Atlantic Highlands for almost 40 years.
Operated by CareOne, which runs 44 communities in our directory.
Careone at Middletown is licensed for 127 beds.
Federal reporting puts occupancy at about 75% of its licensed beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in January 2025 and recorded 8 deficiencies.
Residents receive about 3.3 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Nursing staff turnover over the past year was about 25%.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 20 problems at Careone at Middletown. 3 findings involved harm to a resident. 5 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $8,788.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, widespread
Environmental
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide activities to meet all resident's needs.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Careone at Middletown offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 127
- Occupancy 75%
- Nursing hours per resident/day 3.3
- Annual staff turnover 25%
- Last health inspection January 2025
Resident & family reviews
No one has shared a review of Careone at Middletown yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.