Cycle 1
Health 2025-07-31 · Fire 2025-07-31
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Holmdel, NJ
Careone At Holmdel
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
188 Highway 34, Holmdel, NJ
(732) 946-4200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
130
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1968-10-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
37 facilities
Chain averages 3 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.56
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.17
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.22
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.59
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,619
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9922
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.11
Baseline 18.77% · Performance 18.60% · Measure score 6.11 · Achievement 6.11 · Improvement 0.48
Healthcare-associated infections
2.86
Baseline 8.82% · Performance 7.54% · Measure score 2.86 · Achievement 0.99 · Improvement 2.86
Total nurse turnover
6.57
Baseline 56.76% · Performance 36.84% · Measure score 6.57 · Achievement 6.57 · Improvement 5.74
Adjusted total nurse staffing
0.17
Baseline 2.92 hours · Performance 3.11 hours · Measure score 0.17 · Achievement 0 · Improvement 0.17
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.78% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 575 · Observed rate 9.74% · Lower 95% interval 7.56% |
| Discharge to community | 66.2% |
50.57%
15.6 pts better
|
Better than the National Rate · Eligible stays 623 · Observed rate 57.3% · Lower 95% interval 61.04% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 96.89% |
95.27%
1.6 pts better
|
Numerator 374 · Denominator 386 |
| Falls with major injury | 0.78% |
0.77%
About the same
|
Numerator 3 · Denominator 386 |
| Discharge self-care score | 65.77% |
53.69%
12.1 pts better
|
Numerator 171 · Denominator 260 |
| Discharge mobility score | 64.62% |
50.94%
13.7 pts better
|
Numerator 168 · Denominator 260 |
| Pressure ulcers or injuries, new or worsened | 0.52% |
2.29%
1.8 pts better
|
Numerator 2 · Denominator 386 · Adjusted rate 0.53% |
| Healthcare-associated infections requiring hospitalization | 7.54% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 388 · Observed rate 8.51% · Lower 95% interval 5.4% |
| Staff COVID-19 vaccination coverage | 3.25% |
8.2%
4.9 pts worse
|
Numerator 5 · Denominator 154 |
| Staff flu vaccination coverage | 74.1% |
42%
32.1 pts better
|
Numerator 123 · Denominator 166 |
| Discharge function score | 68.85% |
56.45%
12.4 pts better
|
Numerator 179 · Denominator 260 |
| Transfer of health information to provider | 94.02% |
95.95%
1.9 pts worse
|
Numerator 220 · Denominator 234 |
| Transfer of health information to patient | 93.97% |
96.28%
2.3 pts worse
|
Numerator 109 · Denominator 116 |
| Resident COVID-19 vaccinations up to date | 9.03% |
25.2%
16.2 pts worse
|
Numerator 14 · Denominator 155 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.1
0.5 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
93.0%
6.4 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% |
97.2%
0.4 pts better
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
2.4%
0.6 pts worse
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 2.5% · Q3 2.4% · Q4 2.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.4% |
11.4%
4 pts better
|
11.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 5.9% · Q3 3.1% · Q4 7.9% · 4Q avg 7.4% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
4.6%
1 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 7.1% · Q3 5.7% · Q4 2.6% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.6% |
19.0%
3.4 pts better
|
19.6%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 21.2% · Q3 5.7% · Q4 7.5% · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.0% |
13.5%
1.5 pts worse
|
16.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 21.4% · Q3 13.3% · Q4 13.8% · 4Q avg 15.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.8% |
9.8%
1 pts better
|
16.3%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 7.6% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
9.7%
4.8 pts worse
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 16.1% · Q3 9.7% · Q4 10.8% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
0.8%
0.2 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.7% |
15.9%
7.8 pts worse
|
19.8%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 21.6% · Q3 15.6% · Q4 32.1% · 4Q avg 23.7% |
| Percentage of long-stay residents with pressure ulcers | 10.7% |
6.0%
4.7 pts worse
|
5.1%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 13.2% · Q3 8.9% · Q4 12.0% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
78.7%
19.4 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 99.3% · Q3 98.7% · Q4 98.3% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
8.2%
2.2 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 5.8% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.6% · Q3 0.0% · Q4 0.5% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.6% |
80.1%
18.5 pts better
|
79.7%
18.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% |
25.4%
4 pts better
|
23.9%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 23.1% · Expected 25.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-13 · Fire 2024-03-13
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-12-07 · Fire 2021-12-07
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-31
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-22
F · Potential for more than minimal harm
2024-03-13
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-04-08
E · Potential for more than minimal harm
2024-03-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-17
D · Potential for more than minimal harm
2024-03-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-08
D · Potential for more than minimal harm
2021-12-07
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-01-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-31
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-31
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-31
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-31
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-31
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-22
F · Potential for more than minimal harm
2024-03-13
F922 · Environmental Deficiencies
Health
Have enough backup water supply for essential areas of the nursing home.
Corrected 2024-04-08
E · Potential for more than minimal harm
2024-03-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-08
E · Potential for more than minimal harm
2024-03-13
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-08
D · Potential for more than minimal harm
2024-03-13
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-08
D · Potential for more than minimal harm
2024-03-13
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-04-08
D · Potential for more than minimal harm
2024-03-13
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-08
D · Potential for more than minimal harm
2024-03-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-08
D · Potential for more than minimal harm
2024-03-13
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-04-08
D · Potential for more than minimal harm
2021-12-07
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-01-21
D · Potential for more than minimal harm
2021-12-07
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-01-21
D · Potential for more than minimal harm
2021-12-07
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-01-21
D · Potential for more than minimal harm
2021-12-07
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-01-17
D · Potential for more than minimal harm
2021-12-07
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-01-21
Penalties and ownership
What sits behind the stars
Ownership
Care One LLC
5% Or Greater Direct Ownership Interest · Organization
Des Holding Co., Inc.
5% Or Greater Indirect Ownership Interest · Organization
Des-C 2009 Grat
5% Or Greater Indirect Ownership Interest · Organization
Baruch, David
Corporate Officer · Individual
Baruch, David
W-2 Managing Employee · Individual
Care One Management, LLC
Operational/Managerial Control · Organization
Des 2009 Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
Healthbridge Management LLC
Operational/Managerial Control · Organization
Straus, Daniel
5% Or Greater Direct Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Complete Care at Bayshore LLC
Holmdel, NJ
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Meadowbrook Respiratory And Nursing Center
Matawan, NJ
2-star overall rating with 2-star inspections with $48,266 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Anchor Care And Rehabilitation Center
Hazlet, NJ
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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