Cycle 1
Health 2025-01-10 · Fire 2025-01-10
8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Atlantic Highlands, NJ
Careone At Middletown
2-star overall rating with 2-star inspections with $8,788 in total fines with 8 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
1040 State Route 36, Atlantic Highlands, NJ
(732) 291-3400
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
127
Certified beds
Average residents
84
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1968-06-11
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
0.77
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.00
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,237
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9985
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.19
Baseline 23.33% · Performance 19.74% · Measure score 5.19 · Achievement 3.64 · Improvement 5.19
Healthcare-associated infections
6.63
Baseline 9.52% · Performance 6.30% · Measure score 6.63 · Achievement 5.15 · Improvement 6.63
Total nurse turnover
6.14
Baseline 40.84% · Performance 38.57% · Measure score 6.14 · Achievement 6.14 · Improvement 0.92
Adjusted total nurse staffing
0.16
Baseline 2.99 hours · Performance 3.17 hours · Measure score 0.16 · Achievement 0 · Improvement 0.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.85% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 327 · Observed rate 9.48% · Lower 95% interval 7.57% |
| Discharge to community | 50.63% |
50.57%
0.1 pts better
|
No Different than the National Rate · Eligible stays 336 · Observed rate 43.45% · Lower 95% interval 45.76% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 217 · Denominator 217 |
| Falls with major injury | 0.46% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 217 |
| Discharge self-care score | 52.82% |
53.69%
0.9 pts worse
|
Numerator 75 · Denominator 142 |
| Discharge mobility score | 45.77% |
50.94%
5.2 pts worse
|
Numerator 65 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 2.3% |
2.29%
About the same
|
Numerator 5 · Denominator 217 · Adjusted rate 2.19% |
| Healthcare-associated infections requiring hospitalization | 6.3% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 213 · Observed rate 7.04% · Lower 95% interval 4.36% |
| Staff COVID-19 vaccination coverage | 7.97% |
8.2%
0.2 pts worse
|
Numerator 11 · Denominator 138 |
| Staff flu vaccination coverage | 98.57% |
42%
56.6 pts better
|
Numerator 138 · Denominator 140 |
| Discharge function score | 51.41% |
56.45%
5 pts worse
|
Numerator 73 · Denominator 142 |
| Transfer of health information to provider | 97.84% |
95.95%
1.9 pts better
|
Numerator 136 · Denominator 139 |
| Transfer of health information to patient | 97.5% |
96.28%
1.2 pts better
|
Numerator 39 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 7.41% |
25.2%
17.8 pts worse
|
Numerator 8 · Denominator 108 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.1
0.7 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.1
0.7 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.0%
7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
97.2%
1.2 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
2.4%
0.1 pts worse
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 1.6% · Q4 4.5% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.9% |
11.4%
5.5 pts better
|
11.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.0% · Q3 1.9% · Q4 11.9% · 4Q avg 5.9% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
4.6%
0.4 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.4% · Q3 2.1% · Q4 3.8% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.1% |
19.0%
4.9 pts better
|
19.6%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 15.2% · Q3 15.1% · Q4 17.5% · 4Q avg 14.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.5% |
13.5%
2 pts worse
|
16.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 15.8% · Q3 13.2% · Q4 15.9% · 4Q avg 15.5% · 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 | 11.4% |
9.8%
1.6 pts worse
|
16.3%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q3 9.4% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
9.7%
1.1 pts worse
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 9.5% · Q3 8.3% · Q4 12.0% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.7%
0.3 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
0.8%
0.5 pts worse
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 3.5% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.5% |
15.9%
3.4 pts better
|
19.8%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 16.8% · Q3 6.1% · Q4 11.0% · 4Q avg 12.5% |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
6.0%
1.2 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 12.1% · Q3 7.8% · Q4 3.0% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.8% |
78.7%
14.1 pts better
|
81.7%
11.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.4% · Q2 93.5% · Q3 100.0% · Q4 100.0% · 4Q avg 92.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
8.2%
1.2 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.1% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.2%
1.5 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 3.0% · Q4 4.7% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.7% |
80.1%
2.6 pts better
|
79.7%
3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.9% |
25.4%
0.5 pts better
|
23.9%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 25.1% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-09 · Fire 2023-03-09
10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-01-08 · Fire 2021-01-08
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-10
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-02-02
F · Potential for more than minimal harm
2025-01-10
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-03-17
F · Potential for more than minimal harm
2025-01-10
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-03-17
F · Potential for more than minimal harm
2025-01-10
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-17
F · Potential for more than minimal harm
2025-01-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-02
F · Potential for more than minimal harm
2025-01-10
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-03-17
F · Potential for more than minimal harm
2025-01-10
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-02-02
F · Potential for more than minimal harm
2025-01-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-03-17
F · Potential for more than minimal harm
2025-01-10
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-02-02
F · Potential for more than minimal harm
2025-01-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-02
F · Potential for more than minimal harm
2025-01-10
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-02
F · Potential for more than minimal harm
2025-01-10
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-02-02
F · Potential for more than minimal harm
2025-01-10
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-17
D · Potential for more than minimal harm
2025-01-10
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-02-02
F · Potential for more than minimal harm
2023-03-09
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-10
F · Potential for more than minimal harm
2023-03-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-10
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-01-10
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-02
F · Potential for more than minimal harm
2025-01-10
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-02-02
E · Potential for more than minimal harm
2025-01-10
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-02
E · Potential for more than minimal harm
2025-01-10
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-02-02
E · Potential for more than minimal harm
2025-01-10
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-02-02
E · Potential for more than minimal harm
2025-01-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-02
D · Potential for more than minimal harm
2025-01-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-02
D · Potential for more than minimal harm
2025-01-10
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-02
G · Actual harm
2024-12-24
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-01-24
G · Actual harm
2024-12-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-24
G · Actual harm
2024-12-24
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-01-24
D · Potential for more than minimal harm
2024-12-24
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-24
D · Potential for more than minimal harm
2024-12-24
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-24
E · Potential for more than minimal harm
2023-03-09
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-04-10
D · Potential for more than minimal harm
2023-03-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-10
D · Potential for more than minimal harm
2023-03-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-10
D · Potential for more than minimal harm
2023-03-09
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-04-10
D · Potential for more than minimal harm
2023-03-09
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-04-10
E · Potential for more than minimal harm
2021-01-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2021-01-26
D · Potential for more than minimal harm
2021-01-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-04-21
Penalties and ownership
What sits behind the stars
$8,788
2024-12-24
Fine
Fine · fine $8,788
Fine
Ownership
Des Holding Co., Inc.
5% Or Greater Indirect Ownership Interest · Organization
Baruch, David
Corporate Officer · Individual
Baruch, David
W-2 Managing Employee · Individual
Care One LLC
5% Or Greater Direct Ownership Interest · Organization
Care One Management, LLC
Operational/Managerial Control · Organization
Des 2009 Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
Des-C 2009 Grat
5% Or Greater Direct 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
Atrium At Navesink Harbor, The
Red Bank, NJ
5-star overall rating with 3-star inspections with $82,560 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Complete Care At Shrewsbury LLC
Shrewsbury, NJ
2-star overall rating with 2-star inspections with $56,925 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Arnold Walter Nursing & Rehabilitation Center
Hazlet, NJ
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
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