Home›Browse›New Jersey›Atlantic Highlands›Careone At Middletown

Nursing homeFAID #7889

Careone At Middletown

1040 STATE ROUTE 36, ATLANTIC HIGHLANDS, NJ, 07716

(732) 291-3400

care-one.com

127 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Kelley DeWise

Address

1040 State Route 36

Atlantic Highlands, NJ 07716

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Public record summary

What we can show you for free.

Bed capacity

127

State license

061315

CMS facility ID

315087

Care type

Nursing home

Facility name

Careone At Middletown

Street address

1040 STATE ROUTE 36

City / state / ZIP

Atlantic Highlands, NJ 07716

Phone

(732) 291-3400

Website

care-one.com

State license #

061315

About this facility — Careone At Middletown

Careone At Middletown is a Medicare/Medicaid-certified skilled nursing facility in Atlantic Highlands, New Jersey. It is licensed for 127 beds — close to the median for skilled nursing facilities in New Jersey (130 beds).

It is one of 2 senior care facilities in Atlantic Highlands and 348 skilled nursing facilities across New Jersey. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Careone At Middletown 36 times across 8 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $8,788 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

King James Care Center of Middletown, L.l.c.

Parent company

Careone

Ownership type

For profit - Limited Liability company

Administrator

Anthony Sessa

Registered owners & officers

Des Holding Co., Inc.

Indirect owner — 24% stake — since 2007

Baruch, David

Managing employee · Officer — since 2021

Care One Llc

Direct owner — since 2002

Care One Management, Llc

Operational control — since 2004

Des 2009 Gst Trust

Indirect owner — since 2021

Des-c 2009 Grat

Direct owner — since 2009

Healthbridge Management Llc

Operational control — since 2002

Straus, Daniel

Direct owner — since 2004

Regulatory standing

Federal court records

20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1968-06-11

License expires

2026-08-31

CMS overall rating

2 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

$8,788 total

Last standard inspection

2025-01-10

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$625 per day (≈ $19,000/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

55% Medicaid · 22% Medicare · 23% private/other

Occupancy

71% (fiscal year 2023)

Vs. state median

48% above the NJ median of $422/day — full state cost breakdown

Services & coverage

Licensed beds

127

Licensed as

LONG TERM CARE FACILITY SNF/NF

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2025-01-10Health inspection8 citations

F-0657

E · No harm found

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

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-02-02

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-02

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2025-02-02

F-0761

E · No harm found

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

F-0812

F · No harm foundFood safety

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-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-02

F-0919

F · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-02-02

2024-12-24Health inspectionComplaint-triggered5 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-01-24

F-0655

G · Actual harmFrom a complaint

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

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-24

F-0745

G · Actual harmFrom a complaint

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-01-24

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-24

4 earlier / fire-safety inspections (23 citations)

2023-03-09Health inspection5 citations

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-10

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-10

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-04-10

F-0761

D · No harm found

Corrected 2023-04-10

F-0809

E · No harm foundFood safety

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

2021-01-08Health inspection2 citations

F-0761

E · No harm found

Corrected 2021-01-26

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2021-04-21

2025-01-10Fire-safety inspection14 citations

K-0222

F · No harm found

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

K-0223

F · No harm found

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

K-0271

F · No harm found

Have exits that are accessible at all times.

Corrected 2025-03-17

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-03-17

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2025-03-02

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-03-17

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-02-02

K-0351

F · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-03-17

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-02

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-02-02

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-02-02

K-0521

D · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-02-02

K-0531

F · No harm found

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-02-02

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-17

2023-03-09Fire-safety inspection2 citations

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-04-10

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-10

Federal penalties

2024-12-24Fine$8,788

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 315087.

Visitor reviews

What people say on Google.

4.291 ratings on Google

★★★★★Therese Richards · 2026-05-01 · via Google
“My mom was recently at careone at Middletown for a hip fracture. The staff was amazing. The nurses and CNAs took great care of her. The therapy department had her up and walking with in two days. Before her discharge she was back to her baseline. The entire staff was friendly and always made sure my mom had everything she needed. The even checked on her after she was discharged. Thank you so much…”

★★★★★robin mattimore · 2026-03-09 · via Google
“Care One has incredible staff. My mother received the most incredible care here for 2 years and there is no way to put into words how incredible the staff was to my adorable mother. Forever grateful !! Thanks CareOne!! Xoxo”

★★★★★M. Quinn · 2026-03-28 · via Google
“My mom had such an amazing experience staying here after her hip surgery. Everyone made her feel safe, and at home. Definitely the place to go if you’re looking for a community based facility. Couldn’t recommend more.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 36 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered