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Nursing homeFAID #8158

Careone At Wall

2621 HIGHWAY 138, WALL, NJ, 07719
(732) 556-1060
130 licensed beds

CMS rates Careone At Wall 5 out of 5 overall. Federal inspectors issued 39 citations across 8 inspections in the last three years, with $68,819 in fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
130
State license
556213
CMS facility ID
315485
Care type
Nursing home
Facility name
Careone At Wall
Street address
2621 HIGHWAY 138
City / state / ZIP
Wall, NJ 07719
Phone
(732) 556-1060
State license #
556213

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

It is one of 5 senior care facilities in Wall 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.

It is listed as part of Careone, a group of 37 facilities on this site.

Federal inspectors have cited Careone At Wall 39 times across 8 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $68,819 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 November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Care One At Wall, L.l.c.
Parent company
Careone
Ownership type
For profit - Limited Liability company
Administrator
Terri Rufo

Registered owners & officers

Care One Llc
Direct owner — 100% stake — since 2007
Straus, Daniel
Indirect owner — 38% stake — since 2007
Des Holding Co., Inc.
Indirect owner — 24% stake — since 2007
Des-c 2009 Grat
Indirect owner — 21% stake — since 2009
Des 2009 Gst Trust
Indirect owner — 18% stake — since 2018
Baruch, David
Managing employee · Officer — since 2021
Care One Management, Llc
Operational control — since 2007
Healthbridge Management Llc
Operational control — since 2008

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
2004-09-10
License expires
2027-08-31
CMS overall rating
5 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$68,819 total
Last standard inspection
2026-03-25
Nurse staffing
4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$809 per day (≈ $24,590/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
29% Medicaid · 40% Medicare · 31% private/other
Occupancy
69% (fiscal year 2023)
Vs. state median
92% above the NJ median of $422/day — full state cost breakdown

Services & coverage

Licensed beds
130
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 2026-11-06. Facilities can submit a correction.
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.
2026-03-25Health inspection2 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-04-02
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-02
2026-01-28Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-03-06
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-03-06
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 2026-03-06
5 earlier / fire-safety inspections (34 citations)
2024-10-18Health inspection2 citations
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-04
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 2024-11-01
2023-10-17Health inspectionComplaint-triggered14 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-30
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-11-03
F-0657
D · 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 2023-11-04
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-30
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-10
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-30
F-0688
D · No harm found
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 2023-11-10
F-0689
J · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-30
F-0690
D · No harm found
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 2023-10-30
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-10-30
F-0761
D · 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 2023-11-03
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 2023-10-30
F-0865
E · No harm foundFrom a complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-10-30
F-0940
D · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2023-11-30
2026-03-25Fire-safety inspection7 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 2026-06-03
K-0271
F · No harm found
Have exits that are accessible at all times.
Corrected 2026-04-10
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-06-03
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-06-02
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-04-07
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-05-12
K-0927
F · No harm found
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2026-04-21
2024-10-18Fire-safety inspection8 citations
K-0225
E · No harm found
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-10-30
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-10-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-30
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-11-06
K-0531
E · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-11-15
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-11-22
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-06
2023-10-17Fire-safety inspection3 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-30
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-01-15
K-0525
F · No harm found
Enure that solid fuel-burning fireplaces are not in patient sleeping areas.
Corrected 2024-01-15

Federal penalties

2023-10-17Fine$68,819
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 315485.
How it compares in New Jersey.
Inspection citations, 3 years
39
More than 53% of nursing homes in the state
State median: 38
Federal fines, 3 years
$68,819
More than 86% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
4.1
Higher than 75% of nursing homes in the state
State median: 3.7
Nursing staff turnover, annual
30%
Higher than 22% of nursing homes in the state
State median: 38%

Resident outcomes

On 21 federal quality measures, this facility does better than the New Jersey average on 10 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased11.6%8.3%13.5%Worse than state
Lose too much weight4.4%4.7%5.1%Near state average
With a catheter inserted and left in their bladder0.0%0.5%0.7%Better than state
With a urinary tract infection1.0%0.7%1.5%Worse than state
Have depressive symptoms17.6%12.5%13.5%Worse than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury1.0%2.3%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine99.5%93.0%93.7%Near state average
Ability to walk independently worsened11.3%7.3%12.7%Worse than state
Received an antianxiety or hypnotic medication22.4%18.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine98.3%96.8%95.3%Near state average
With pressure ulcers7.9%5.3%4.5%Worse than state
With new or worsened bowel or bladder incontinence7.3%15.2%18.3%Better than state
Received an antipsychotic medication10.9%12.9%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.161.961.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days0.601.051.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine99.8%79.0%82.3%Better than state
Newly received an antipsychotic medication0.0%1.1%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine96.1%79.5%80.1%Better than state
Were rehospitalized after a nursing home admission24.0%24.1%23.4%Near state average
Had an outpatient emergency department visit6.3%8.1%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
  • K-0712 2 inspections. Have simulated fire drills held at unexpected times.
  • F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

  • Des-c 2009 Grat has an ownership stake on file at 18 nursing homes, averaging 3.9 of 5 on CMS's overall rating.
  • Des 2009 Gst Trust has an ownership stake on file at 18 nursing homes, averaging 3.7 of 5 on CMS's overall rating.
  • Care One Llc has an ownership stake on file at 17 nursing homes, averaging 3.9 of 5 on CMS's overall rating.
  • Des Holding Co., Inc. has an ownership stake on file at 16 nursing homes, averaging 3.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in New Jersey

  • Licensing: New Jersey Department of Health, Division of Health Facility Survey and Field Operations
  • File a complaint: 800-792-9770 · Online
  • Long-Term Care Ombudsman: 877-582-6995. A free advocate for residents and families.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Jersey Shore University Medical Center, about 2.9 miles. CMS rating 4 of 5.
  • Ocean Medical Center, about 7.3 miles. CMS rating 4 of 5.
  • Monmouth Medical Center, about 9.6 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.2265 ratings on Google
★★★★★Jennifer Martins · 2026-05-13 · via Google

“All of the staff at CareOne in Wall were fantastic! They were caring, communicative, friendly, helpful, professional, respectful and knowledgeable in their prospective jobs. They had her recovery as a priority! My Mom received excellent care and she left feeling really satisfied, as did our family. The facility itself was clean and inviting. I would highly recommended this facility!”

★★★★★Elizabeth Gross · 2026-07-03 · via Google

“CareOne at Wall was a very enriching experience which enabled me to gain my strength and balance. I was able to walk again after a medical change in my chemistries. The staff was supportive and so kind. My roommate Rosemary Stuvich was such a pleasure to room with. We really helped each other get through each day with such humor and I have a friend for life! Thanks to nursing staff and the physi…”

★★★★★J Martin · 2026-03-03 · via Google

“Everyone was so wonderful. We could not have asked for a better extended family for my father to heal with. They took such great care of him and everyone was extremely helpful, kind and considerate. Although we were happy to have Pop come home it was sad to leave the staff behind. Highly recommend 👌”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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 39 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
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