Atrium at Navesink Harbor, the, Red Bank
40 Riverside Avenue, Red Bank, NJ 07701 · 4.4 mi
2 of 5 CMS overall · Below average
- Inspections1/5
- Staffing5/5
- Quality5/5
- 43 beds
- Nonprofit
- Continuing care community
Nursing Home in Atlantic Highlands, NJ · CMS Data August 2026
Careone at Middletown
How Does Careone at Middletown Rate?
Careone at Middletown is a 127-bed for-profit nursing home in Atlantic Highlands, NJ. CMS rates it 2 out of 5 stars overall (August 2026), with 2 for health inspections, 4 for staffing and 4 for quality measures. Residents got an average of 3.3 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on January 10, 2025, cited 8 health deficiencies.
- CMS overall rating
- 2 of 5
- Nursing per resident per day
- 3.3 hours
- Deficiencies at last inspection
- 8
- Certified beds
- 127
1040 State Route 36
Atlantic Highlands, NJ 07716
2 of 5 CMS overall · Below average
From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.
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CMS Star Ratings
| Rating | Stars | CMS label |
|---|---|---|
| Overall rating | 2 of 5 | Below average |
| Health inspections | 2 of 5 | Below average |
| Staffing | 4 of 5 | Above average |
| Quality measures | 4 of 5 | Above average |
| Quality for long-stay residents | 5 of 5 | Much above average |
| Quality for short-stay residents | 4 of 5 | Above average |
CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.
Staffing and Turnover
| Measure | This home | National median |
|---|---|---|
| Total nursing hours per resident per day | 3.3 hours | 3.7 hours |
| Registered nurse hours per resident per day | 0.7 hours | 0.6 hours |
| Nurse aide hours per resident per day | 1.9 hours | 2.2 hours |
| Total nursing hours per resident on weekends | 2.8 hours | 3.3 hours |
| Nursing staff turnover (past year) | 25% | 45% |
| Registered nurse turnover (past year) | 17% | 42% |
Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.
Inspections and Penalties
| Last standard health inspection | January 10, 2025 |
|---|---|
| Health deficiencies cited at that inspection | 8 |
| Deficiencies from complaint inspections (same rating cycle) | 0 |
| Citations from infection control inspections | 0 |
| Fines in the past 3 years | 1 totaling $8,788 |
| Payment denials in the past 3 years | 0 |
The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.
Quality Measures for Long-Stay Residents
The share of residents in long-term care (101 days or more) at Careone at Middletown who, according to CMS's resident assessments (2025Q2 to 2026Q1):
| Residents who | This home | National median | Compared |
|---|---|---|---|
| Received an antipsychotic medication | 13% | 13% | Lower than the national median |
| Received an antianxiety or hypnotic medication | 16% | 18% | Lower than the national median |
| Had a fall with major injury | 4.1% | 2.8% | Higher than the national median |
| Have pressure ulcers | 4.8% | 4.2% | Higher than the national median |
| Lost too much weight | 4.5% | 4.7% | Lower than the national median |
| Were physically restrained | 0.0% | 0.0% | At the national median |
| Have depressive symptoms | 17% | 3.6% | Higher than the national median |
| Needed more help with daily activities over time | 6.4% | 13% | Lower than the national median |
Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.
About the Home
| Certified beds | 127 |
|---|---|
| Average residents per day | 96 |
| Ownership | For profit - Limited Liability company |
| Legal business name | KING JAMES CARE CENTER OF MIDDLETOWN, LLC |
| Chain or affiliated group | CAREONE (37 homes) |
| Certified for | Medicare and Medicaid |
| First certified | June 1968 |
| Councils | Resident council |
Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and New Jersey's New Jersey Long-Term Care Ombudsman (1-877-582-6995) can answer questions about residents' rights. See all nursing homes and senior care in New Jersey.
Other Nursing Homes Near Careone at Middletown
Measured by straight-line distance. See every home on the Atlantic Highlands nursing homes page.
Complete Care at Shrewsbury LLC, Shrewsbury
89 Avenue At the Common, Shrewsbury, NJ 07702 · 4.6 mi
3 of 5 CMS overall · Average
- Inspections2/5
- Staffing2/5
- Quality5/5
- 140 beds
- For-profit
Arnold Walter Nursing &Amp; Rehabilitation Center, Hazlet
622 S Laurel Avenue, Hazlet, NJ 07730 · 5.1 mi
3 of 5 CMS overall · Average
- Inspections2/5
- Staffing2/5
- Quality5/5
- 202 beds
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Redbank Center for Rehabilitation and Healing, Red Bank
100 Chapin Avenue, Red Bank, NJ 07701 · 5.6 mi
2 of 5 CMS overall · Below average
- Inspections2/5
- Staffing1/5
- Quality5/5
- 180 beds
- For-profit
Laurel Bay Health &Amp; Rehabilitation Center, Keansburg
32 Laurel Avenue, Keansburg, NJ 07734 · 5.6 mi
2 of 5 CMS overall · Below average
- Inspections2/5
- Staffing3/5
- Quality3/5
- 123 beds
- For-profit
De La Salle Hall, Lincroft
810 Newman Springs Rd, Lincroft, NJ 07738 · 7.2 mi
5 of 5 CMS overall · Much above average
- Inspections4/5
- Staffing5/5
- Quality4/5
- 32 beds
- Nonprofit