Careone at Middletown: Staffing, Turnover, and Inspection Record
Careone at Middletown is a 127-bed for-profit nursing home in Atlantic Highlands, New Jersey, part of Careone. In the CMS August 2026 release it reported 1.91 nurse aide hours per resident per day, 14% below the New Jersey average of 2.23, and 25.4% nursing staff turnover (New Jersey average 39.7%).
Careone at Middletown
1040 State Route 36Atlantic Highlands, NJ 07716
Monmouth County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Careone at Middletown, nurse aides logged 1.91 hours per resident per day, 14% below the New Jersey average. With about 96 residents a day, that works out to roughly 183 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | New Jersey avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.91 | 2.23 | 2.32 |
| Licensed practical nurses | 0.75 | 0.93 | 0.86 |
| Registered nurses | 0.65 | 0.68 | 0.69 |
| All nursing staff | 3.31 | 3.85 | 3.86 |
| All nursing staff, weekends | 2.79 | 3.50 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
25.4% of nursing staff at Careone at Middletown left over the year CMS measured, against a New Jersey average of 39.7% and a US average of 45.8%. Registered nurse turnover was 16.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 10, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (New Jersey average 8.8). CMS lists 1 fine totaling $8,788 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 24, 2024 | Fine | $8,788 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Careone at Middletown holds 2 of 5 overall; the New Jersey average is 3.3.
About Careone at Middletown
- Ownership: For profit - Limited Liability company
- Chain: Careone, 37 homes
- Legal name: King James Care Center of Middletown, LLC
- Medicare and Medicaid certified since: Jun 11, 1968
- Councils: resident council
- Area: urban
Nursing homes near Careone at Middletown
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Atrium at Navesink Harbor Red Bank | 4.4 | 43 | 2.57 | 4.91 | 38.3% | 2 | None |
| Complete Care at Shrewsbury LLC Shrewsbury | 4.6 | 140 | 2.20 | 3.72 | 47.1% | 3 | $53,780 |
| Arnold Walter Nursing & Rehabilitation Center Hazlet | 5.1 | 202 | 1.82 | 3.26 | 54.1% | 3 | None |
| Redbank Center for Rehabilitation and Healing Red Bank | 5.6 | 180 | 1.93 | 3.02 | 44.3% | 2 | None |
| Laurel Bay Health & Rehabilitation Center Keansburg | 5.6 | 123 | 1.60 | 2.80 | 28.0% | 2 | $15,873 |
| De la Salle Hall Lincroft | 7.2 | 32 | 2.51 | 4.63 | 35.3% | 5 | None |
| Anchor Care and Rehabilitation Center Hazlet | 7.6 | 170 | 2.05 | 3.32 | 50.3% | 4 | None |
| Complete Care at Bayshore LLC Holmdel | 7.7 | 232 | 2.22 | 3.78 | 37.8% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.