Careone at Middletown
1040 STATE ROUTE 36, Atlantic Highlands, NJ 07716
Atlantic Highlands, New Jersey · CMS verdict
Careone at Middletown reflects below-average quality on the federal five-star scale, below the New Jersey state average of 3.3.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Careone at Middletown in Atlantic Highlands, New Jersey holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 57 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lower star tercile)
This facility's CMS overall rating sits in the lower U.S. star tercile (≤2/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 57 is built
Each segment is a dimension's weighted points toward the score, summing to 57.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Careone at Middletown's lower-tercile CMS stars
Quality ratings
On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to New Jersey.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Atlantic Highlands, New Jersey. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 66% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within New Jersey, Careone at Middletown is one of 161 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 3.1 stars, ahead of roughly 11% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Careone at Middletown's lower-tercile stars compare to New Jersey
CMS five-star sub-ratings (0–5) for this facility against the New Jersey facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = New Jersey state average. Higher is better on all four CMS measures.
Where Careone at Middletown ranks in New Jersey
Among the 344 CMS-rated nursing homes in New Jersey, Careone at Middletown’s 2-star overall rating is higher than 11% of them. The bars show how all New Jersey homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
74 New Jersey homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 127 |
| Residents | 84 |
| Ownership | For profit - Limited Liability company |
| County | Monmouth |
| Penalties | 1 |
| Deficiencies | 20 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Careone at Middletown? ▾
CMS rates Careone at Middletown at 2 out of 5 stars overall. How its three sub-ratings compare with the New Jersey average is charted above.
How much does a nursing home cost per month in New Jersey? ▾
The median cost for a semi-private nursing home room in New Jersey is $12,775 per month ($153,300 annually). A private room averages $14,448 per month. Costs are from the CareScout 2025 survey.
What services does Careone at Middletown offer? ▾
CMS classifies Careone at Middletown as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Careone at Middletown have any deficiencies or penalties? ▾
Careone at Middletown has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in New Jersey? ▾
In New Jersey, alternatives include assisted living ($8,710/mo), home health aides ($7,245/mo), and adult day care ($2,167/mo).
Keep reading
Also see the New Jersey elder-care overview and highest-rated states. Provider ID: 315087.
Read our methodology - how this data is sourced, computed, and verified.