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B
Good

CAREONE AT MIDDLETOWN

1040 STATE ROUTE 36 · ATLANTIC HIGHLANDS, NJ 07716

7322913400 · For profit - Limited Liability company

127 beds83.7 residents116 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CAREONE AT MIDDLETOWN receives an overall staffing grade of B (Good). With 3.7075 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.19 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 23.47% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.7075hrs/resident/day▼ 0.19
CMS benchmark: 3.48
RN HPRD
0.7738hrs/resident/day▲ 0.09
Recommended: 0.75
Weekend Drop-off
23.47%
3.9709 weekday → 3.039 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9872hrs/resident/day
Direct care aides
LPN HPRD
0.9279hrs/resident/day
Licensed practical nurses
Consistency
0.5117std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Monmouth County Average-0.13 HPRD
3.84
03.71 HPRD
vs. New Jersey State Average-0.16 HPRD
3.87
03.71 HPRD
vs. National Average-0.19 HPRD
3.90
03.71 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CAREONE AT MIDDLETOWN ★
ATLANTIC HIGHLANDS · This facility
—
B
3.70750.7738★★☆☆☆
COMPLETE CARE AT SHREWSBURY LLC
SHREWSBURY
4.6 mi
C
3.67380.5184★★☆☆☆
ARNOLD WALTER NURSING & REHABILITATION CENTER
HAZLET
5.1 mi
C
3.36530.5512★★★★☆
REDBANK CENTER FOR REHABILITATION AND HEALING
RED BANK
5.5 mi
C
3.37530.493★★★☆☆
ANCHOR CARE AND REHABILITATION CENTER
HAZLET
7.5 mi
C
3.30710.5278★★★★★
COMPLETE CARE AT BAYSHORE LLC
HOLMDEL
7.7 mi
C
3.66940.4842★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
20
Total Deficiencies
$8,788
Fines Assessed
Jan 10, 2025Health
8 deficiencies cited
▼
Dec 24, 2024Health
5 deficiencies cited· Includes actual harm
▼
Mar 9, 2023Health
5 deficiencies cited
▼
Jan 8, 2021Health
2 deficiencies cited
▼

Penalty History

Dec 24, 2024Fine
$8,788
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.