Careone At Middletown
1040 State Route 36, Atlantic Highlands, NJ, 07716
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Careone
- Certified beds
- 127 · avg 87 residents/day
- Total nursing staff turnover
- 25.4% — lower than most New Jersey nursing homesNew Jersey avg: 40.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 33.3% — lower than most New Jersey nursing homesNew Jersey avg: 38.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the New Jersey averageNew Jersey avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,788 total
Medicare certification
- CMS Certification Number
- 315087
- Certified beds
- 127 beds · avg 87 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- King James Care Center Of Middletown, Llc
- Chain affiliation
- Careone
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Careone chain — 37 facilities across 4 states. Chain-wide average overall rating 3.4 / 5.
Disclosed owners (8 on record)
- David Baruch
Corporate Officer · since 2021
- Des 2009 Gst Trust
5% or Greater Indirect Ownership Interest · since 2021
- Des-c 2009 Grat
5% or Greater Direct Ownership Interest · 21% · since 2009
- Des Holding Co., Inc.
5% or Greater Indirect Ownership Interest · 24% · since 2007
- Daniel e Straus
5% or Greater Direct Ownership Interest · since 2004
- Care One Management, Llc
Operational/managerial Control · since 2004
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 20)
- F0919·Jan 10, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0880·Jan 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Jan 10, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Jan 10, 2025
Pharmacy Service Deficiencies
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.
- E0679·Jan 10, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0677·Jan 10, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0658·Jan 10, 2025
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- E0657·Jan 10, 2025
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal penalties
By year
- 20241 fine · $8,788
Most recent events
- Dec 24, 2024Fine · $8,788
Fire-safety citations
16 Life-Safety-Code citations on file. Most recent: Jan 10, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Careone At Middletowninto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.