CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3150872026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Careone At Middletown

1040 State Route 36 · Atlantic Highlands, NJ 07716 · Monmouth County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds127CMS provider file
Recent citation rows36current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-01-1082025-01-1014
Cycle 22023-03-09102023-03-092
Cycle 32021-01-0822021-01-080
02 / CITATION DETAIL

36 rows in the current release

3 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-01-10 · HEALTHF0657Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · HEALTHF0679Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · HEALTHF0919Severity F · widespread; potential for more than minimal harm

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · FIREK0222Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · FIREK0223Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2025-03-17
2025-01-10 · FIREK0271Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have exits that are accessible at all times.

Correction field: Deficient, Provider has date of correction · 2025-03-17
2025-01-10 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2025-03-17
2025-01-10 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-03-02
2025-01-10 · FIREK0341Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Correction field: Deficient, Provider has date of correction · 2025-03-17
2025-01-10 · FIREK0347Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · FIREK0351Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2025-03-17
2025-01-10 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · FIREK0372Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · FIREK0374Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · FIREK0521Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · FIREK0531Severity F · widespread; potential for more than minimal harm

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

Correction field: Deficient, Provider has date of correction · 2025-02-02
2025-01-10 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-03-17
2024-12-24 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2025-01-24 · complaint
2024-12-24 · HEALTHF0655Severity G · isolated actual harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2025-01-24 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-12-24Fine$8,7880
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CARE ONE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 02/04/2002
  • DES-C 2009 GRATOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 10/26/2009
  • STRAUS, DANIELIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 09/01/2004
  • DES 2009 GST TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 12/01/2021
  • DES HOLDING CO., INC.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    24% · since 12/16/2007
  • BARUCH, DAVIDIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 12/01/2021
  • BARUCH, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/01/2021
  • CARE ONE MANAGEMENT, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/31/2004
  • HEALTHBRIDGE MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/04/2002

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.31per resident day
RN hours0.65per resident day
Weekend nurse hours2.79per resident day
Staff turnover25.4%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the New Jersey ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.