Careone at Holmdel
Strong Medicare quality ratings; families often praise highly skilled and motivating physical and occupational therapy teams. Still worth an in-person visit.
based on 193 Google reviews
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What this means for your family
This facility's therapy team is highly regarded for successful rehabilitation, making it a potential choice for short-term recovery. However, families must be aware of consistent reports regarding slow response times and hygiene issues; we strongly advise visiting frequently and monitoring care closely, especially during night shifts.
Google Reviews
Google Reviews
193 reviews on Google“CareOne at Holmdel receives highly polarized feedback, with many families praising the exceptional physical and occupational therapy teams for successful recovery outcomes. However, a significant number of reviewers report serious concerns regarding neglect, slow response times to call bells, and inconsistent nursing care, particularly during night shifts. Families should be aware that while many find the facility clean and professional, others describe issues with hygiene, medication management, and staff responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Highly skilled and motivating physical and occupational therapy teams
- Clean, well-maintained facility environment
- Compassionate and attentive nursing staff (cited by many)
- Engaging and varied activity programs
Concerns
- Slow or ignored call bell response times, especially at night (mentioned by 14 reviewers)
- Inconsistent hygiene and failure to assist with toileting/diaper changes (mentioned by 11 reviewers)
- Medication management errors or delays (mentioned by 6 reviewers)
- Subpar food quality and inadequate portion sizes (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 195 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard wonderful things about your physical and occupational therapy teams; how do you tailor those programs to help residents regain their independence?
- 2With the facility being so well-maintained and clean, what are some of the favorite social activities or group programs that residents look forward to each week?
- 3How does the nursing team manage call bell responses during the overnight hours to ensure everyone is attended to promptly?
- 4What specific protocols do you have in place to ensure medication management is consistent and error-free for every resident?
- 5Could you tell us more about your approach to hygiene care and how staff assists with personal care needs like toileting throughout the day?
- 6How does the facility handle medical emergencies or changes in a resident's condition after the main daytime staff has left?
Personalized based on this facility's data
Key Review Excerpts
“I gave 5 Stars for the great and consistent help the physical and occupation therapists gave me on every single therapy session I had with them. If it wasn't for them I would still be struggling with my health problems.”
“I gave it 4 out of 5 stars due to CNA staffing issues. Patients should not have to wait 20 minutes or longer for assistance to use bathroom.”
“Within a week at Care One he developed a fungal infection in his groin and bottom and he couldn't be cleaned without screaming in pain. We were with him every day and witnessed him lying in his feces for hours without care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
2
measures
5
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has 24 deficiencies across three surveys, with families filing complaints that triggered investigations into infection control and abuse reporting issues. The most recurring problems involve infection control, quality of care (including pressure ulcer prevention and nutrition), and safety infrastructure. While all deficiencies show correction dates, infection control issues have persisted across multiple surveys, suggesting ongoing challenges in this critical area.
Jul 31, 2025Routine7
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 13, 2024Routine8
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Environmental Deficiencies
Have enough backup water supply for essential areas of the nursing home.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 13, 2024Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Dec 7, 2021Routine6
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Ownership & Operations
Who Operates This Facility
Careone at Holmdel
for profit
Chain Affiliation
Careone
37 facilities nationwide
Chain avg rating: 3.4/5 · Rank 8 of 37 (Best)
Ownership & Management
Owners
Care One LLC
Owner · Organization
Straus, Daniel
Owner
Des 2009 Gst Trust
Owner (parent company) · Organization
Des Holding Co., INC.
Owner (parent company) · Organization
Des-C 2009 Grat
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
193 reviews from families & visitors
Official Website
Visit care-one.com
Medicare data downloads
Original nursing home datasets
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