Careone at Middletown
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 89 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (8 vs median 7)
Bottom 25% in NJ · Meets national RN staffing standard · Low staff turnover (stable workforce) · Below chain average · $8,788 in fines
What this means for your family
This facility offers excellent rehabilitation therapy and a strong activities program, making it a potential candidate for short-term recovery. However, the recurring reports of slow response times to call bells and hygiene neglect are serious red flags; we strongly recommend visiting unannounced and observing the staff-to-resident interaction in the memory care or long-term wings before committing.
Google Reviews
Google Reviews
89 reviews on Google“CareOne at Middletown (often referred to as CareOne at King James) receives highly polarized feedback, with many families praising the rehabilitation therapy and nursing staff, while others report severe lapses in basic care. While some reviewers highlight a clean, welcoming environment and excellent food, others describe distressing incidents involving neglect, slow response times to call bells, and poor hygiene for vulnerable residents. Families should be aware of these significant inconsistencies in care quality.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Compassionate and dedicated nursing staff
- High-quality, varied meal options
- Clean and well-maintained facility environment
Concerns
- Slow or non-existent response to call bells (mentioned by 5 reviewers)
- Neglect regarding hygiene and basic care for dependent residents (mentioned by 4 reviewers)
- Poor communication with family members regarding incidents (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 93 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the facility's strong reputation for physical and occupational therapy, how are these programs integrated into a resident's daily routine?
- 2I noticed the facility has a high staffing rating, but could you explain the protocol for ensuring call bells are answered promptly during peak hours?
- 3How does your team ensure consistent hygiene and daily care standards for residents who require more assistance?
- 4What is your standard process for keeping family members updated when an incident occurs or there is a change in a resident's health status?
- 5I see that you actively respond to feedback online; how do you use that family input to make tangible improvements to the care experience?
- 6With the current focus on memory care, what specific activities or specialized support do you offer to keep those residents engaged throughout the day?
Personalized based on this facility's data
Key Review Excerpts
“She could not walk without supervision and was left unattended in a wheelchair on several occasions. She fell from it in her room and sat on the floor for quite some time.”
“The nurses and CNA’s were compassionate and very friendly. They were attentive and very mindful of keeping her dignity intact while helping her with dressing and toileting.”
“The place is dirty. The staff could careless. . They leave them laying there all day without washing and changing. If they need to use the bathroom they ring the bell and no one comes for an hour.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
measures
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
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
CareOne at Middletown has had families file complaints triggering federal inspections, with recent issues in December 2024 involving care planning, safety supervision, and response to violations. The facility shows recurring problems with medication management, safety hazards, and fire safety systems across multiple surveys. While all deficiencies have reported correction dates, the pattern of repeated violations in similar areas suggests ongoing operational challenges that families should investigate further.
Jan 10, 2025Routine22
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.
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.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
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.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 24, 2024Complaint5
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
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 9, 2023Routine7
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
Jan 8, 2021Routine2
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Dec 24, 2024
$8,788
Ownership & Operations
Who Operates This Facility
Careone at Middletown
for profit
Chain Affiliation
Careone
37 facilities nationwide
Chain avg rating: 3.4/5 · Rank 32 of 37
Ownership & Management
Owners
Care One LLC
Owner · Organization
Des-C 2009 Grat
Owner · Organization
Straus, Daniel
Owner
Des 2009 Gst Trust
Owner (parent company) · Organization
Des Holding Co., INC.
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
89 reviews from families & visitors
Official Website
Visit care-one.com
Medicare data downloads
Original nursing home datasets
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