CareOne at Middletown

    1040 NJ-36, Atlantic Highlands, NJ, 07716
    3.9 · 67 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Warm staff but inconsistent care

    My experience was mixed. The rehab/therapy team, activities, admissions staff and many nurses/CNAs were warm, professional and the building was bright, clean with good social life and meals; at its best it felt like top-quality, family-style care. But I also witnessed serious lapses-long call-light waits, missed hygiene/diaper changes, laundry errors and safety/communication failures-so check staff consistency and oversight before placing a loved one.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.88 · 67 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.1
    • Meals

      3.9
    • Amenities

      3.8
    • Value

      2.0

    Pros

    • Caring, compassionate nursing staff and CNAs
    • Attentive, friendly aides who preserve dignity
    • Strong, effective physical and occupational therapy teams
    • Successful sub-acute rehab outcomes and discharge planning
    • Engaging, varied activities and strong activities staff
    • Inclusive programming with separate tiers for cognitive impairment
    • Professional, welcoming admissions and reception staff
    • Proactive and involved administration/leadership (in many reports)
    • Consistent staff interactions and long-tenured CNAs
    • Good coordination and transportation for appointments
    • Helpful, involved social work and patient-family communication
    • Well-maintained, modern-looking, bright facility (many reports)
    • Housekeeping and custodial staff praised in many reviews
    • Five-star / high-quality dining experiences reported by many
    • Dietary accommodations for restrictions and introduced chef
    • Hospice and wound-care services noted as effective
    • Hotel-like amenities and comfortable common/social rooms
    • Staff frequently go above and beyond and create a family-like atmosphere
    • Specific staff singled out for exceptional care and communication
    • High recommendations from numerous families and PCPs

    Cons

    • Short-staffing and inconsistent staff coverage
    • Long wait times or no response to call lights/call buttons
    • Instances of neglect (left in soiled clothing/diapers, not changed)
    • Serious safety incidents reported (falls, injuries, hospital transfers)
    • Unclean rooms, bathrooms, linen, and common areas in some reports
    • Poor or inconsistent housekeeping/management in some cases
    • Medication errors or medications not given as reported
    • Some reports of rude or unhelpful staff
    • Bedsores and infections alleged in a subset of reviews
    • Laundry lost, mismatched, or not returned
    • Uncomfortable beds and rooms being too cold in some reports
    • Mixed dining quality — some say food terrible despite others praising it
    • Call lights allegedly turned off by aides and not followed up
    • Delayed bathroom assistance (reports of 30–90+ minute waits)
    • Perceived lack of oversight and unresolved family complaints
    • Facility maintenance inconsistencies (new/clean vs poorly maintained)
    • Safety and supervision concerns for highly dependent residents
    • Polarized experiences suggesting inconsistent standards of care

    Summary review

    Overall impression: Reviews for CareOne at Middletown are strongly polarized and reveal two dominant narratives. A large number of reviews describe an excellent, compassionate, and professional care environment: bright, modern facilities; highly capable therapy teams; engaging activities; and staff who go above and beyond. These accounts emphasize successful sub-acute rehab outcomes, attentive nursing and CNA care, excellent dining experiences (frequently described in glowing terms), and proactive administrative support. Conversely, a significant minority of reviews describe serious lapses in basic care, safety, hygiene, and responsiveness. These harsher reports include allegations of neglect, long waits for assistance, unclean rooms, missed medications, falls and injuries, and poor management follow-up. The coexistence of both very positive and very negative experiences points to inconsistent performance across shifts, units, or time periods rather than a uniformly excellent or uniformly failing operation.

    Care quality and clinical services: Many families highlight outstanding clinical care, especially in rehabilitation services. Physical and occupational therapy teams are repeatedly praised for producing measurable improvements, effective discharge planning, and compassionate therapists (several staff — e.g., named PTs and nurses in reviews — received individual recognition). Nursing staff and CNAs are frequently described as kind, attentive, and dignity-preserving; some reviews credit nursing teams with excellent wound care and hospice support. These strengths make CareOne at Middletown a strong choice for residents needing active sub-acute rehab or short-term therapy. However, countervailing reports are serious and specific: delayed or missed medications, unattended residents who experienced falls, bedsores and infections, and prolonged waits for bathroom assistance (reports of 30–90+ minutes). These safety-related complaints are particularly salient because they involve harm or near-harm and indicate lapses in staffing, monitoring, or protocol adherence in some cases.

    Staff, culture, and communication: A consistent positive theme is staff compassion and a family-like culture. Reviewers repeatedly mention warm, welcoming admissions and front-desk personnel, social workers who listen, and CNAs with longevity who build relationships with residents. Multiple reviewers singled out individual staff members (nurses, CNAs, therapists, and administrators) for exemplary communication and regular updates, including photos of progress. At the same time, other reviews describe rude or unhelpful staff and inconsistent interactions, suggesting variability in staff training, morale, or supervision. Communication strengths — frequent updates and thorough discharge planning — appear in many positive reviews, while negative reports often cite poor management response to complaints and unresolved family concerns.

    Facilities, cleanliness, and maintenance: Many reviewers describe the building as clean, bright, modern, and well-maintained, even comparing dining and ambiance to a hotel or cruise-ship vibe. Custodial staff receive praise in multiple accounts. Contrastingly, several reviews accuse the facility of being unsanitary, with dirty bathrooms, walls, linens, and sitting areas, and describe worst-case scenarios such as wound care being performed on inappropriate surfaces. The disparity suggests that cleanliness and maintenance may vary by unit, timeframe, or staff shift.

    Dining and activities: Dining is one of the most polarizing aspects. Numerous reviews praise the food as excellent, varied, and professionally prepared (even “five-star” comparisons and a chef introduction), with dietary restrictions accommodated. Conversely, a smaller set of reviewers describe the food as terrible or of poor value. Activities receive largely positive feedback: the activities staff are described as creative and energetic, offering many social, recreational, and therapeutic options (entertainers, craft days, tie-dye, peer visiting support), and programs that are inclusive of sub-acute rehab and long-term residents, including separate programming for cognitive impairment.

    Operations, responsiveness, and management: Several families commend proactive administration, efficient operations, and strong coordination of appointments and transportation. Positive accounts note detailed discharge planning and trustworthy follow-through. Yet persistent operational critiques include short-staffing, long or ignored call-light responses, aides allegedly turning off call lights, lost or mismatched laundry, and delayed housekeeping. Some reviewers report that their concerns were not addressed to their satisfaction by management, indicating inconsistency in complaint resolution and quality assurance.

    Notable patterns and recommendations for families: The overall pattern is one of high highs and low lows. For many residents — especially those needing focused rehab — reviewers report excellent outcomes and attentive care. For others — often the most dependent residents — there are alarming reports of neglect and safety issues. This suggests variability in staff availability, adherence to protocols, or oversight. Families evaluating CareOne at Middletown should weigh the frequently praised strengths (therapy, many compassionate staff, robust activities, and strong dining for many residents) against the documented risks (response-time failures, cleanliness lapses, safety incidents). Several reviews highlight standout staff and leadership as real assets; similarly, multiple reviews express strong recommendation and gratitude. Simultaneously, multiple reviewers issued strong warnings to avoid placing highly dependent loved ones there based on their experiences.

    Bottom line: CareOne at Middletown demonstrates clear areas of excellence — notably in rehabilitation services, many compassionate caregivers, engaging activities, and in many cases high-quality dining and facility presentation — but is also associated with repeated and serious negative reports regarding staffing, responsiveness, cleanliness, and safety. The aggregate suggests competent, often excellent care is possible and delivered frequently, but not consistently across all shifts or residents. Prospective residents and families should ask specific, concrete questions about staffing levels, call-button response times, infection-control and housekeeping protocols, medication administration processes, and recent quality measures; and, when possible, speak with current families or observe multiple shifts to get a fuller picture of day-to-day consistency.

    Location

    Map showing location of CareOne at Middletown

    About CareOne at Middletown

    CareOne at Middletown is a large senior living community in New Jersey that offers a broad range of care options, so folks can get assisted living services, independent living, memory care, nursing home services, and even continuing care retirement community options all in one place, and the place stands out for having both a cozy, homelike setting and a high level of medical services, since the care team runs programs like pulmonary rehab, ventilator weaning, orthopedic and neurobehavioral rehab, and there's special care for cardiac and wound needs as well as diabetes and kidney issues, including peritoneal dialysis. The staff runs client care planning and makes sure to hit all the right safety marks by doing medication reviews when anyone gets admitted, and the team includes social workers, aides who show real care, nurses with advanced training, and full-time dementia specialists who help guide a dedicated dementia care program. Since it's a big place with strong management standards and a multidisciplinary team working out of departments, residents get social work help, safety reviews, therapy services, and full coordination of care. Residents live in cozy apartments and can spend their free time in the game room, library, arts room, art gallery, spacious lounges, or the beautiful gardens and courtyards, and there's also a spa, on-site theater for movie nights, and a Reformed Church, so there's a wide mix of things to do if anyone wants to take part in daily scheduled activities or lead their own. The community hosts fitness groups, offers walking paths, and provides laundry and housekeeping, along with food service that gives residents enjoyable meals each day; everything's set up to help folks feel comfortable, safe, and welcome, and the staff is warm and compassionate. Assistance with daily needs like bathing, dressing, and medication management is always available, and there's a 24-hour emergency alert system, round-the-clock supervision, and nurses on-site for 12 to 16 hours each day. Some residents come for short-term post-hospital recovery or rehab, while others have longer-term needs, requiring respiratory care, critical care, stroke recovery, or even palliative and hospice care; for more advanced medical support, the place offers long-term acute care hospitals, wound care management, pain management, IV therapy, psychiatry, and even infectious disease care, plus special care for those recovering from amputation or trauma. CareOne at Middletown tries to make quality of life a focus, so there are resident-led activities, programs to build engagement, and special quality of life initiatives, all inside a secure environment with regular safety reviews. The place is family-owned, and many from local families have worked there through the years, helping keep a positive atmosphere that feels welcoming, and management is known for sticking to best clinical practices. Residents who enjoy the outdoors use the garden and walking paths, while others like movie nights in the theater or quiet time in the library; overall, CareOne at Middletown tries to support health, well-being, and dignity in a setting where medical, emotional, and social needs all get attention.

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