CareOne at Middletown

    1040 NJ-36, Atlantic Highlands, NJ 07716
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate, clean, family-like rehab care

    I had a very positive experience here. Staff at every level were attentive, compassionate, and professional - therapists got my loved one moving again, nurses and CNAs were caring, and admins were responsive. The facility is bright and clean, activities are lively, and meals are restaurant-quality; I recommend this place for thoughtful, family-like rehab and long-term care.

    Loved one of resident
    Jul 2026

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    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

    Reviews

    4.13·(89)

    Overall rating

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

      4.2
    • Staff

      4.2
    • Meals

      3.9
    • Amenities

      3.8
    • Value

      2.0

    Pros

    • Compassionate and attentive nursing staff
    • Skilled physical and occupational therapy teams
    • Engaging and varied activities program
    • High-quality dining with menu variety
    • Clean, modern rehab and common areas
    • Proactive and accessible administration
    • Welcoming admissions and front‑desk staff
    • Responsive housekeeping and maintenance
    • Dedicated hospice and wound‑care expertise
    • Strong discharge planning and care coordination
    • Warm, home‑like atmosphere and family orientation
    • Specialized programming for cognitive impairment

    Cons

    • Inconsistent responsiveness to call lights and assistance requests
    • Variable cleanliness and sanitation practices
    • Inconsistent meal quality and dining experience
    • Staffing shortages and variable staff assignment continuity
    • Gaps in medication administration and monitoring
    • Laundry and personal‑items management weaknesses
    • Gaps in transfer and fall‑prevention practices
    • Variable management responsiveness to complaints and incidents

    Summary of reviews

    Overall impression: Reviews describe a facility with clear strengths in clinical rehabilitation, hands‑on caregiving, and an active community environment. Many families highlight strong physical and occupational therapy teams, attentive registered nurses and CNAs, and coordinated discharge planning that supports successful transitions home. The facility is frequently described as having a warm, hotel‑like atmosphere with welcoming admissions and front‑desk staff, a robust activities program (including programming for residents with cognitive impairment), and a dining program that can offer restaurant‑style meals and menu variety.

    Care and staff: Clinical care and therapy are commonly cited as major strengths. Multiple accounts emphasize rapid mobilization, skilled therapists, and individualized therapy plans that produce measurable improvement in mobility and function. Nursing staff and aides are often described as compassionate and respectful, with positive family communication and involvement from social work and administration in many cases. Several reviews single out strong hospice and wound‑care capabilities. At the same time, there is a notable pattern of variability: while many families report attentive, consistent caregiving, others describe lapses in responsiveness to requests for assistance and longer-than-expected waits for basic care. These responsiveness issues appear tied in part to staffing and assignment continuity.

    Dining and activities: The activities program receives frequent praise for variety, creativity, and social engagement; entertainers, themed events, and dedicated activity staff are described as contributing to a home‑like, social atmosphere. Dining receives mixed but generally positive feedback: reviewers praise high‑quality, restaurant‑style meals and accommodation of dietary needs, though other families describe inconsistent meal quality; this suggests variability in the dining experience across units or meals.

    Facilities and environmental management: Many reviewers find the building clean, modern, and well maintained—especially in rehab areas and public spaces—and note responsive maintenance and housekeeping staff. Conversely, there are recurring sanitation and housekeeping concerns reported in certain units or rooms, along with issues around laundry management and personal‑item handling. These inconsistencies indicate that environmental standards may be uneven across the facility.

    Operational and safety patterns: Several reviews raise operational concerns that affect resident safety and comfort: delayed responses to call lights and assistance requests, gaps in medication administration or monitoring, and weaknesses in transfer/fall‑prevention practices. These operational patterns are frequently linked to staffing levels and schedule continuity. Reviewers also describe variable management responsiveness when families raise complaints or safety concerns, producing a mixed picture of administrative follow‑through.

    What to watch for and next steps: For families considering this facility, the strengths to weigh are robust therapy services, many examples of compassionate and skilled clinical staff, an active activities program, and an environment that can feel welcoming and well‑maintained. At the same time, there are consistent operational themes—call‑response reliability, unit‑level cleanliness and laundry processes, staffing continuity, and medication/monitoring practices—that warrant specific inquiry during a tour. Prospective residents and families should ask about current staffing ratios and assignment continuity, call‑light response metrics, infection‑control and housekeeping protocols, medication-administration safeguards, and how management documents and resolves family concerns. These focused questions can help assess whether the facility’s strong clinical and social programming will be delivered consistently for an individual resident.

    Reviews written on Mirador

    We have no reviews to show about CareOne at Middletown.

    Help other families by writing a review about your experience with this community.

    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of CareOne at Middletown

    CareOne at Middletown is located at 1040 NJ-36, Atlantic Highlands, NJ, 07716.

    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.

    People often ask...

    CareOne at Middletown offers assisted living, memory care, and skilled nursing.

    There are 8 photos of CareOne at Middletown on Mirador.

    The full address for this community is 1040 NJ-36, Atlantic Highlands, NJ 07716.

    No, CareOne at Middletown does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of CareOne at Middletown. The information above has not been verified or approved by the owner or operator. For exact information, please contact CareOne at Middletown directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 31 facilities$6,090/mo
    2. 9 facilities$3,535/mo
    3. 25 facilities$5,972/mo
    4. 32 facilities$6,565/mo
    5. 41 facilities$6,324/mo
    6. 23 facilities$6,561/mo
    7. 29 facilities$6,262/mo
    8. 42 facilities$6,324/mo
    9. 44 facilities$6,621/mo
    10. 27 facilities$6,262/mo
    11. 33 facilities$7,215/mo
    12. 44 facilities$6,621/mo
    © 2026 Mirador Living