Monmouth County, New Jersey · Nursing home
Careone at Holmdel
5 of 5 overall from CMS
188 Highway 34, Holmdel, NJ 07733
At a glance
- Overall rating 5 of 5 Above the state average of 3.3
- Nurse time per resident, per day 3.73 hours Below the state average of 3.85
- Nursing staff who left in a year 15.4% Below the state average of 39.7%
- Health citations, last 3 inspection cycles 19 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 75.2% of 130 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Careone at Holmdel is a 130-bed nursing home in Holmdel, New Jersey (Monmouth County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.73 nurse staffing hours per resident per day, below the New Jersey average of 3.85. CMS lists no fines in the past three years.
- Certified beds
- 130
- Residents per day (average)
- 97.8
- Certified since
- 1968 (58 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Careone (37 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Careone at Holmdel
Chosen from this home's public data.
- Reported nurse staffing is 3.31 hours per resident on weekends against 3.73 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.66 hours per resident per day; the New Jersey average is 0.68. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 New Jersey average 3.3
- Health inspections 4 of 5 New Jersey average 2.8
- Staffing 3 of 5 New Jersey average 3.1
- Quality measures 5 of 5 New Jersey average 4.4
The vertical line marks the New Jersey average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.73 h New Jersey average 3.85
- Nurse aides 2.07 h New Jersey average 2.23
- Licensed practical nurses 1.00 h New Jersey average 0.93
- Registered nurses 0.66 h New Jersey average 0.68
- All staff, weekends 3.31 h New Jersey average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the New Jersey average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover15.4%
- New Jersey average39.7%
- Registered nurse turnover0.0%
- New Jersey average37.7%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New Jersey and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New Jersey | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 11.2% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.9% | 4.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.1% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 6.6% | 12.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% | 2.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 5.1% | 8.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% | 18.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% | 97.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 10.2% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.1% | 15.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.4% | 12.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.91 | 2.07 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.51 | 1.11 | 1.78 |
Short-stay residents
| Measure | This home | New Jersey | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% | 79.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.6% | 80.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.7% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 5.4% | 8.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 19 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 3 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 31, 2025 | 6 | 1 |
| Mar 13, 2024 | 8 | 3 |
| Dec 7, 2021 | 5 | 1 |
New Jersey homes averaged 8.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (19)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 22, 2025)
Show 14 more
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 22, 2025)
-
FPotential for more than minimal harm, widespread
Have enough backup water supply for essential areas of the nursing home.
Environmental · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 21, 2022)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 21, 2022)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jan 21, 2022)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 17, 2022)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Jan 21, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
New Jersey homes averaged 0.7 fines and $34,926 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Jersey
Common questions
What is the CMS star rating for Careone at Holmdel?
Careone at Holmdel has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 3 and quality measures is 5.
How many beds does Careone at Holmdel have?
Careone at Holmdel has 130 certified beds. It averages 97.8 residents per day, about 75.2% of its certified beds.
How much nursing care do residents get at Careone at Holmdel?
The home reports 3.73 hours of nurse staffing per resident per day, including 0.66 hours from registered nurses. The New Jersey average is 3.85 hours and 0.68 hours from registered nurses.
Has Careone at Holmdel been fined?
CMS lists no fines for this home in the past three years.
Does Careone at Holmdel accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Complete Care at Bayshore LLC 232beds 64.1%in use 3.78nurse hours a day
- 4 of 5 Meadowbrook Respiratory and Nursing Center 130beds 83.5%in use 3.69nurse hours a day
- 4 of 5 Anchor Care and Rehabilitation Center 170beds 88.0%in use 3.32nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Monmouth County
Who to call in New Jersey
These offices serve residents of every nursing home in New Jersey.
- Long-term care ombudsman New Jersey Long-Term Care Ombudsman 1-877-582-6995 (Fax 1-609-943-3479. Email: ombudsman@ltco.nj.gov. Mail: P.O. Box 852, Trenton, NJ 08625-0852.) An advocate for residents and their families.
- File a complaint about a nursing home Department of Health Complaint Hotline 1-800-792-9770 (24-hour hotline, seven days a week; complaints may be made by phone without giving a name. Long-term care complaints can also be faxed to 609-943-4977 (reviewed during business hours), submitted online (web.doh.nj.gov/fc/search.aspx), or mailed to NJ Department of Health, PO Box 367, Trenton, NJ 08625-0367.) The state agency that inspects nursing homes.
New Jersey staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 315092. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.