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KING JAMES CARE CENTER OF MIDDLETOWN, LLC

ATLANTIC HIGHLANDS, NJ · Monmouth County · For profit - Limited Liability company · 127 certified beds

📍 1040 State Route 36, Atlantic Highlands, NJ 07716  ·  📞 (732) 291-3400

Medicare ID: 315087  ·  Last Medicare inspection: Jan 10, 2025

Overall Safety Score
65
out of 100
Fair
Component Scores
31
Inspection
71
Staffing
52
Enforcement
✓ None
Complaints
83
Quality
📋 Last inspected: January 10, 2025 📦 CMS data as of: May 2026

Score Breakdown

Inspection
31
Staffing
71
Enforcement
52
Complaints
100
Quality Outcomes
83

What the numbers mean

KING JAMES CARE CENTER OF MIDDLETOWN, LLC scored 65 out of 100 — near the state average.

📋 Inspections: 13 citations over the last 36 months — 3 fewer than the state average (16). 3 were rated serious (G+) — inspectors found actual or potential harm to residents. 2 findings recurred across inspection cycles — indicating a problem that was not fixed.

👥 Staffing: Staffing is within an acceptable range but not among the highest-performing facilities. Ask about nurse coverage on evenings, nights, and weekends when you visit.

⚠️ Penalties & enforcement: CMS has recorded 1 enforcement action totaling $8,788 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.

💚 Resident quality outcomes: This facility's star-rated quality measures are in the strong range. Key indicators like fall rates, antipsychotic use, and vaccination coverage compare favorably to national benchmarks — a positive signal for day-to-day resident care.

What inspectors found (last 3 surveys)

13
Total citations
State avg: 15.6
3
Serious (G+)
State avg: 0.8
2
Repeat findings

Top concern areas

13

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$8,788
Total federal fines
1
Enforcement action

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 52/100 — 21 points below the state average of 73/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
0.8% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
9.6% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
22.6% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
8.2% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 21 total measures shown
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 3, 2026.