SNF
CAREONE AT HOLMDEL
CCN: 315092 · HOLMDEL, NJ 07733 · Monmouth County
Overview
- Address
- 188 HIGHWAY 34, HOLMDEL, NJ 07733
- Phone
- 7329464200
- Certified beds
- 130
- Avg daily residents
- 93 (71% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1968-10-04
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.95 | 4.18 | 3.65 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.56 | 0.73 | 0.52 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.17 | 0.93 | 1.08 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.22 | 2.52 | 2.05 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.73 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.19 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.59
hrs / resident / day
RN (weekend)
0.40
hrs / resident / day
Total nurse (adjusted, weekend)
3.32
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
17.4%
annual
RN turnover
18.2%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.48
higher acuity than avg
Case-Mix Index Ratio
1.08
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-31 | 6 | 6 | 0 | 24 | 1 | 24 |
| Cycle 2/3 (prior) | 2024-03-13 | 8 | 8 | 3 | 52 | 1 | 52 |
Total weighted health score
31.0
lower is better
Deficiencies (19)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
19 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-07-31 | 2025-08-22 |
| 0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-31 | 2025-08-22 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-31 | 2025-08-22 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-07-31 | 2025-08-22 |
| 0700 | 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. | D | 2025-07-31 | 2025-08-22 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-07-31 | 2025-08-22 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-03-13 | 2024-04-08 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-03-13 | 2024-04-08 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-03-13 | 2024-04-08 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-03-13 | 2024-04-08 |
| 0922 | Have enough backup water supply for essential areas of the nursing home. | F | 2024-03-13 | 2024-04-08 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-03-13 | 2024-04-08 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-03-13 | 2024-04-08 |
| 0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2024-03-13 | 2024-04-08 |
| 0610 | Respond appropriately to all alleged violations. | D | 2021-12-07 | 2022-01-21 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-12-07 | 2022-01-21 |
| 0688 | 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. | D | 2021-12-07 | 2022-01-21 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2021-12-07 | 2022-01-17 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-12-07 | 2022-01-21 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 42.4% Medicaid 25.1% Other 32.5%
Operating performance
Operating Margin
4.4%
Total Margin
4.5%
Occupancy Rate
68.7%
Cost per Resident Day
$97
Revenue & costs
Net Patient Revenue
$17.8M
Total Costs
$3.2M
Net Income
$802K
Balance sheet
Total Assets
$11.1M
Total Liabilities
-$24.7M
Fund Balance
$35.8M
Current Ratio
0.75
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CAREONE
- Chain ID
109- Facilities in chain
- 37
- Legal business name
- HCC LLC
Chain-average star ratings (for peer context)
Overall
3.4
Health
3.0
Staffing
3.3
QM
4.5
Owner / manager organizations (6)
| Organization | Role | Association |
|---|---|---|
| CARE ONE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2004 |
| DES 2009 GST TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/01/2021 |
| DES HOLDING CO., INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/01/2004 |
| DES-C 2009 GRAT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/26/2009 |
| CARE ONE MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2004 |
| HEALTHBRIDGE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | since 07/28/2008 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| STRAUS, DANIEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 02/20/2001 |
| BARUCH, DAVID | CORPORATE OFFICER | since 12/01/2021 |
| BARUCH, DAVID | W-2 MANAGING EMPLOYEE | since 12/01/2021 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $97 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.75 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 25.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 42.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $801,773 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $17,810,491 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 68.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 4.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $11,078,495 | metrics.total_assets |
| Cost Report | Total Costs ($) | $3,165,078 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $35,753,214 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $-24,674,719 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 4.5% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.07855 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.04958 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.51847 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.64661 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.31542 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 92.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.92782 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.52161 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.73133 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.18075 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.68489 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.4 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 109 | Chain ID |
| Provider Information | Chain Name | CAREONE | Chain Name |
| Provider Information | City/Town | HOLMDEL | City/Town |
| Provider Information | CMS Certification Number (CCN) | 315092 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Monmouth | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1968-10-04 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.3705 | Latitude |
| Provider Information | Legal Business Name | HCC LLC | Legal Business Name |
| Provider Information | Location | 188 HIGHWAY 34,HOLMDEL,NJ,07733 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -74.201 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 130 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 37 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.48105 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.07506 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 188 HIGHWAY 34 | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | CAREONE AT HOLMDEL | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 290 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 24 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-31 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 24 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 6 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-13 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 52 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 52 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 8 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.40474 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 18.2 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.72932 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.16790 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.21936 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.18509 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.56142 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.94868 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NJ | State |
| Provider Information | Telephone Number | 7329464200 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.59006 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 17.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 31.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 07733 | ZIP Code |