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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Careone at the Highlands, located in Edison, New Jersey, is a beautiful community offering an ideal environment for enhanced well-being. Beyond providing essential support, this long-term care facility ensures the comforts of home by offering a range of amenities that elevate the overall resident experience. The community provides a comprehensive array of services, including stroke recovery, orthopedic rehab, cardiac care management, pulmonary rehab, and medical specialization. With physician-led programs tailored to each patient, they also excel in diabetes management and offer complex medical care for chronic conditions.
In addition to its specialized medical services, Careone at the Highlands recognizes the need for respite care, providing a well-rounded approach to meet diverse healthcare needs. Residents and their families can trust this community for a supportive and enriching experience. As reflected in nursing home reviews, Careone at the Highlands senior living emerges as a top choice, ensuring a comforting and comprehensive approach to long-term care.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 88th out of 259 homes in New Jersey.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 51m per day | ▲ 24% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 11% State avg: 56m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 6m per day | ▼ 6% State avg: 2h 14m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 49m per day | ▲ 10% State avg: 3h 27m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 12m per day | ▲ 100% State avg: 6m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 40m per day | ▲ 38% State avg: 29m per day · National avg: 29m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
43% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #49 / 256Payroll — state benchmarkedThis home is ranked 49th out of 256 homes in New Jersey.Shows total annual staff payroll benchmarked to the New Jersey average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the New Jersey average: 77%CareOne at The Highlands is legally operated by Care One At Birchwood Llc, and administrated by Ms. Vicki Hayes.
Officers are individuals or entities with formal legal or financial responsibility for the organization that owns this facility
Des Holding CO INC, Daniel Straus, Daniel E Straus Des-c 2009 Grat
In New Jersey, the Department of Health, Health Facilities Evaluation and Licensing conducts mandatory unannounced surveys to ensure facilities provide safe and effective resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Jersey state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 57 | 18 | This facility has 217% more total deficiencies than a typical New Jersey nursing home (57 vs. NJ avg 18).↑ 217% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 11.4 | 3.6 | This facility has 217% more deficiencies per year than a typical New Jersey nursing home (11.4 vs. NJ avg 3.6).↑ 217% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.6 | 2 | This facility has 80% more deficiencies per inspection than a typical New Jersey nursing home (3.6 vs. NJ avg 2).↑ 80% worse |
Per-category split of the 37 deficiencies recorded across all inspections. Counts are compared against the New Jersey state average for each category. A green dot means this facility is below the state average for that category; an amber dot means it is above.
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 9 | This facility has 78% more total inspections than a typical New Jersey nursing home (16 vs. NJ avg 9).↑ 78% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New Jersey regulators.
| 5 | 3 | This facility has 67% more complaint investigations than a typical New Jersey nursing home (5 vs. NJ avg 3).↑ 67% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 20, 2025, did not identify any deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to infection control during wound care, medication administration delays, timely reporting of injuries, and staffing ratios. Several complaint investigations substantiated issues such as failure to report injuries and abuse promptly, incomplete care plans, and medication documentation errors. Enforcement actions, fines, or license suspensions were not listed in the available reports. The facility’s record indicates some ongoing challenges, but the absence of deficiencies in the latest inspection suggests improvement over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew Jersey average 4
Last Health inspection on Oct 2025
New Jersey average 20.9
New Jersey average 5.35
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 27 citations resulted from standard inspections; 6 of 27 resulted from complaint investigations; and 3 of 27 came from combined inspections (standard and complaint).
100% better than New Jersey averageNew Jersey average: 0.7
0
100% better than New Jersey averageNew Jersey average: 0.4
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 23, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 23, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 28, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 28, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
CareOne at The Highlands is located in Edison, New Jersey.
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7.6 miles from city center
Estimated distance in miles from Edison's city center to CareOne at The Highlands's address, calculated via Google Maps.
— 3.33 miles to nearest hospital (HMH JFK University Medical Center)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
15% worse than New Jersey averageNew Jersey average ratio: 1.77:1
5% worse than New Jersey averageNew Jersey average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Total hours from contractors
45 contractor hours this quarter
| Certified Nursing Assistant | 45 | 0 | 45 | 18,612 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 23 | 0 | 23 | 7,501 | 91 | 100% | 7.6 |
| Registered Nurse | 12 | 0 | 12 | 3,943 | 91 | 100% | 7.6 |
| RN Director of Nursing | 5 | 0 | 5 | 2,437 | 80 | 88% | 8.2 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 2,385 | 82 | 90% | 8 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,833 | 77 | 85% | 7.5 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,792 | 86 | 95% | 7 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,486 | 91 | 100% | 7.6 |
| Qualified Social Worker | 4 | 0 | 4 | 553 | 67 | 74% | 7.5 |
| Occupational Therapy Aide | 2 | 0 | 2 | 528 | 64 | 70% | 7.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 503 | 69 | 76% | 7.3 |
| Administrator | 2 | 0 | 2 | 496 | 61 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 493 | 62 | 68% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Physical Therapy Aide | 5 | 0 | 5 | 462 | 64 | 70% | 6.2 |
| Dietitian | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 81 | 11 | 12% | 7.4 |
| Medical Director | 0 | 1 | 1 | 45 | 3 | 3% | 15 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
90Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
60% worse than New Jersey averageNew Jersey average: 6.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
In line with New Jersey averageNew Jersey average: 12.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
52% worse than New Jersey averageNew Jersey average: 10.1%
Percent of long-stay residents whose ability to move independently worsened
14.6%
32% worse than New Jersey averageNew Jersey average: 11.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.5%
47% better than New Jersey averageNew Jersey average: 16.0%
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
209% worse than New Jersey averageNew Jersey average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
11.1%
82% worse than New Jersey averageNew Jersey average: 6.1%
Percent of long-stay residents with a urinary tract infection
2.4%
145% worse than New Jersey averageNew Jersey average: 1.0%
Percent of long-stay residents who lose too much weight
6.1%
31% worse than New Jersey averageNew Jersey average: 4.6%
Percent of long-stay residents who have depressive symptoms
26.0%
131% worse than New Jersey averageNew Jersey average: 11.3%
Percent of long-stay residents who received an antipsychotic medication
11.7%
6% worse than New Jersey averageNew Jersey average: 11.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.3%
10% worse than New Jersey averageNew Jersey average: 93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.3%
10% worse than New Jersey averageNew Jersey average: 97.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.52
27% better than New Jersey averageNew Jersey average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.15
In line with New Jersey averageNew Jersey average: 1.12
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
42.7%
46% worse than New Jersey averageNew Jersey average: 78.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
21% better than New Jersey averageNew Jersey average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
29.6%
63% worse than New Jersey averageNew Jersey average: 80.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.5%
7% better than New Jersey averageNew Jersey average: 25.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.4%
39% worse than New Jersey averageNew Jersey average: 8.2%
Percentage of SNF residents who experience falls with major injury during their stay.
2.2%
191% worse than New Jersey averageNew Jersey average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.5%
10% worse than New Jersey averageNew Jersey average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.9%
11% better than New Jersey averageNew Jersey average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Historical financial and operational data for CareOne at The Highlands based on CMS SNF Cost Reports.
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CareOne at The Highlands is in the North Edison neighborhood of Edison.
The legal owner and operator of CareOne at The Highlands is Care One At Birchwood Llc.
CareOne at The Highlands has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NJ state health department records, CareOne at The Highlands's license number is 61202.
According to NJ state health department records, CareOne at The Highlands's license expires on April 30, 2026.
CareOne at The Highlands's occupancy is 89%.
Ms. VICKI HAYES is the administrator of CareOne at The Highlands.
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