Optima Care Castle Hill
615 23rd St, Union City, NJ 07087 · (201) 348-0818
For profit - Limited Liability company · 215 certified beds
Optima Care Castle Hill has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2025, found 15 citations (the New Jersey average is 8.6). It was fined 1 time in the last three years, $8,281 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 10, 2025 found 15 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 10, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 10, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 10, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.March 10, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMarch 10, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 10, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 10, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 10, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 10, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 10, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.March 10, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe, appropriate dialysis care/services for a resident who requires such services.March 10, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Reasonably accommodate the needs and preferences of each resident.March 10, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.March 10, 2025 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 10, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 15, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Respond appropriately to all alleged violations.December 4, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 10, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.March 10, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 10, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.August 30, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $8,281January 15, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | New Jersey average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.60 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.88 | 0.68 | 0.69 |
| Licensed practical nurses (LPN) | 0.44 | 0.93 | 0.86 |
| Nurse aides | 2.28 | 2.23 | 2.32 |
| Total nursing staff turnover | 42.2% | 39.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 215 |
| Average residents per day | 133.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Manhattanview Ctr for Rehabilitation and Healthcar Union City · ★★★★★ 4 out of 5 stars
- Bayonne University Hospital Bayonne · ★★★★★ 5 out of 5 stars
- Hoboken University Medical Center Tcu Hoboken · ★★★★★ 5 out of 5 stars
- Acclaim Rehabilitation and Nursing Center Jersey City · ★★★★★ 4 out of 5 stars
- Alaris Health at Hamilton Park Jersey City · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Optima Care Castle Hill on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.