New Jersey › Hudson County › Union City
Optima Care Castle Hill
615 23rd St, Union City, NJ 07087
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 215 beds, Optima Care Castle Hill serves Union City in Hudson County, New Jersey and has taken Medicare and Medicaid residents since 1995.
CMS gives it 2 of 5 stars overall, below the New Jersey median of 4; the health inspection rating is 1, staffing 4 and quality measures 5.
Inspectors recorded 32 health deficiencies across the three most recent survey cycles (17, 15, 0 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 14.9 per 100 beds, about the same as the state median of 15.2.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.6 hours per resident per day (0.9 RN), close to the New Jersey median of 3.6; nursing staff turnover is 42.2%.
Compared with county, state and nation
| Measure | This facility | Hudson Co. median | New Jersey median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 32 | 26 | 21 | 28.7 |
| Citations per 100 beds | 14.9 | 17.8 | 15.2 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.9 | 0.8 | 0.5 | 0.7 |
| Nursing staff turnover | 42.2% | 40.2% | 38.9% | 45.8% |
| Fines listed | $8,281 | $0 | $0 | — |
County and state figures are medians across facilities (15 in the county, 348 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Mar 2025, 13 Jan 2023.
Severity mix: J ×1 D ×15 E ×14 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Jan 2026 |
| 4 Dec 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Jan 2026 |
| 10 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Apr 2025 |
| 10 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 18 Apr 2025 |
| 10 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 18 Apr 2025 |
| 10 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 18 Apr 2025 |
| 10 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0688 | 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. | E | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 2 May 2025 |
| 10 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 18 Apr 2025 |
| 10 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Apr 2025 |
| 10 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Infection control inspection | 28 Feb 2025 |
| 30 Aug 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 30 Aug 2024 |
| 13 Jan 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 28 Feb 2023 |
| 13 Jan 2023 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | C | Standard survey | 28 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Jan 2026 | Fine | $8,281 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 42.2%, RNs 57.6%; 4 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Jersey median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.4% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.8% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.5% | 11.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Optima Care Union City, Llc. Chain: Optima Care (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Emm Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 07/26/2022 |
| Shiftster LLC | Adp of the snf | NOT APPLICABLE | 07/26/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hudson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bayonne University Hospital | Bayonne | 17 | 5 | 5 | 5 | 3 | 17.6 | — | 9 Sep 2025 |
| Hoboken University Medical Center Tcu | Hoboken | 15 | 5 | 4 | 5 | 4 | 26.7 | — | 18 Jun 2024 |
| Hudsonview Health Care Center | North Bergen | 273 | 5 | 4 | 3 | 20 | 7.3 | — | 14 Jan 2026 |
| Acclaim Rehabilitation and Nursing Center | Jersey City | 183 | 4 | 4 | 2 | 12 | 6.6 | — | 4 Apr 2025 |
| Alaris Health At Hamilton Park | Jersey City | 260 | 4 | 4 | 3 | 18 | 6.9 | — | 13 Mar 2025 |
| Alaris Health At Kearny | Kearny | 120 | 4 | 3 | 2 | 26 | 21.7 | — | 11 Feb 2026 |
| Manhattanview Ctr For Rehabilitation and Healthcar | Union City | 127 | 4 | 4 | 2 | 19 | 15.0 | — | 17 May 2024 |
| Peace Care St Joseph'S | Jersey City | 139 | 4 | 3 | 4 | 26 | 18.7 | $170K | 15 Apr 2026 |
All 15 facilities in Hudson County
Questions and answers
How many deficiencies has Optima Care Castle Hill been cited for?
32 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.
Has Optima Care Castle Hill been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Optima Care Castle Hill compare?
Reported total nurse staffing is 3.6 hours per resident per day against a New Jersey median of 3.6 and a national average of 3.9.
Who operates Optima Care Castle Hill?
It is part of the Optima Care chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Optima Care Castle Hill last inspected?
The most recent survey or investigation in the CMS record is dated 15 Jan 2026; the most recent standard health survey was 10 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.