Optima Care Castle Hill
615 23rd St · Union City, NJ · 07087 · 2013480818
215 certified beds For profit - Limited Liability company Chain: Optima Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.84 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $12,740 |
Inspection citations (32 in the current record)
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Immediate jeopardy · J January 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 10, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · D March 10, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · D March 10, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 10, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · E March 10, 2025
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.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · E March 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · E March 10, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · E March 10, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · E March 10, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · F March 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 30, 2025 · Nutrition and Dietary
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Potential for harm · E March 10, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 10, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · D February 10, 2025
Provide and implement an infection prevention and control program.
Corrected February 28, 2025 · Infection Control
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Potential for harm · D August 30, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 30, 2024 · Environmental
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Potential for harm · D January 13, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 28, 2023 · Resident Rights
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Potential for harm · D January 13, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · E January 13, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected February 28, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 15, 2026 | Fine | $12,740 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315344 · certified since August 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.