Optima Care Fountains
595 County Avenue · Secaucus, NJ · 07094 · 2018638866
334 certified beds For profit - Limited Liability company Chain: Optima Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$51,483 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.90 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.60 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 2 · $51,483 |
Inspection citations (43 in the current record)
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Potential for harm · D February 19, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
Keep residents' personal and medical records private and confidential.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Ensure each resident receives an accurate assessment.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · F February 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · D February 19, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 10, 2026 · Environmental
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Potential for harm · D February 19, 2026
Put firmly secured handrails on each side of hallways.
Corrected April 10, 2026 · Environmental
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Potential for harm · D July 22, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 22, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 9, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J January 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 7, 2025 · Pharmacy Service
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Potential for harm · D January 30, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Actual harm · G October 17, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 5, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 5, 2024 · Resident Rights
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Potential for harm · E October 17, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected December 5, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 5, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
Keep residents' personal and medical records private and confidential.
Corrected December 5, 2024 · Resident Rights
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Potential for harm · E October 17, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected December 5, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 5, 2024 · Quality of Life and Care
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Potential for harm · F October 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 5, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2025 | Fine | $17,345 |
| October 17, 2024 | Fine | $34,138 |
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 315476 · certified since July 2, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.