Nursing home report
UNION CITY, NJ · Medicare-certified · 215 beds
OPTIMA CARE CASTLE HILL has a 2-star overall rating, with a 1-star health inspection rating and 3-star staffing rating; reported nurse staffing is 3.28 hours per resident per day, below the federal benchmark of 4.1. It also has $12,740 in fines in the last 24 months and a recent federal penalty, while quality measures are rated 5 stars.
Health inspections
Staffing
3.283 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.283.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited March 2025 — limited pattern, potential for harm.
F-Tag 610 — 42 CFR §483.12 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2025 — limited pattern, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited March 2025 — limited pattern, potential for harm.
F-Tag 655 — 42 CFR §483.21 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $12,740 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 15 health deficiencies.
On record with Medicare: 1 fine · $12,740 in total fines.
Federal fine
Jan 15, 2026
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
