OPTIMA CARE FOUNTAINS (SECAUCUS, NJ) has an overall rating of 1 out of 5 stars, with low health inspection and quality ratings but a 5-star staffing rating. Reported nurse staffing is 3.90 hours per resident per day, below the 4.1 federal benchmark, and the facility has had $51,483 in fines in the last 24 months plus a recent federal penalty.
Last inspection: February 19, 2026Penalties, last 24 months: $51,483recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.897.
Staffing detail
Registered nurses
0.50
Licensed practical nurses
0.59
Nurse aides
2.80
Weekend nursing
3.60
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Residents with a fall causing major injury
1.8%1.5%No change
Residents with pressure ulcers (bedsores)
9.6%8.3%Improving
Residents with a urinary tract infection
1.9%2.3%No change
Residents who lost too much weight
5.6%8.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.2%10.8%Improving
Residents whose ability to walk got worse
10.8%5.6%Improving
Long-stay residents on antianxiety or sleep medication
24%21.2%Improving
Short-stay residents newly given an antipsychotic
0%5.9%Worsening
Residents with a long-term catheter
0.4%0.3%No change
Residents with new or worsening incontinence
5.4%5.7%No change
Residents with depressive symptoms
2.4%4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—93.7%—
Long-stay residents given the pneumonia vaccine
91.2%89.6%Worsening
Short-stay residents given the seasonal flu vaccine
—35.4%—
Short-stay residents given the pneumonia vaccine
48.4%59.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 847 — 42 CFR §483.70 — S/S: F
The nursing home failed to ensure a fair arbitration process and agreement on the arbitrator and location. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 848 — 42 CFR §483.70 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $17,345 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $34,138 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $51,483 in total fines.
Federal fine
Jan 30, 2025
$17,345
Federal fine
Oct 17, 2024
$34,138
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of OPTIMA CARE · 8 homes · 3 stars avg
Occupancy
277.2 residents on an average day (83% of 334 beds)
Resident voice
Resident council
Medicare history
Certified for 23 years
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.