522 22nd St, Union City, NJ 07087
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Optima Care Castle Hill
Union City, New JerseyMedicare inspection record
About Optima Care Castle Hill
OPTIMA CARE CASTLE HILL brings comprehensive skilled nursing and rehabilitation to Union City, New Jersey with a commitment to personalized recovery. Our experienced team supports patients through acute care transitions and therapeutic goals, helping each person regain independence and return home stronger.
Community at a glance
Capacity
215 residents
Location
Union City, NJ
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
615 23RD ST, Union City, New Jersey 07087
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 10, 2025, state inspectors cited 17 health deficiencies (the New Jersey average is 8.5).
Nurses and nurse aides spend 3 hours 36 minutes with each resident a day, below the New Jersey average of 3 hours 51 minutes.
Medicare fined Optima Care Castle Hill once in the last three years, $8,281 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 36 minutesBelow the New Jersey average |
| Registered nurse time per resident, per day | 53 minutesAbove the New Jersey average |
| Nursing staff who left in the past year | 42%Above the New Jersey average |
4 administrators have left the home in the past year.
Inspections
19 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 15, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 16, 2026
December 4, 2025 · Complaint investigation · 1 citation
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 20, 2026
March 10, 2025 · Standard inspection · 15 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 30, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 18, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 18, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 18, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 18, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 2, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 18, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 18, 2025Provide 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.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 18, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 18, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 18, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 18, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 18, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 18, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 18, 2025
February 10, 2025 · Infection control inspection · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 28, 2025
August 30, 2024 · Complaint investigation · 1 citation+
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Aug 30, 2024
Fines and payment denials
1 fine totaling $8,281 in the last three years.
- January 15, 2026Fine: $8,281
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Optima Care Union City, LLC
- Medicare-certified beds
- 215
- Average residents per day
- 134
- Accepts
- Medicare and Medicaid
- First certified
- August 1, 1995
- Part of a chain
- Optima Care, 8 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 315344
Location
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615 23RD STUnion City, NJ 07087
12 other communities within 10 miles
Senior living near Union City
1509 Bergenline Ave, Union City, NJ 07087
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
Prices not published
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Call for pricing
Prices not published
Questions about Optima Care Castle Hill
How did Optima Care Castle Hill do on its last inspection?+
State inspectors visited on March 10, 2025 and cited 17 health deficiencies, 5 of them from complaint investigations. The New Jersey average is 8.5.
How much nursing care does each resident get at Optima Care Castle Hill?+
Nurses and aides spend 3 hours 36 minutes with each resident per day, including 53 minutes from registered nurses. 42% of nursing staff left over the past year.
Has Optima Care Castle Hill been fined by Medicare?+
Yes. Medicare fined Optima Care Castle Hill once in the last three years, totaling $8,281.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.