Nursing home
Optima Care Castle Hill
615 23Rd St, Union City, NJ 07087 · Map
For profit - Limited Liability company · Part of Optima Care (8 facilities) · 215 certified beds
Optima Care Castle Hill is a Medicare-certified nursing home in Union City, New Jersey. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.69 hours per resident per day, below the New Jersey average of 3.86. Its most recent inspection on Mar 10, 2025 cited 17 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Optima Care Castle Hill compares
This facility vs. the New Jersey and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Jersey avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.69 | 3.86 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.92 | 0.69 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.42 | 2.23 | 2.34 | above avg |
| Nursing staff turnover | 38.3% | 40.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 17.0 | 8.5 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 15, 2026 inspection was corrected by January 16, 2026
What inspectors found at Optima Care Castle Hill
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 10, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 615 23Rd St
Union City, NJ 07087 - CMS certification #
- 315344
- Ownership
- For profit - Limited Liability company
- Certified beds
- 215
- Avg residents/day
- 136.8
- Provider type
- Medicare and Medicaid
- First certified
- 1995-08-01
- Chain
- Optima Care (8 facilities)
- Setting
- Urban
Part of Optima Care
Optima Care operates 8 nursing facilities across the United States. View all Optima Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Optima Care Castle Hill using Google Maps.
Other public records
- Website says Respite stays
- Emergency In hurricane evacuation zone Hudson-F
Full public records, with dates and sources
Care and services
From the community’s website
What Optima Care Castle Hill says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mount Sinai West, New York. 2.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Manhattanview CTR for Rehabilitation and Healthcar, Union City. 0.4 miles away, straight line.
- Nearest home health agency office
- Bayada Home Health Care Inc, North Bergen. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 07087 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Union Hill, Union City, 0.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Fmc Hudson Home Therapies, Union City, 0.5 miles away, straight line (CMS rating 5 of 5 stars)
Davita Jersey City Dialysis, North Bergen, 1.0 mile away, straight line (CMS rating 4 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 07087.
Bayada Hospice, office in North Bergen, 1.0 mile away, straight line (CMS family survey rating 3 of 5 stars)
Amedisys Hospice, office in Hackensack, 7.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
Holy Name Hospice, office in Teaneck, 8.0 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Valley Physician Services PC, Hoboken. 2.0 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Hudson-F on the New Jersey hurricane evacuation zones (2020 hurricane evacuation study). (FEMA Region 2 / New Jersey Office of Emergency Management, map updated Jan 8, 2024)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, tornado relatively low, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Optima Care Castle Hill a good nursing home?
CMS gives Optima Care Castle Hill an overall rating of 2 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Optima Care Castle Hill staffed?
Optima Care Castle Hill reports 3.69 total nurse hours per resident per day, compared with the New Jersey average of 3.86.
Has Optima Care Castle Hill had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does Optima Care Castle Hill have?
Optima Care Castle Hill is certified for 215 beds.