Skilled NursingCMS verified

Optima Care Castle Hill

615 23RD St, Union City, NJ 07087 · Hudson County

Welcome to Optima Care Castle Hill, a premier nursing home in Union City, NJ. We provide personalized and compassionate 24-hour nursing care.

2.0CMS overall rating(201) 348-0818 Visit website ↗

Fair

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates fair.

Photos via google places, facility website.

Availability outlookUsually has openings

Typically 63% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A below-average federal rating — worth a careful look in Union City

Optima Care Castle Hill is a for-profit skilled nursing facility in Union City, NJ, with 215 certified beds and an average of about 135 residents per day. It operates as part of the Optima Care network.

Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 3/5 on staffing, 5/5 on quality measures.

Staff provide about 3.28 total nurse hours per resident each day (0.84 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 44.9%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 17 health deficiencies at its most recent standard survey, and 1 federal fine totaling $12,740 in the recent record.

Strengths

✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 2-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.28 hrs/resident/day)
•17 deficiencies at last survey

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Union City options — our advisors can help you compare.

At a glance

Certified beds: 215
Avg. residents/day: 135
Ownership: For profit - Limited Liability company
Part of a chain: Optima Care
Continuing care: No
CMS provider #: 315344

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$14,590–$17,850/mo (median $15,800)	Local market estimate

2024–2026 published survey medians, state median adjusted to local New York prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Optima Care Castle Hill →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.28; National avg ≈ 3.9
RN hrs / resident / day: 0.84; National avg ≈ 0.75
Nursing staff turnover: 44.9%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 17
Federal fines: 1 ($12,740)
Total penalties: 1
Last standard survey: 2025-03-10
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (32 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-01-15Severity J — immediate jeopardyFrom a complaintQuality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-12-04Severity D — potential for harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

2025-03-10Severity F — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-03-10Severity E — potential for harmResident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-03-10Severity E — potential for harmResident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-03-10Severity E — potential for harmQuality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-03-10Severity E — potential for harmQuality of Life and Care Deficiencies

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.

2025-03-10Severity E — potential for harmQuality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

Date	Type	Amount
2026-01-15	Fine	$12,740

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Rehabilitation services
✓ Memory care
✓ Respite / short-term stays
✓ Concierge services
✓ 24-hour staff

Location

615 23RD St, Union City, NJ

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

4.1

44 reviews →

Verified family reviews

No verified family reviews yet for Optima Care Castle Hill.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Optima Care Castle Hill

How much does Optima Care Castle Hill cost?

Optima Care Castle Hill does not publish exact rates. Comparable skilled nursing in the Union City, NJ area typically runs $14,590–$17,850 per month (median $15,800, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Optima Care Castle Hill's Medicare rating?

Medicare (CMS) rates Optima Care Castle Hill 2 out of 5 stars overall, including 1/5 for health inspections, 3/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.

How is the staffing at Optima Care Castle Hill?

Staff provide about 3.28 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 44.9% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Optima Care Castle Hill?

Optima Care Castle Hill has 32 health citations on its recent federal inspection record (last standard survey: 2025-03-10). The full citation-by-citation detail, with severity levels, is published on this page.

Does Optima Care Castle Hill have availability?

Typically 63% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Optima Care Castle Hill offer?

Optima Care Castle Hill in Union City, NJ offers skilled nursing and is licensed for 215 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in New York.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Start with a free shortlist →Take the 2-minute assessment

Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Optima Care Castle Hill — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
Hold a spot
Most communities hold a residence with a small refundable deposit while you decide.