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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 47 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. The latest standard survey recorded 17 findings, above the NJ average of 8.5. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Optima Care Castle Hill receives high praise for its admission process, social work support, and dedicated nursing staff who are frequently cited for their kindness and professionalism. However, there are serious, recurring reports of neglect, including hygiene issues, missing personal belongings, and poor communication regarding patient status. Families should weigh the strong rehab and social work services against significant concerns regarding consistent bedside care and responsiveness.
Quality Themes
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Concerns
Rating Trends
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Distribution · 49 analyzed
Personalized based on this facility's data
Key Review Excerpts
“The entire nursing staff Michel , Rosa , Eunice , Maria, Olga ! TOP TIER ! . They are patient and never give up on her.”
“I had an elderly family member admitted twice at Optima Care Castle Hill the admission process was through Maribel who went above & beyond to make the process as smooth as possible.”
“My mother say in a wet diaper for hours giving her a fungul infection as well as a UTI. They would not take her to the bathroom.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
4
measures
4
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has serious concerns with families filing complaints that triggered inspections, including recent unresolved accident prevention issues. The most recurring problems involve fire safety systems, care planning, and medication management. While many past violations have been corrected, a January 2026 safety deficiency remains without a correction plan, and the facility has faced repeated issues with protecting residents from abuse and neglect across multiple surveys.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Install proper backup exit lighting.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident 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
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality 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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal Penalties
Fine
Jan 15, 2026
$8,281
Optima Care Castle Hill
for profit
Optima Care
8 facilities nationwide
Chain avg rating: 3.0/5 · Rank 6 of 8
Owners
Mendel, Eric
Owner
Key personnel
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Google Reviews
47 reviews from families & visitors
Official Website
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