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Nursing HomeMedicaid Investigative

Optima Care Castle Hill

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

615 23rd St, Union City, NJ 07087215 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 45 Google reviews

5
4
3
2
1
Optima Care Castle Hill Nursing Home in Union City, NJ — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (17 vs median 7)

Bottom 25% in NJ · Meets national RN staffing standard · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

This facility is highly regarded for its admissions process, social work support, and active therapy programs. However, families must be vigilant regarding daily care; we strongly recommend frequent, unannounced visits to ensure hygiene standards are met and to monitor personal belongings, as these are recurring areas of concern.

Google Reviews

Google Reviews

45 reviews on Google
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

Tap a score for details
FoodN/AStaff7.0Clean6.0Activities8.0MedsN/AMemory8.0Comms4.0ValueN/A

Strengths

  • Professional and helpful admissions team
  • Attentive and supportive social workers
  • Effective physical therapy and rehab services
  • Many staff members noted for compassion and patience

Concerns

  • Poor hygiene and neglect of basic patient care needs (mentioned by 3 reviewers)
  • Missing personal belongings and patient property (mentioned by 2 reviewers)
  • Unresponsive or poor communication from nursing stations (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02022(1)3.42023(5)4.32024(22)4.22025(14)2.52026(4)

Distribution · 46 analyzed

5
31
4
4
3
2
2
0
1
9

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your social workers and the admissions team; how do you ensure that the transition into the community is smooth for new residents?
  • 2What specific protocols do you have in place to ensure that personal belongings and property are kept secure and organized within the resident rooms?
  • 3How does the nursing station manage communication with family members to ensure we are always updated on any changes in a resident's condition?
  • 4Could you walk us through your daily routine for maintaining high standards of hygiene and personal care for every resident?
  • 5In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
  • 6What kind of daily activities or social programs do you offer to keep residents engaged and connected with one another?

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.

Long-term resident's family · 2024★★★★★

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.

Long-term resident's family · 2024★★★★★

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.

Long-term resident's family · 2024☆☆☆☆
Source: 45 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.84hrs
OK
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
49%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
19.4%
NJ
15.7%
Hudson
10.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
15.4%
NJ
12.7%
Hudson
7.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
15.3%
NJ
9.1%
Hudson
11.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
93.4%
NJ
93.0%
Hudson
94.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
12.1%
NJ
11.7%
Hudson
9.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
19.5%
NJ
18.9%
Hudson
15.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.6%
Better than Avg
Here
97.6%
US
79.7%
NJ
80.1%
Hudson
74.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
81.8%
NJ
78.7%
Hudson
78.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.2%
Worse than Avg
Here
3.2%
US
1.6%
NJ
1.2%
Hudson
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
1penalties
Well above state avg (8.5)
6 complaint-triggered

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.

Jan 15, 2026Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 4, 2025Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Mar 10, 2025Routine
27
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0232Potential for harm · WidespreadCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0914Potential for harm · WidespreadCorrected

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0655Potential for harm · PatternCorrected

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · PatternCorrected

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.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · PatternCorrected

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.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0656Potential for harm · IsolatedCorrected

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.

Mar 10, 2025Complaint
3
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Feb 10, 2025Routine
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 30, 2024Complaint
1
0921Potential for harm · IsolatedCorrected

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

$12,740

Ownership & Operations

Who Operates This Facility

Owner / Operator

Optima Care Castle Hill

Organization Type

for profit

Chain Affiliation

Chain Name

Optima Care

Chain Size

8 facilities nationwide

Chain avg rating: 3.0/5 · Rank 6 of 8

Ownership & Management

Owners

Mendel, Eric

Owner

100%

Key personnel

Domingo, MargotManagerMendel, EricManagerEmm Healthcare Group LLCAdp of the SnfShiftster LLCAdp of the SnfDomingo, MargotAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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