Optima Care Castle Hill is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1995-08-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (201) 348-0818 or your local Medicaid office to verify current eligibility.

Optima Care Castle Hill holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (4★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 76.9/100, placing it #5056 of 14703 facilities nationally and #193 of 348 in New Jersey. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Optima Care Castle Hill receives a reported average of 3 hours 41 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 55 minutes; Licensed Practical Nurse (LPN) — 21 minutes; Nurse Aide — 2 hours 25 minutes. On weekends, total nurse staffing is 3 hours 24 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 38.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 11 fine(s) over the 5-year period, totaling $353,981. 13 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 163.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Optima Care Castle Hill ranks 5056th out of 14,703 facilities (composite score: 76.9/100), placing it in the above average nationwide. Within NJ, it ranks 193rd out of 348 nursing homes. In Union City, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #7,305 nationally and RN hours rank #2,548 nationally (#59 in NJ). Our composite quality score of 76.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Union City, visit: https://nursinghomesnearme.org/new_jersey/union-city/