Optima Care Castle Hill sits at 615 23rd St in Union City, New Jersey, Hudson County, not far from the Hudson River and a short drive from Manhattan. The neighborhood earns a Walk Score of 97, which is as urban as it gets for a nursing home setting: residents’ families can walk to shops, transit, and services without needing a car. Mount Sinai West is about 2.5 miles out.
The 215-bed mid-rise is operated by Optima Care Union City, LLC, and functions primarily as a short-stay rehab destination. Medicare covers 76% of new admissions, with a typical Medicare stay running around 18 days. The clinical lineup built around that model is substantial: short-term and orthopedic rehab, stroke and cardiac rehabilitation, wound care, IV therapy, pulmonary rehab for COPD, trach rehab, LifeVest care, and a dedicated veterans care program. Long-term nursing, hospice and palliative care, memory care, and respite care are also available. A physician is on call around the clock.
Staffing runs at 4 hours of total nursing care per resident per day, with RNs providing 50 minutes of that, nurse aides providing 2 hours and 3 minutes, and LPNs contributing 24 minutes. The facility uses no contract staffing; all 130 employees are direct hires.
Occupancy sits at 60%, with 130 of the 215 beds currently filled. The average length of stay across all residents is 146 days. Medicare, Medicaid, and private pay are all accepted.
On the amenity side, the facility offers beauty services, concierge and pastoral services, pet therapy, therapeutic recreation, and religious services. An active Resident Council, confirmed through CMS records, meets regularly to discuss care and quality of life. Margot Domingo M.A. RD, LNHA serves as Administrator.
For families seeking post-acute rehabilitation or longer-term nursing care in the urban Hudson County corridor, Optima Care Castle Hill offers a clinically dense service menu, a walkable urban address, and all three major payer pathways.



