Last Health inspection on Mar 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.

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Optima Care Castle Hill, located in Union City, NJ, stands as a premier community for exceptional healthcare and vibrant living, offering unparalleled nursing and hospice care, rehabilitation, and memory care services. The dedicated team of skilled healthcare professionals is here to help individuals and loved ones regain strength, independence, and confidence after illness, injury, or surgery, ensuring a smoother path to recovery.
Uncover new passions and reignite hobbies with a vibrant line-up of activities, including lively pizza parties and engaging programs like horticulture and yoga. Extensive amenities offer residents countless chances to connect with friends and enjoy an active lifestyle. Additionally, daily dining options cater to a variety of dietary needs and preferences, ensuring every meal is both satisfying and nutritious. At Optima Care Castle Hill, it is not just about living, but also about flourishing in a place that feels like home.
Margot Domingo M.A. RD, LNHA serves as the Administrator at Optima Care Castle Hill. She leads the community with a focus on professional senior care, ensuring high standards and compassionate service for all residents.
May provide extensive amenities, services and programs.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
76% of new residents, usually for short-term rehab.
3% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Optima Care Castle Hill is legally operated by OPTIMA CARE UNION CITY, LLC, and administrated by MARGOT DOMINGO.
Accept Medicaid: Yes
Total Residents: 215
Building Type: Mid-rise
In New Jersey, the Department of Health, Health Facilities Evaluation and Licensing conducts mandatory unannounced surveys to ensure facilities provide safe and effective resident care.
6 complaint inspections
13 routine inspections
New Jersey average: 8 visits/inspections
New Jersey average: 6 inspections
On a scale from A (least severe) to L (most severe).
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New Jersey average: 18 deficiencies
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Homes 24/7 care needed
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Homes 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Homes 24/7 care needed
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
1.6 miles from city center
615 23rd St, Union City, NJ 07087, USA
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 46 | 10 | Yes |
| Licensed Practical Nurse | 21 | 9.4 | Yes |
| Certified Nursing Assistant | 118 | 8.4 | Yes |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 58 | 60 | 118 | 28,354 | 91 | 100% | 8.4 |
| Registered Nurse | 26 | 20 | 46 | 7,079 | 91 | 100% | 10 |
| Licensed Practical Nurse | 11 | 10 | 21 | 4,742 | 91 | 100% | 9.4 |
| Physical Therapy Assistant | 14 | 0 | 14 | 3,373 | 79 | 87% | 7.3 |
| Clinical Nurse Specialist | 8 | 1 | 9 | 2,864 | 86 | 95% | 7.8 |
| Dietitian | 7 | 0 | 7 | 2,755 | 91 | 100% | 7.6 |
| Administrator | 4 | 0 | 4 | 1,944 | 69 | 76% | 8.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,844 | 88 | 97% | 8.2 |
| Respiratory Therapy Technician | 10 | 0 | 10 | 1,803 | 86 | 95% | 7.4 |
| Respiratory Therapist | 3 | 0 | 3 | 942 | 67 | 74% | 7.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 920 | 58 | 64% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 745 | 64 | 70% | 6.5 |
| RN Director of Nursing | 2 | 0 | 2 | 645 | 53 | 58% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 626 | 78 | 86% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 510 | 60 | 66% | 8.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 493 | 61 | 67% | 8.1 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 445 | 59 | 65% | 7.1 |
| Qualified Social Worker | 7 | 0 | 7 | 319 | 37 | 41% | 4.8 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 107 | 43 | 47% | 2.5 |
| Medical Director | 0 | 3 | 3 | 57 | 29 | 32% | 1.5 |
Last Health inspection on Mar 2025
7.5 citations per inspection (avg)
Citations can result from standard inspections or complaint-based investigations.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
Last updated: Jan 2026
Historical financial and operational data for Optima Care Castle Hill based on CMS SNF Cost Reports.
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