Optima Care Castle Hill

Nursing Home
Overview of Optima Care Castle Hill

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.

(201) 348-0818

Managed by Margot Domingo M.A. RD, LNHA

Administrator

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
New Jersey average: 3.3/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
New Jersey average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
New Jersey average: 3.0/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
New Jersey average: 4.3/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 0m per day

This home provides 3% more nursing time per resident than the state average.

New Jersey average: 3h 53m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 215

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the New Jersey average
Occupancy rate 61.2%
Residents per day (avg) 131
Occupancy rate
61.2%
Residents per day (avg)
131

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

76% of new residents, usually for short-term rehab.

Typical stay 18 days

Private pay

3% of new residents, often for short stays.

Typical stay 1 years

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Proprietary home
Other
Home revenue
$17.7M
Operating loss
-$3.8M
Proprietary home Other
Home revenue
$17,693,835.00
Operating loss
$-3,833,367.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
14.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$18.9M
Total costs $21.5M
Bed community size
215-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 97 / 100
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

About this community

Occupancy Rate
60%
Occupied Beds
130 of 215
Percentage of available beds currently in use by residents.
License Status
Active
Facility Type
Long Term Care Facility
License Expiration
October 31, 2026

Additional licensing details

License number: 60910

Ownership & operating entity

Optima Care Castle Hill is legally operated by OPTIMA CARE UNION CITY, LLC, and administrated by MARGOT DOMINGO.

Officers

Info Officers are individuals or entities with formal legal or financial responsibility for the organization that owns this facility

Eric Mendel

Type Of Units

Long Term Care
215 units
Total beds
215 units

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Short-Term Rehabilitation
Long Term Nursing Care
Stroke Rehabilitation and Recovery
Memory Care
Hospice and Palliative Care
Wound Care
Cardiac Rehabilitation and CHF Therapy
Orthopedic Rehabilitation
IV Therapy and Treatment
Pulmonary Rehabilitation for COPD
24-hour Physician Availability
Trach Rehab
Respite Care
Veterans Care
LifeVest Care

Amenities & Lifestyle

Concierge Services
Beauty Services
Pastoral Services
Therapeutic Recreation
Pet Therapy

Programs & Activities

Specific Programs
Services, Rehabilitation, Amenities, About, Contact
Religious Services
Yes

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 215

Building type icon
Building type icon

Building Type: Mid-rise

Types of Care at Optima Care Castle Hill

Nursing Home
Contact Optima Care Castle Hill

Inspection History

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.

19 visits/inspections

6 complaint inspections

13 routine inspections

Routine Scope And Severity F – Moderate Concern

On a scale from A (least severe) to L (most severe).

Latest inspection

Date:November 19, 2025

41 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

61 deficiencies identified during routine visits

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Nursing Homes around Newark

The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.
Broadway House for Continuing Care
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

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SNF

Nursing Homes 24/7 care needed

Newark (Mount Pleasant/Lower Broadway)
78
No
86
AMMIANO, ANTHONY
85.2%
$10,836,693.00
$4,580,683.00
42.3%
69.70
5/5
4.6037
4/5
4/5
5/5
-
12
-
-52%
+19%
+11%
Brookhaven Center for Rehabilitation and Healthcare
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

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122
No
65
BROOKHAVEN CENTER FOR REHABILITATION AND HEALTHCARE LLC
92.2%
$15,857,674.00
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45.4%
114.90
4/5
3.2541
4/5
3/5
4/5
-
17
-
-33%
-16%
+20%
Optima Care Castle Hill
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Union City
215
No
97
OPTIMA CARE UNION CITY, LLC
61.2%
$17,685,978.00
$2,610,378.00
14.8%
131.10
3/5
4.0027
2/5
4/5
5/5
1
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-
+86%
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-21%
Alaris Health at Belgrove
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

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SNF

Nursing Homes 24/7 care needed

Kearny
120
No
85
SUB ACUTE REHABILITATION CENTER AT KEARNY LLC
71.0%
$16,204,151.00
$664,762.00
4.1%
94.10
2/5
4.8278
1/5
5/5
4/5
2
20
2
+183%
+24%
-8%
Forest Hill Center for Rehabilitation and Healing
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Newark (Forest Hill)
120
No
71
FOREST HILL SNF OPERATIONS HOLDING LLC
84.7%
$17,058,987.00
$6,261,454.00
36.7%
109.90
2/5
3.4329
1/5
3/5
5/5
1
19
1
+19%
-12%
+10%

Places of interest near Optima Care Castle Hill

Address 1.6 miles from city center — 2.49 miles to nearest hospital (Mount Sinai West)

Address 615 23rd St, Union City, NJ 07087, USA

Calculate Travel Distance to Optima Care Castle Hill

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

260
Total Staff
166
Employees
94
Contractors
61,044
Total Hours (Quarter)
81
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse4610 Yes
Licensed Practical Nurse219.4 Yes
Certified Nursing Assistant1188.4 Yes
Staff by Category
Administration
7 staff
7.3hs shift avg
Nursing Staff
187 staff
8.7hs shift avg
Physicians & Practitioners
10 staff
7.8hs shift avg
Therapy Services
33 staff
7.2hs shift avg
Activities & Recreation
1 staff
8hs shift avg
Social Services
8 staff
6.6hs shift avg
Dietary Services
11 staff
7.8hs shift avg
Other Services
3 staff
7.1hs shift avg
Contractor Analysis
6.2%
of total hours from contractors
3,792 contractor hours this quarter
Certified Nursing Assistant: 60 Registered Nurse: 20 Licensed Practical Nurse: 10 Clinical Nurse Specialist: 1 Medical Director: 3
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant586011828,35491100%8.4
Registered Nurse2620467,07991100%10
Licensed Practical Nurse1110214,74291100%9.4
Physical Therapy Assistant140143,3737987%7.3
Clinical Nurse Specialist8192,8648695%7.8
Dietitian7072,75591100%7.6
Administrator4041,9446976%8.1
Other Dietary Services Staff4041,8448897%8.2
Respiratory Therapy Technician100101,8038695%7.4
Respiratory Therapist3039426774%7.9
Speech Language Pathologist2029205864%8
Physical Therapy Aide2027456470%6.5
RN Director of Nursing2026455358%7.5
Nurse Practitioner1016267886%8
Other Social Services Staff1015106066%8.5
Occupational Therapy Aide1014936167%8.1
Therapeutic Recreation Specialist1014806066%8
Mental Health Service Worker3034455965%7.1
Qualified Social Worker7073193741%4.8
Occupational Therapy Assistant1011074347%2.5
Medical Director033572932%1.5

Health Inspection History

Inspections
Total health inspections 4

New Jersey average 4


Last Health inspection on Mar 2025

Total health citations 30
Citations per inspection
7.5

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

26 of 30 citations resulted from standard inspections; 2 of 30 resulted from complaint investigations; and 2 of 30 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than New Jersey average

New Jersey average: 0.7


Serious Health citations More info 0
100% better than New Jersey average

New Jersey average: 0.4

0 critical citations More info New Jersey average: 0.7

0 serious citations More info New Jersey average: 0.4

29 moderate citations More info New Jersey average: 19.3

1 minor citation More info New Jersey average: 0.5
Citations history (last 3 years)
Abuse/Neglect moderate citation Mar 10, 2025
Corrected

Abuse/Neglect moderate citation Mar 10, 2025
Corrected

Nutrition moderate citation Mar 10, 2025
Corrected

Quality of Care moderate citation Mar 10, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: Optimacare
Resident Census by Payment Source
130 Total Residents
Medicare 25 (19.2%)
Medicaid 103 (79.2%)
Private Pay/Other 2 (1.5%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.9
16% worse than New Jersey average

New Jersey average: 6.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.4
In line with New Jersey average

New Jersey average: 12.4

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.4%
23% worse than New Jersey average

New Jersey average: 10.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.4%
In line with New Jersey average

New Jersey average: 11.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 13.4%
16% better than New Jersey average

New Jersey average: 16.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.8%
17% worse than New Jersey average

New Jersey average: 2.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.8%
45% worse than New Jersey average

New Jersey average: 6.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
14% worse than New Jersey average

New Jersey average: 1.0%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.9%
15% better than New Jersey average

New Jersey average: 4.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.2%
63% better than New Jersey average

New Jersey average: 11.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.2%
53% better than New Jersey average

New Jersey average: 11.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
8% better than New Jersey average

New Jersey average: 93.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with New Jersey average

New Jersey average: 97.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.9%
25% better than New Jersey average

New Jersey average: 78.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.0%
68% worse than New Jersey average

New Jersey average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
22% better than New Jersey average

New Jersey average: 80.1%

Penalties and fines

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)

Total fines amount $3K
96% lower than New Jersey average

New Jersey average: $77K

Number of fines 1
50% fewer fines than New Jersey average

New Jersey average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than New Jersey average

New Jersey average: 0.1

Fines amount comparison
Fines amount comparison
This facility $3K
New Jersey average $77K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 13, 2023
$3K

Last updated: Jan 2026

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Financial Aid for New Jersey Seniors

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Managed Long Term Services and Supports

NJ Medicaid MLTSS

Age 65+ or disabled, New Jersey resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High urban demand; managed care model.

JACC (Jersey Assistance for Community Caregiving)

NJ JACC

Age 60+, New Jersey resident, at risk of nursing home.

~$2,500/month (individual, varies).

$40,000 (individual).

Higher asset limit; limited funding.

Pharmaceutical Assistance to the Aged and Disabled (PAAD)

New Jersey PAAD

Age 65+, NJ resident, enrolled in Medicare Part D or eligible.

~$42,142/year (individual), ~$49,209/year (couple).

Not assessed.

Copays $5 (generic), $7 (brand); covers Part D premiums up to benchmark.

Senior Gold Prescription Discount Program

New Jersey Senior Gold

Age 65+, NJ resident, enrolled in Medicare Part D or eligible.

~$42,142-$52,142/year (individual), ~$49,209-$59,209/year (couple).

Not assessed.

Copays $15 + 50% of remaining cost; no premium assistance.

Medicare Savings Program (MSP)

New Jersey Medicare Savings Program

Age 65+ or disabled, NJ resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Senior Freeze (Property Tax Reimbursement)

New Jersey Senior Freeze

Age 65+ by Dec 31 prior year, NJ resident, homeowner, paid property taxes.

~$150,000/year (combined household, projected).

Not assessed; home ownership required.

Combines with ANCHOR/Stay NJ via PAS-1; annual application.

ANCHOR (Affordable NJ Communities for Homeowners and Renters)

New Jersey ANCHOR

Age 65+ prioritized, NJ resident, homeowner/renter, paid property taxes/rent.

~$150,000/year (homeowners), ~$75,000/year (renters).

Not assessed.

Combines with Senior Freeze/Stay NJ; broader than prior Homestead program.

Stay NJ

New Jersey Stay NJ

Age 65+ by Dec 31 prior year, NJ resident, homeowner, lived in home 10+ years.

~$500,000/year (projected, subject to final regs).

Not assessed; home ownership required.

Up to 50% tax credit (max $6,500); phased implementation.

Universal Service Fund (USF)

New Jersey Universal Service Fund

Age 65+ prioritized, NJ resident, utility customer, low-income.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Must owe >$25 on bill; combines with LIHEAP if eligible.

Home Energy Assistance Program (LIHEAP)

New Jersey LIHEAP

Age 60+ prioritized, NJ resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers oil, gas, electric; emergency aid available.

NJ Family Caregiver Support Program (via NFCSP)

New Jersey Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; NJ resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

21 AAAs; rural/low-income priority.

VA Aid and Attendance (A&A) and Housebound Benefits

New Jersey VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, NJ resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in urban/rural areas.

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