Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

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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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
36% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
26% 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
Accept Medicaid
Total Residents
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
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.
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.
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
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 |
Source: CMS Health Citations (Jan 2023 – Mar 2025)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Mar 10, 2025 | E | Abuse/Neglect | F0609 | Corrected |
| Mar 10, 2025 | E | Abuse/Neglect | F0610 | Corrected |
| Mar 10, 2025 | F | Nutrition | F0812 | Corrected |
| Mar 10, 2025 | E | Quality of Care | F0677 | Corrected |
| Mar 10, 2025 | E | Quality of Care | F0684 | Corrected |
| Mar 10, 2025 | E | Quality of Care | F0688 | Corrected |
| Mar 10, 2025 | E | Quality of Care | F0689 | Corrected |
| Mar 10, 2025 | E | Quality of Care | F0690 | Corrected |
| Mar 10, 2025 | E | Quality of Care | F0695 | Corrected |
| Mar 10, 2025 | E | Quality of Care | F0698 | Corrected |
| Mar 10, 2025 | D | Care Planning | F0640 | Corrected |
| Mar 10, 2025 | E | Care Planning | F0655 | Corrected |
| Mar 10, 2025 | D | Care Planning | F0656 | Corrected |
| Mar 10, 2025 | E | Resident Rights | F0550 | Corrected |
| Mar 10, 2025 | D | Resident Rights | F0558 | Corrected |
| Feb 10, 2025 | D | Infection Control | F0880 | Corrected |
| Aug 30, 2024 | D | Environmental | F0921 | Corrected |
| Jan 13, 2023 | C | Administration | F0836 | Corrected |
| Jan 13, 2023 | E | Infection Control | F0880 | Corrected |
| Jan 13, 2023 | E | Nutrition | F0801 | Corrected |
| Jan 13, 2023 | D | Pharmacy | F0757 | Corrected |
| Jan 13, 2023 | D | Pharmacy | F0759 | Corrected |
| Jan 13, 2023 | D | Quality of Care | F0676 | Corrected |
| Jan 13, 2023 | D | Quality of Care | F0695 | Corrected |
| Jan 13, 2023 | D | Care Planning | F0655 | Corrected |
| Jan 13, 2023 | D | Care Planning | F0656 | Corrected |
| Jan 13, 2023 | D | Care Planning | F0657 | Corrected |
| Jan 13, 2023 | D | Care Planning | F0658 | Corrected |
| Jan 13, 2023 | E | Care Planning | F0661 | Corrected |
| Jan 13, 2023 | D | Resident Rights | F0582 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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)
Showing all 1 penalties (Jan 2023 - Jan 2023)
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