Castle Hill Health Care Center
Nursing Home Facility
615 23rd Street, Union City, NJ 07087
Castle Hill Health Care Center is a senior care community located in Union City, NJ. It provides nursing home care and senior living for older adults in the Union City area. To learn more or schedule a tour, call (201) 348-0818.
Operated by Optima Care, which runs 7 communities in our directory.
Castle Hill Health Care Center is licensed for 215 beds, about typical for the area, where senior care communities in Union City average about 171 beds.
Federal reporting puts occupancy at about 62% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Union City average of roughly 79%.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Union City average about 3.0 stars. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2025 and recorded 17 deficiencies.
Residents receive about 3.6 hours of nursing care per day on average, including 0.9 hours from a registered nurse. Nursing staff turnover over the past year was about 42%.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 32 problems at Castle Hill Health Care Center. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 6 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $8,281.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Show 9 more
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Castle Hill Health Care Center offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 215
- Occupancy 62%
- Nursing hours per resident/day 3.6
- Annual staff turnover 42%
- Last health inspection March 2025
Resident & family reviews
No one has shared a review of Castle Hill Health Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.