Optima Care Castle Hill

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

52.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 98 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 64.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 74 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 61% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 215 beds and averages 133.5 residents a day — about 62% occupied, or roughly 82 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.88 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.28 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.29 hrs/resident/day on weekends vs 3.73 on weekdays — 12% thinner on weekends. RN hours go from 0.92 to 0.79 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 4 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

32 citations, most serious first. The 11 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-01-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and review of pertinent facility documents on 01/12/26, it was determined that the facility failed to maintain a safe environment during supervision by staff of a severely cognitively impaired resident (Resident #1) who was a high risk for elopement, had poor safety awareness, and exit-seeking behaviors.On 12/30/25, Resident #1 was able to open the 6th floor [NAME] side alarmed exit door, went down ten flights of stairs and exited through the side door of the facility on to the street. At approximately 4:00 PM, Licensed Practical Nurse (LPN) #1 alerted the nurse management that the resident was nowhere to be found. The last sighting of the resident was approximately at 3:25 PM by LPN #1 when the resident was seen ambulating the hallway on the 6th floor towards the high side of the Unit near the exit door. It was probable that the resident exited the 6th floor door through the stairwell which alarmed. The resident was found by the local police at approximately 9:00 PM. According to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and review of pertinent facility documents on [DATE] and [DATE], it was determined that the facility failed to thoroughly investigate by obtaining complete statements from involved staff on an incident of injury of unknown origin of a cognitively impaired resident, Resident #2, who was noted to have a fading discoloration on her left hand near thumb area and a fading [discolored] area on her left forehead. On [DATE], Resident #2 was noticed to have a fading discoloration on her left hand near thumb area, measuring 4.0x4.0 cm [centimeters] and a small fading area on her left forehead measuring less than 2.0x2.0 cm. There was no sign of swelling and the resident denied pain to the sites. Resident #2 who was cognitively impaired was unable to recall any fall, trauma or unusual event that led to discoloration. MD [doctor] was informed and ordered x-ray on the resident's left hand. This deficient practice was evidenced as follows:A review of the form AAS-45, a Facility Reportable Event (FRE), a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-03-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and document review it was determined that the facility failed to ensure the proper rinse temperature was consistently maintained for the dish machine and dishware was appropriately dried to limit potential bacterial growth and the potential for food borne illness. The deficient practice was evidenced by the following: On 03/04/25 at 9:28 AM, the surveyor observed the dish machine in use cleaning the breakfast dishes. The surveyor observed, with staff, the final rinse temperature was 172 degrees Fahrenheit (F). Dietary Staff (DS #1) was also observed removing the plates from the dish machine with his bare hands and he proceeded to wipe the plates with a rag, and then placed them on a rack. The Food Service Director (FSD) was present and informed DS #1 to not wipe the dishes. The surveyor again observed DS #2 loading the dish machine with soiled items and then asked DS #2 what the temperatures for the wash and rinse should be. DS #2 stated, wash should be 160 F and rinse should be 180 F. The surveyor observed the rinse temperature which only reached…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-10 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, it was determined that the facility failed to ensure all residents were treated in a dignified manner by failing to ensure a) residents who were dependent on staff for care were provided with incontinence care prior to being served meals, and b) residents eating meals in the same dining room were served meals at the same time. This deficient practice occurred for 3 of 3 residents reviewed for dignity (Resident #31 and #42 and #129) and was evidenced by the following: On 2/27/25 at 10:16 AM, the surveyor observed Resident #129 in bed and the resident was partly covered and the incontinence brief could be observed bulging from the back. The resident informed the surveyor they were last provided with incontinence care at 5:00 AM. The resident informed the surveyor that they were unable to get out of the bed to use the bathroom, they could not walk, and staff would not answer the call light in a timely manner. On 2/27/25 at 10:59 AM, an incontinence observation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-10 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Complaint # NJ 167926 Based on interview, record review and document review it was determined that the facility failed to report an allegations of abuse, and injury of unknown origin to the Department of Health (NJDOH) as required within two hours of the allegation being made. The deficient practice was evidenced for 2 of 4 resident reviewed for investigations (Resident #343 and #290) and was evidenced by the following: 1. On 2/28/25 at 12:05 PM, Surveyor #1 observed Resident #343, sitting in the room in a wheelchair. The surveyor observed the right side of the resident's face with large area of discoloration and a bump around their right eyebrow. On 3/4/25 at 12:29 PM, Surveyor #1 reviewed the medical record for Resident #343. A review of the admission Record face sheet (an admission summary) reflected that Resident #343 was admitted to the facility with diagnoses which included but were not limited to; Heart Failure, Chronic kidney disease and history of falling. A review of an Annual Minimum Data Set (MDS) an assessment tool used to facilitate the management of care dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-10 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Complaint # NJ 167926 Based on observation, interview, record review and review of pertinent documents it was determined that the facility failed to complete a thorough investigation to rule out abuse or neglect for a resident who sustained an injury of unknown origin, for an allegation of abuse, and ensure a resident was protected from potential abuse while an investigation was completed. This deficient practice occurred for 2 of 4 residents reviewed for abuse (Resident #290 and Resident #343) and was evidenced by the following: 1. On 2/28/25 at 12:05 PM, Surveyor #1 observed Resident #343 sitting in the wheelchair in their room. Surveyor #1 observed the right side of the resident's face with large area of discoloration, and a bump around their right eyebrow. On 03/04/25 at 12:29 PM, Surveyor #1 reviewed the Medical Record (MR) for Resident #343 which revealed the following: The admission Record revealed the resident was admitted to the facility with diagnoses which included, but were not limited to; sepsis (a serious condition in which the body responds improperly to an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-10 · tag F0655 — pattern
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  Repeat Deficiency Based on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to develop and implement a baseline individual comprehensive care plan (ICCP) to meet resident preferences and goals to address all medical and psychosocial needs within 48 hours of admission. This deficient practice was identified for 1 of 27 residents (Resident #131) reviewed for ICCP and was evidenced by the following: On 2/28/25 at 9:38 AM, the surveyor observed Resident #131 being escorted off the unit. When asked, the Licensed Practical Nurse Unit Manager (LPN UM) stated that the resident was anxious, and they wanted to provide the resident with activities. On 2/28/25 at 11:00 AM, the surveyor reviewed the admission Record (an admission summary) which reflected Resident #131 had diagnoses which included but were not limited to; altered mental status, unspecified psychosis, anxiety disorder, and Alzheimer's disease. A review of the most recent annual Minimum Data Set (MDS), an assessment tool, dated 12/25/24, included but was not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-10 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint NJ # 169842 Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to provide appropriate incontinence care and bathing for 2 of 2 residents (Resident #73 and #104) reviewed for activities of daily living. This deficient practice was evidenced by the following: On 02/27/25 at 9:57 AM, the surveyor observed Resident #73 in bed. A Certified Nursing Aide (CNA) was at the bedside providing care and an interview conducted with the CNA revealed that the resident skin was intact. Per the surveyor request the CNA checked the resident for incontinence care. The surveyor observed that Resident #73 was wearing two incontinent briefs. One of the brief was folded and placed inside the first brief and secured in place with the liner of the first brief. The CNA informed the surveyor that the second brief was to catch the urine while the resident was in bed. On 2/27/25 at 10:30 AM, the surveyor reviewed the electronic medical record (EMR)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-10 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review and review of facility provided documents, it was determined that the facility failed to care for, and remove an intravenous (IV) line for 1 of 1 resident (Resident #38) reviewed for IV therapy. This deficient practice was evidenced by the following: On 2/27/25 at 10:11 AM, the surveyor observed Resident #38 in their room with an IV connection line inserted in the right hand between the thumb and first finger. Resident #38 stated that the IV had been inserted weeks ago for medication and had never been removed. On 2/28/25 at 9:56 AM, the surveyor observed Resident #38 in their room with the IV connection line still in place. On 3/04/25 at 9:00 AM, the Licensed Practical Nurse Unit Manager (LPN UM) stated the IV line was inserted because the resident had been receiving an IV antibiotic which had been stopped on 2/10/25. The LPN UM and surveyor reviewed the electronic medical record (emr) and the LPN UM was unable to locate any orders for the IV line. The surveyor inquired about the orders for the care of the line and the insertion site.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-10 · tag F0688 — failed to keep residents mobile / prevent decline — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of pertinent documents, it was determined that the facility failed to consistently perform and document functional maintenance for 1 of 2 residents (Resident #51) reviewed for restorative care. This deficient practice was evidenced by the following: On 2/27/25 at 10:17 AM, the surveyor observed Resident #51 in bed and their left wrist and hand were bent backwards. On 2/27/25 at 1:23 PM, the surveyor reviewed the electronic medical record. The admission Record revealed diagnoses which included need for assistance with personal care. A review of the quarterly MDS dated [DATE], documented a BIMS of 02 out of 15 indicating severely impaired cognition, and that Resident #51 had ended both Occupational and Physical Therapy on 9/3/24. A review of the Order Summary Report revealed an order dated 10/17/24, Functional Maintenance Program (FMP) for daily Active Assist Range of Motion (AAROM) on Right Upper Extremities/Lower Extremities (UE/LE) and Passive Range of Motion Exercise…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, it was determined that the facility failed to ensure controlled substances were properly disposed of and ensure adequate supervision was provided to a resident who had a history of falls. This deficient practice was identified for 1 of 1 resident (Resident #1) observed during the medication pass and 1 of 1 resident reviewed for accidents (Resident #110). The evidence is as follows: a) On 3/4/25 at 8:39 AM, the surveyor conducted a medication pass observation and observed the Licensed Practical Nurse (LPN) prepared medication for Resident #1. The LPN prepared the following medications: Klonopin (a Benzodiazepine scheduled IV controlled substance that has the potential for abuse) 0.5 milligram (mg)1 tablet (a medication used to treat anxiety); Eliquis (anticoagulant ) 2.5 mg 1 tab; Losartan Potassium 50 mg (milligram) medication used to treat high blood pressure; Propafenone 150 mg 1 tab medication (to treat heart rhythm); Senna 8.6 mg 1 tab medication used to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$8,281 in federal fines across 1 penalty.

• $8,281 — penalty dated 2026-01-15

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to OPTIMA CARE — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.6M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NJ