CMS data shows Optima Care Castle Hill earning a D grade with a score of 52/100, placing it below most facilities in New Jersey. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Optima Care Castle Hill is near the national average, with 3.69 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 32 deficiencies at Optima Care Castle Hill, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.69 | 3.8 | Average |
| Registered Nurses (RN) | 0.92 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.35 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.42 | 2.4 | Average |
| Weekend Total Nursing | 3.40 | 3.8 | Below Average |
| Weekend RN Hours | 0.79 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 14, 2026 · Quality of Life and Care Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Mar 9, 2025 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Mar 9, 2025 · Resident Rights Deficiencies
- Tag 0655 Severity ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMar 9, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.6% | 4.5% | Worse |
| Falls with major injury | 3.3% | 3.0% | Average |
| On antipsychotic medication | 8.0% | 14.5% | Better |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 9.2% | 14.0% | Better |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 11.2% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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