Nursing home

Optima Care Castle Hill

4.056 reviews on Google

615 23rd St, Union City, NJ 07087, Hudson County

Optima Care Castle Hill is a skilled nursing facility situated at 615 23rd Street in Union City. Set within a dense, urban neighborhood in Hudson County, the community provides residential long-term support alongside short-term rehabilitation services. The facility is licensed for 215 beds, accommodating seniors needing round-the-clock medical oversight in a structured setting.

Accommodations are designed to provide a comfortable, practical living space for residents while they recover or receive long-term support. The interior layout offers functional common spaces where individuals can spend time with visiting family members or relax during the day. Basic on-site conveniences include laundry support, beauty services, and concierge assistance to handle daily practical needs.

Daily life incorporates a variety of recreational and social options designed to keep residents engaged. The activity calendar features arts and crafts, bingo, computer classes, horticulture, and group fitness classes such as Zumba, yoga, and tai chi. Residents can also gather for coffee and tea socials, pizza parties, live entertainment, and pet therapy visits, with pastoral care and religious services available for spiritual support.

Care programs cover a wide medical spectrum, from short-term orthopedic, pulmonary, and cardiac recovery to specialized memory care and long-term nursing. Clinical teams manage complex treatments, including tracheostomy care, IV therapy, wound treatment, and LifeVest monitoring, backed by 24-hour physician availability. Both respite stays and hospice support are also available for individuals and families requiring temporary or end-of-life care.

Pricing

What care costs in this area.

What nursing home care costs in this area

$12,775 a month

That is the New Jersey median for a semi-private nursing home room, not this community's price. This community's actual rate depends on room type and care level. Ask us for this month's real numbers.

Source: CareScout 2025 Cost of Care Survey, published March 2026. Figures verified September 2026.

Medicare ratings

Overall

2 out of 5

Health inspections

1 out of 5

Quality measures

5 out of 5

Staffing

4 out of 5

From Medicare Care Compare, updated 8/1/2026.

Staffing

Nurse time per resident, per day
3.6 hours
NJ average 3.9 hours
Registered nurse time per resident, per day
0.9 hours
NJ average 0.7 hours
Nurse time per resident on weekends
3.3 hours
Nursing staff turnover (per year)
42%
NJ average 39%
Registered nurse turnover (per year)
58%
Administrators who left in the past year
4

Source: Medicare (CMS), updated monthly, last updated 8/1/2026. See it on Medicare Care Compare

Care services provided

Nursing home

  • 24-hour skilled nursing care
  • 24-hour physician availability
  • Short-term rehabilitation
  • Long-term nursing care
  • Stroke rehabilitation and recovery
  • Memory care for Alzheimer's and dementia
  • Cardiac rehabilitation and CHF therapy
  • Pulmonary rehabilitation for COPD
  • Orthopedic rehabilitation
  • Tracheostomy care
  • Wound care
  • IV therapy and treatment
  • LifeVest care
  • Respite care
  • Hospice and palliative care
  • Veterans care
  • Medication management

Amenities

Activities and outings

  • Arts and crafts
  • Bingo nights
  • Birthday and holiday celebrations
  • Coffee and tea socials
  • Computer classes
  • Horticulture
  • Live entertainment
  • Pet therapy
  • Pizza parties
  • Special events and performances
  • Yoga and tai chi
  • Zumba classes

Living spaces

  • Spacious and comfortable accommodations

Services

  • Beauty services
  • Concierge services
  • Laundry service

Wellness and care

  • Pastoral services
  • Religious services
  • Therapeutic recreation

Photos

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Reviews

Reviews on Google

4.056 reviews on Google

James Roberts

2 months ago

Thanks so much!!! Amazing place you guys healed my friend amazing recommendations are 100 percent!! The 6th floor staff is GREAT

Lily Arango

6 months ago

This is the same Alaris Castle Hill Facility with the same administrator and her team, that were horrible when it was Alaris Castle Hill. They now renamed it Optima Care. This facility is terrible, Do not trust them with your loved ones. It’s dirty and inhumane. If you complain, nothing is ever done. It reeks of fecal matter, it’s understaffed, and they would over medicate my grandmother to keep her sedated and she ended up passing from malnutrition. Please look into other facilities for your loved ones.

Roz C

9 months ago

Castle Hill has been very helpful for me and my family when it comes to elderly care. The staff are also very helpful along with the social workers.

Idalia Alvarez

a year ago

It’s been a very challenging road ahead dealing with my mom’s dementia and the fact that she was no longer to live on her own performing her day to day activities. After many attempts of family care, my mom’s health continued declining through the constant falls she was now having, needing 24 hour attention. The staff at Castle Hill have been able to provide that. Maribel Alonso from the Admission Department was the first and only one from a few Rehabilitation Centers to reach out to me when my mom was in the hospital. Her kind words, reassurance and advice that everything would be ok was beyond helpful. I was overtaken by the care and compassion in her voice, that I chose Castle Hill as the Rehabilitation Center for my mom’s health to improve. Once there, my whole outlook kept on moving in a very positive direction. My mom started exercising 5 times a week, everyone in the Physical Therapy department demonstrated to be very knowledgeable through their exercises and care. My mom was now eating well again, being able to stand on her own, seen by doctors right there on the premises. She needed X-rays and an ultrasound and it was done write on the premises, not having to worry about transporting my mom anywhere else. Damaris, the Social Worker had been very informative and helpful, David, the Head of Maintenance, always from Day 1 very understanding. Everyone’s level of compassion has gone above and beyond. I am very grateful and blessed that my mom is receiving the care and compassion that she deserves.

Melissa Godesky

2 years ago

If I could give 0 I would. I'm sharing this because I think it's important to know how poorly they care for your loved ones in this facility. My mother say in a wet diaper for hours giving her a fungul infection as well as a UTI. They would not take her to the bathroom. She had to go back to the hospital because of the infections so instead of them treating her belongings like their own, they through them in trash bags. While I was picking up her belongings that were thrown in a trash bag, another patients family member explained to the staff that his loved one was in a wet diaper and wet sheets for hours. Right when I was standing there. This isn't just one patient, this is all. If you have a loved one there, please check on them. Please hold this facility accountable. No one deserves to be left sitting in urine for hours! No one deserves to be forgotten about. And if they can't handle a patient, they shouldn't take them. Yes I will be submitting a report to the state as that facility needs to be reviewed for standards and patients rights. They stole from her and could care less to investigate on top if everything else!

Reviews from Google. See all reviews on Google

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Location

Map data from OpenStreetMap contributors, tiles by OpenStreetMap.

615 23rd St, Union City, NJ 07087

License

License number
060910
NPI
1740937838 NPI Registry
Licensed as
Long Term Care Facility
License valid to
10/31/2027
Licensed capacity
215 long term care beds
Payment accepted
Medicaid, Medicare, Private pay
Executive director
Margot Domingo
As listed on the state license.

Checked against the New Jersey Department of Health record on 11/9/2026.

Ownership

Who owns this community, as listed on the state licence.

Owner on the licence
OPTIMA CARE UNION CITY, LLC

Frequently asked questions

What payment options are accepted at Optima Care Castle Hill?+

Optima Care Castle Hill accepts Medicare, Medicaid, and private payment options for resident care.

What types of care are offered at Optima Care Castle Hill?+

The community provides short-term rehabilitation, long-term skilled nursing, memory care, respite care, and hospice and palliative care. Specialized clinical support includes pulmonary, cardiac, stroke, wound, tracheostomy, and orthopedic rehabilitation.

Does Optima Care Castle Hill provide memory care?+

Yes, the facility has a dedicated memory care program tailored for residents with Alzheimer's disease and other forms of dementia. It provides 24-hour monitoring, personalized care planning, medication management, and cognitive activities.

What activities are available for residents?+

Residents can participate in bingo, arts and crafts, computer classes, horticulture, live entertainment, and fitness options like yoga, tai chi, and Zumba. Social events such as pizza parties, holiday celebrations, and pet therapy are also regularly scheduled.