Optima Care Castle Hill

In the surveyor’s words

From the most serious findings on record at Optima Care Castle Hill, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 15, 2026

  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. […]

• Immediate jeopardy, isolatedF604Aug 18, 2022

  Complaint#: NJ 4 Based on interviews, medical records review, and review of other pertinent facility documentation on 8/9/2022, 8/15/2022, and 8/18/2022, it was determined that the facility failed to ensure a resident (Resident #2) with a known diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . On 8/1/2022, Resident #2 exhibited behaviors and was non-compliant with keeping his/her safety helmet on and sitting in the wheelchair on the 3:00 p.m. to 11:00 p.m. shift. Since Resident #2 was non-compliant, the Certified Nursing Assistant (CNA #1), who was assigned to Resident #2 until 9:00 p.m., requested CNA #2 to assist her in moving the long table in the dining/recreation room towards the wall. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2025

  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. […]

• No harm, potential for more than minimal, widespreadF925Mar 5, 2021

  COMPLAINT #: NJ 7, NJ 6, NJ 6 Based on observation, interview, and review of facility provided documentation on 3/5/2021, it was determined that the facility failed to provide an effective pest control program. The evidence includes the following: During the survey entrance at 9:35 a.m., a request was made to the facility Administrator (Admin.) and Maintenance Director (MD) to provide the facility Contracted Pest Control (CPC) vendors pest sighting log book for January, February, and March 2021 for review. At this time, the MD told the surveyor there is a CPC pest sighting log book on each of the 3 resident floors. Starting at 10:11 a.m., in the presence of the facility MD an inspection of the 4th, 5th, and 6th floors was performed. […]

• No harm, potential for more than minimal, patternF550Mar 10, 2025

  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. […]