Nursing homes across Hudson County, New Jersey, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Hoboken University Medical Center's TCU is a small unit, just 15 certified beds, and it runs on a corporate for-profit model, but the numbers hold up. Nurse staffing sits at 6.26 hours per resident day, well above the national average, and the unit earned a full five stars on CMS's staffing measure, with turnover at 26.3 percent compared to a national rate near 46 percent. The current record shows four deficiencies, none at the harm level and none abuse-related, and the last inspection was in June 2024. The one thing worth knowing: weekend staffing drops about 13 percent below weekday levels, so coverage isn't perfectly even across the week.
Bayonne University Hospital runs a small 17-bed unit, and the staffing number is the first thing worth noticing: 7.89 nurse hours per resident day, roughly double the national average of 3.86. Weekend coverage dips only about 4% below weekdays, which is a modest drop for a place this size. Its inspection record shows three deficiencies, none at the harm level and none related to abuse, with the most recent survey done in September 2025. Quality measures score a middle 3 out of 5 even as staffing and inspections both come in at the top. The for-profit limited liability ownership is worth knowing, but nothing in the numbers suggests problems.
Peace Care St Ann's runs a tight ship on staffing: 3.91 nurse hours per resident day, a hair above the national average, with weekend coverage dipping about 6% below weekdays. Turnover sits at 37.8%, meaningfully lower than the 45.8% national figure, which suggests less churn than many homes. The tradeoff shows up in inspections. Twenty-seven deficiencies on the current record, including one abuse-related citation, with no harm-level findings; the health inspection rating lands at 2 out of 5, and the last survey was in March 2026. Quality measures score 4 out of 5. A nonprofit with steady hands on staff but a longer paper trail than you'd like.
Optima Care Castle Hill runs 215 beds in Union City under for-profit LLC ownership, and its staffing sits around 3.60 nurse hours per resident day, roughly 7% under the national average, with weekends dropping about 9% below its own weekday levels. Turnover at 42.2% is actually a touch better than the national 45.8%. What stands out is the inspection record: 32 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a $8,281 fine and a visit as recent as March 2025. The quality measure score looks strong on paper, but that inspection history is the number a family should ask about directly.
Peace Care St Joseph's runs a nonprofit home of 139 beds in Jersey City, and its staffing is the clearest strength: 4.05 nurse hours per resident day, about 5% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover sits at 36.6%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The record is more mixed on oversight: 26 deficiencies, including one at the harm level and two tied to abuse, plus 24 fines totaling $192,635. The most recent inspection was April 2026, so the picture is current. Strong quality scores and staffing coexist here with a real compliance history worth asking about directly.
Hudsonview runs 273 beds in North Bergen under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 8% below the home's own weekday levels, so coverage thins when families tend to visit. What stands out in the other direction is retention: turnover is 16.9% against a national average of 45.8%, meaning the aides and nurses here tend to stay. Inspections came in July 2025 with a 4-star rating and 20 deficiencies on record, none at harm or jeopardy level, though four are abuse-related, worth asking about directly.
Alaris Health at Kearny runs about 18% leaner on nursing hours than the national average, 3.16 per resident day against 3.86, and weekends dip roughly 9% below what the home staffs on weekdays. The 2-star staffing rating reflects that, even as the 5-star quality measure score suggests residents' clinical outcomes look good on paper. A February 2026 inspection found 26 deficiencies, one tied to abuse, though none rose to harm or jeopardy level, which keeps things from looking worse than they are. For-profit LLC ownership at 120 beds means you're weighing solid care metrics against thin coverage, especially on Saturdays and Sundays.
Optima Care Fountains sits at 334 beds in Secaucus, run by a for-profit limited liability company. Staffing is the one place this home holds up: 3.85 nurse hours per resident day, right at the national average, and turnover of 28.7% is well below the national 45.8%, people tend to stay. Weekend coverage dips about 7% below weekday levels, worth asking about.
The rest is harder. Federal inspectors rate health inspections and quality measures both 1 out of 5, with 43 deficiencies on the current record, including 2 at harm or jeopardy level and 4 tied to abuse. Two fines total $51,483. The last inspection was February 19, 2026, recent enough that the record reflects current conditions. Ask what's changed.
Alaris Health at Hamilton Park runs 260 certified beds in Jersey City under individual for-profit ownership, and its inspection record is the strong part: 4 out of 5 stars, last survey in March 2025, and 18 deficiencies on file with none at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. Staffing is where it slips. At 3.64 nurse hours per resident day, it sits about 6% under the national average, weekend coverage drops roughly 10% below its own weekday level, and turnover hits 57.5% against a national 45.8%, meaning the people caring for your family member are, statistically, likely to be new or on their way out.
Manhattanview runs 127 certified beds in Union City under for-profit LLC ownership, and its numbers tell a fairly specific story. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Staff turnover at 44.2% is close to the national figure, meaning the workforce churns about as much as elsewhere rather than wildly more. Inspections look stronger: a 4/5 health inspection rating, a 4/5 on quality measures, and 19 deficiencies on record with none at harm or jeopardy level, though one is abuse-related. The last inspection was December 2025.
Acclaim Rehabilitation and Nursing Center runs 183 certified beds in Jersey City under for-profit partnership ownership, and the staffing picture is the weak spot. At 3.05 nurse hours per resident day, it sits roughly 21% under the national average of 3.86, and weekend coverage dips about 4% below its own weekday levels. Turnover lands at 45.7%, essentially matching the national figure. Inspections are a different story: a 4-out-of-5 health inspection rating, 12 deficiencies on record with none at the harm or jeopardy level, though one is abuse-related. The last survey came April 4, 2025, so the record is recent. Quality measures also rate 4 out of 5. The tension here is between thin daily staffing and otherwise solid oversight. If your family member needs frequent hands-on help, ask specifically about weekday-to-weekend coverage and how call lights get answered.
Alaris Health At Belgrove runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The inspection record shows 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $25,635 fine. CMS gave 2 of 5 stars for both health inspections and staffing, with quality measures at 3. The most recent inspection was May 7, 2026. If you're weighing this one, ask directly how the abuse deficiency was resolved and what weekend coverage actually looks like.
Harbour View runs 84 beds in North Bergen under corporate ownership, and the numbers tell two different stories. The clinical quality measures look good, 4 out of 5, but staffing sits at the bottom of the federal scale, 1 out of 5, which matters because aides and nurses are who actually deliver that care day to day. The inspection record backs up the concern: 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $28,674 fine. State inspectors were last in on August 21, 2025, so the record is current. If you're weighing this one, ask direct questions about nurse aide hours per resident and what specifically was cited at that harm-level deficiency.
Complete Care At Harborage is a 247-bed for-profit in North Bergen, and its numbers pull in two directions. The clinical quality scores are strong, but the inspection record is where the trouble sits: 28 deficiencies, two of them serious enough to involve harm or jeopardy, plus three tied to abuse, and a $27,378 fine. Nurse staffing runs about 3.48 hours per resident day, roughly 10% under the national average, and weekends drop another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit.
Optima Care Harborview runs 180 beds under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover hit 100% over the past year against a national average near 46%, meaning the aides and nurses caring for residents are largely new to the building. The current inspection record shows 32 deficiencies, including one tied to abuse, though none reached harm or jeopardy level, and CMS has fined the home once for $13,674. Its last inspection was January 15, 2026.