Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
8
States
3
Beds
1,621
Avg score
77.5
Avg turnover
38%
Federal fines
$219,831
Flags across this group
1 home is in or a candidate for the Special Focus Facility programme.
Brookside Multicare runs 353 certified beds in Smithtown under for-profit LLC ownership, and the numbers mostly hold up. Nurse staffing sits at 3.91 hours per resident day, barely above the national average of 3.86, so this isn't a home running rich on direct care, and weekend coverage drops about 12% below its own weekday level. What stands out is retention: 21.9% annual turnover against a national average of 45.8%, meaning far fewer caregivers cycling through than at the typical home. Fifteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a single $3,145 fine and an inspection as recent as November 2025.
Nurse staffing here runs about 4.09 hours per resident per day, roughly 6% above the national average, though weekends dip about 6% below the home's own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 31.8%, well under the national 45.8%, which suggests people tend to stay. The 12 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in September 2025. Ownership is for-profit, a limited liability company.
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.
Maria Regina runs on more nursing hours than most homes in the country, 4.44 per resident day against a national average of 3.86, and its aides and nurses stick around far longer than the typical turnover rate suggests, 26.6% leaving annually versus 45.8% nationally. That stability matters, though weekends drop about 10% below the home's own weekday coverage, so ask how weekend shifts are actually staffed. The trade-off shows up in oversight: 18 deficiencies on the current record, including one at the harm level and one tied to abuse, plus a single $8,512 fine. Its last inspection was January 2025, so the record is recent. For-profit partnership ownership, 188 beds.
Little Neck Care Center runs on a paradox: its staff stick around. Turnover is 16.9% against a national average of 45.8%, which is genuinely rare and usually means people want to be there. But the record around them is the problem. The most recent inspection, in August 2024, left 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse. That's a lot of citations for a 120-bed home. Staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends drop another 7% below its own weekdays, so coverage thins out exactly when families visit. Consistent caregivers matter, but they can't offset an inspection record like this.
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.
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.
Castle Hills Rehabilitation and Care Center is a for-profit, limited liability operation with 143 certified beds in San Antonio. Nurse staffing runs about 2.96 hours per resident per day, roughly 23 percent below the national average, and weekends fall about 15 percent under its own weekday levels. Every CMS star category here lands at 1 out of 5: health inspections, quality measures, and staffing. The deficiency record shows 72 citations, eight of them at harm or jeopardy level and two tied to abuse, with four fines totaling $112,386 and a recent inspection on September 12, 2025. That combination of thin staffing, low inspection scores, and serious deficiencies is what any family should weigh before choosing this home.