PlainNursing
CMS Nursing Home Compare · August 2026

Optima Care Fountains

595 County Avenue, Secaucus, NJ 07094

Optima Care Fountains, a 334-bed for profit - limited liability company nursing facility in Secaucus, NJ, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #333 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2018638866

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1 / 5
Much below average · CMS overall · nat'l 3.0
#333 of 346
In-state rank among rated NJ homes
3.85
About average · nurse hrs/day · nat'l 3.86
43
Inspection findings · 2 serious

The verdict

Optima Care Fountains, a 334-bed for profit - limited liability company nursing facility in Secaucus, NJ, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #333 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#333 of 346
In-state rank among rated NJ homes
3.85
Nurse hrs/resident-day · national 3.86
43
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 348 NJ nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

5/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
315476
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
334
Residents
283
In Hospital
No
County
Hudson
Last Inspection
Feb 19, 2026

Staffing Data

How the 3.85 total nursing hours per resident-day are staffed:

RN Hours
0.54 (nat'l avg: 0.69)
LPN Hours
0.57
CNA Hours
2.74
Total Nursing Hours
3.85 (nat'l avg: 3.86)
PT Hours
0.07
Nursing Turnover
28.7%
RN Turnover
17.2%

What the CMS Record Reveals About Optima Care Fountains

According to CMS Nursing Home Compare, Optima Care Fountains ranks #333 of 346 rated nursing homes in NJ on overall stars (tie-broken by health+staffing+quality, then fewer fines). Optima Care Fountains operates 334 certified beds in Secaucus, NJ with approximately 283 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 5★ · quality 1★).

The inspection file contains 43 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $51K levied against this facility. Per resident day, this facility reports 3.85 total nursing hours (national average 3.86) and 0.54 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Optima Care Fountains falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 28.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (43 most recent)

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0924

Put firmly secured handrails on each side of hallways.

Category: Environmental Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Feb 19, 2026 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2026

F - Widespread - Minimal harm Feb 19, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Jul 22, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2025

D - Isolated - Minimal harm Jul 22, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 7, 2025

J - Isolated - Jeopardy Jan 30, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2025

D - Isolated - Minimal harm Oct 17, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 5, 2024

D - Isolated - Minimal harm Oct 17, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 5, 2024

D - Isolated - Minimal harm Oct 17, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 5, 2024

D - Isolated - Minimal harm Oct 17, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2024

D - Isolated - Minimal harm Oct 17, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2024

D - Isolated - Minimal harm Oct 17, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Dec 5, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Dec 5, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 5, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 5, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 5, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 5, 2024

E - Pattern - Minimal harm Oct 17, 2024 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2024

F - Widespread - Minimal harm Oct 17, 2024 Tag: 0848

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Category: Administration Deficiencies

Corrected: Dec 5, 2024

F - Widespread - Minimal harm Oct 17, 2024 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Dec 5, 2024

F - Widespread - Minimal harm Oct 17, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 5, 2024

G - Isolated - Actual harm Oct 17, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 5, 2024

B - Pattern - No harm Oct 17, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 13, 2023

D - Isolated - Minimal harm Dec 2, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 7, 2023

D - Isolated - Minimal harm Dec 2, 2022 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 7, 2023

D - Isolated - Minimal harm Dec 2, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 7, 2023

D - Isolated - Minimal harm Dec 2, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 7, 2023

D - Isolated - Minimal harm Dec 2, 2022 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 7, 2023

E - Pattern - Minimal harm Dec 2, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 24, 2023

E - Pattern - Minimal harm Dec 2, 2022 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 7, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 88.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 6.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 54.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 35.4% No

Penalty History 2 penalties totaling $51K

Date Type Amount
Jan 30, 2025 Fine $17K
Oct 17, 2024 Fine $34K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Optima Care Fountains, both outside NJ so the neighborhoods are not the same-state geography list below.

What the CMS records show for Optima Care Fountains

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NJ registry aggregates state averages and the highest-rated homes in this cohort. View NJ registry
  • Peer homes near 334 beds show how CMS stars vary at a similar scale in NJ. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Optima Care Fountains?
Optima Care Fountains has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (5★), and quality measures (1★).
Where does Optima Care Fountains rank among nursing homes in NJ?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Optima Care Fountains ranks 333rd among 346 rated nursing homes in NJ (#333 of 346). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Optima Care Fountains?
Optima Care Fountains reports 3.85 total nursing hours per resident day (national average: 3.86). RN hours are 0.54 per resident day (national average: 0.69). Nursing staff turnover is 28.7%.
How many beds does Optima Care Fountains have?
Optima Care Fountains has 334 certified beds with approximately 283 residents. The facility is located at 595 County Avenue, Secaucus, NJ 07094.
Does Optima Care Fountains have any deficiencies on record?
Yes, Optima Care Fountains has 43 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Optima Care Fountains received any fines or penalties?
Yes, Optima Care Fountains has received 2 penalties totaling $51K.
Who owns Optima Care Fountains?
Optima Care Fountains is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Optima Care Fountains last inspected?
The most recent health inspection for Optima Care Fountains was on Feb 19, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Optima Care Fountains?
Optima Care Fountains is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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