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OPTIMA CARE FOUNTAINS

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OPTIMA CARE FOUNTAINS is a for profit - limited liability company facility in SECAUCUS, NJ with 334 certified beds and a 1-star overall CMS rating. The facility has 33 deficiency records on file. Total penalties: $61K.

505 COUNTY AVENUE, SECAUCUS, NJ 07094

Phone: 2018638866

Overall Rating

1/5

Health Inspection

1/5

Staffing

4/5

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
281
In Hospital
No
County
Hudson
Last Inspection
Oct 17, 2024

Staffing Data

RN Hours
0.50 (nat'l avg: 0.68)
LPN Hours
0.57
CNA Hours
2.74
Total Nursing Hours
3.82 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
41.1%
RN Turnover
43.8%

What the CMS Record Reveals About OPTIMA CARE FOUNTAINS

OPTIMA CARE FOUNTAINS operates 334 certified beds in SECAUCUS, NJ with approximately 281 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (4★), and quality measures (1★). 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.

The inspection file contains 33 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $61K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.82 total nursing hours per resident day (national average 3.89), with RN coverage at 0.50 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

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. 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. Reported nursing turnover at this facility is 41.1%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (33 most recent)

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

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

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

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

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

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

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

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

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

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

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

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

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

E — Pattern - Minimal harm May 23, 2023 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: Jun 20, 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

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

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

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

D — Isolated - Minimal harm Dec 9, 2019 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jan 17, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.4% No
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 1.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.1% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 90.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 51.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 35.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 9.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 5.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History 2 penalties totaling $61K

Date Type Amount
Jan 30, 2025 Fine $27K
Oct 17, 2024 Fine $34K

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 (4★), and quality measures (1★).
What are the staffing levels at OPTIMA CARE FOUNTAINS?
OPTIMA CARE FOUNTAINS reports 3.82 total nursing hours per resident day (national average: 3.89). RN hours are 0.50 per resident day (national average: 0.68). Nursing staff turnover is 41.1%.
How many beds does OPTIMA CARE FOUNTAINS have?
OPTIMA CARE FOUNTAINS has 334 certified beds with approximately 281 residents. The facility is located at 505 COUNTY AVENUE, SECAUCUS, NJ 07094.
Does OPTIMA CARE FOUNTAINS have any deficiencies on record?
Yes, OPTIMA CARE FOUNTAINS has 33 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 $61K.
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 Oct 17, 2024. 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial