Castle Manor Nursing & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 541 V Avenue, National City, CA 91950
- CCN
- 555263
- Ownership type
- For-profit, limited liability company
- Certified beds
- 99
- Residents per day
- 92
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Castle Manor Nursing & Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 27 Mar 2025. The latest survey cycle has 8 health citations. The median for nursing homes in California is 14. CMS lists 1 fine of $10,188 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | San Diego County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 83 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 27 Mar 2025 | 8 | 14 |
| Cycle 2 | 2 Mar 2023 | 10 | 14 |
| Cycle 3 | No date | 7 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Apr 2025 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 4 Apr 2025 |
| 5 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Apr 2025 |
| 2 Mar 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 2 Apr 2023 |
| 2 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 2 Apr 2023 |
| 2 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 2 Apr 2023 |
| 2 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 2 Apr 2023 |
| 2 Mar 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Apr 2023 |
| 2 Mar 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 2 Apr 2023 |
| 2 Mar 2023 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 2 Apr 2023 |
| 2 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Apr 2023 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Aug 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Aug 2019 |
| 29 Aug 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Aug 2019 |
| 29 Aug 2019 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Aug 2019 |
| 29 Aug 2019 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 30 Aug 2019 |
| 29 Aug 2019 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 30 Aug 2019 |
| 29 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Aug 2019 |
| 29 Aug 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Aug 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 5 Mar 2025 | Fine | $10,188 | |
| 5 Mar 2025 | Payment denial | 15 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 4.58 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.80 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 1.28 | 1.20 | |
| Nurse aides | 2.50 | 2.65 | |
| All nurse staff, weekends | 3.98 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 37.4%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 52.9%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.7% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.8% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- GHC of National City II, LLC
- Chain
- Generations Healthcare (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bmo Bank National Association | 5% or greater security interest | 6 Oct 2021 | |
| Life Generations Healthcare, LLC | Operational/managerial control | 1 Feb 1998 |
The site shows organisations only. It does not show the names of persons.
Other homes in San Diego County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Paradise Valley Health Care | National City | 5 of 5 | 8 | $10,036 | 21 Nov 2024 | |
| Friendship Manor Nursing & Rehab Center | National City | 5 of 5 | 2 | $297,367 | 24 Jul 2025 | |
| Hillcrest Manor Sanitarium | National City | 4 of 5 | 13 | $0 | 12 Feb 2026 | |
| National City Post Acute | National City | 3 of 5 | 23 | $15,652 | 19 Dec 2025 | |
| Reo Vista Healthcare Center | San Diego | 3 of 5 | 16 | $25,406 | 17 Apr 2025 | |
| Brighton Place San Diego | San Diego | 1 of 5 | 20 | $0 | 15 Jan 2025 | |
| Golden Hill Post Acute | San Diego | 3 of 5 | 20 | $0 | 28 Aug 2025 | |
| South Bay Post Acute Care | Chula Vista | 5 of 5 | 1 | $0 | 8 May 2025 | |
| Arroyo Vista Nursing Center | San Diego | 5 of 5 | 4 | $0 | 29 Jan 2026 | |
| University Care Center | San Diego | 5 of 5 | 8 | $0 | 7 May 2025 | |
| Jacob Healthcare Center | San Diego | 5 of 5 | 11 | $0 | 15 Jan 2026 | |
| Villa Coronado D/P SNF | Coronado | 5 of 5 | 6 | $0 | 2 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Castle Manor Nursing & Rehabilitation Center (CCN 555263). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/castle-manor-nursing-rehabilitation-center-national-city-ca-555263/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Castle Manor Nursing & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 27 Mar 2025. It was a standard survey. It gave 8 citations. The standard survey before the last one was on 2 Mar 2023.
- Who operates Castle Manor Nursing & Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Generations Healthcare. The CMS ownership file names Life Generations Healthcare, LLC for operational or managerial control. This site does not show the names of persons.
- Is Castle Manor Nursing & Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.