Friendship Manor Nursing & Rehab CenterCMS ratings, inspections and fines
- Address
- 902 South Euclid Avenue, National City, CA 91950
- CCN
- 055964
- Ownership type
- For-profit, limited liability company
- Certified beds
- 104
- Residents per day
- 88
- 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 Friendship Manor Nursing & Rehab Center an overall rating of 5 of 5 stars. The last standard survey was on 24 Jul 2025. The latest survey cycle has 2 health citations. The median for nursing homes in California is 14. CMS lists 4 fines with a total of $297,367 for this home in its penalties file.
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 | 5 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 5 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 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) | 24 Jul 2025 | 2 | 14 |
| Cycle 2 | 11 Aug 2022 | 15 | 14 |
| Cycle 3 | No date | 12 | 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 | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 22 Aug 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Feb 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 27 Feb 2025 |
| 4 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 27 Feb 2025 |
| 11 Aug 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | 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 | 11 Sep 2022 |
| 11 Aug 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0761 | 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. | D | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Sep 2022 |
| 11 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Sep 2022 |
Survey cycle 3: 12 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 |
|---|---|---|---|---|---|
| 25 Jun 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 25 Jul 2024 |
| 12 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 19 Jun 2024 |
| 24 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 25 Feb 2024 |
| 14 Mar 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 Apr 2019 |
| 14 Mar 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 5 Apr 2019 |
| 14 Mar 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 5 Apr 2019 |
| 14 Mar 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 5 Apr 2019 |
| 14 Mar 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 | 5 Apr 2019 |
| 14 Mar 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 5 Apr 2019 |
| 14 Mar 2019 | F0761 | 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. | D | Standard survey | 5 Apr 2019 |
| 14 Mar 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Apr 2019 |
| 14 Mar 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Apr 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 |
|---|---|---|---|
| 25 Apr 2025 | Fine | $285,130 | |
| 6 Nov 2023 | Fine | $3,147 | |
| 30 Oct 2023 | Fine | $2,797 | |
| 10 Oct 2023 | Fine | $6,293 |
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 | 4.21 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.63 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 1.51 | 1.20 | |
| Nurse aides | 2.06 | 2.65 | |
| All nurse staff, weekends | 3.52 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 33.3%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
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 | 1.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.6% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 34.0% | 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 I, 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 | |
| Castle Manor Nursing & Rehabilitation Center | National City | 4 of 5 | 8 | $10,188 | 27 Mar 2025 | |
| Reo Vista Healthcare Center | San Diego | 3 of 5 | 16 | $25,406 | 17 Apr 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 | |
| Brighton Place San Diego | San Diego | 1 of 5 | 20 | $0 | 15 Jan 2025 | |
| South Bay Post Acute Care | Chula Vista | 5 of 5 | 1 | $0 | 8 May 2025 | |
| Golden Hill Post Acute | San Diego | 3 of 5 | 20 | $0 | 28 Aug 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 | |
| Bella Vista Health Center | Lemon Grove | 4 of 5 | 7 | $0 | 17 Nov 2025 | |
| Jacob Healthcare Center | San Diego | 5 of 5 | 11 | $0 | 15 Jan 2026 |
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 Friendship Manor Nursing & Rehab Center (CCN 055964). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/friendship-manor-nursing-rehab-center-national-city-ca-055964/
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 Friendship Manor Nursing & Rehab Center last inspected?
- The latest inspection with a citation in the CMS record was on 24 Jul 2025. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 11 Aug 2022.
- Who operates Friendship Manor Nursing & Rehab 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 Friendship Manor Nursing & Rehab 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.