Home›Browse›California›National City›Castle Manor Nursing & Rehabilitation Center

Nursing homeFAID #13528

Castle Manor Nursing & Rehabilitation Center

541 V AVENUE, NATIONAL CITY, CA, 91950

(619) 791-7900

99 licensed beds

CMS rates Castle Manor Nursing & Rehabilitation Center 4 out of 5 overall. Federal inspectors issued 37 citations across 7 inspections in the last three years, with $10,188 in fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

541 V Avenue

National City, CA 91950

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Public record summary

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Bed capacity

CMS facility ID

555263

Care type

Nursing home

County

San Diego

Facility name

Castle Manor Nursing & Rehabilitation Center

Street address

541 V AVENUE

City / state / ZIP

National City, CA 91950

Phone

(619) 791-7900

About this facility — Castle Manor Nursing & Rehabilitation Center

Castle Manor Nursing & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in National City, California. It is licensed for 99 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 13 senior care facilities in National City and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Generations Healthcare, a group of 27 facilities on this site.

Federal inspectors have cited Castle Manor Nursing & Rehabilitation Center 37 times across 7 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $10,188 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Generations Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Olds, Thomas

Direct owner · Director · Officer — 78% stake — since 1998

Mastrocola, Lois

Direct owner · Managing employee · Director · Officer — 9% stake — since 1998

Bmo Bank, N.a.

Security-interest holder — since 2021

Life Generations Healthcare, Llc

Operational control — since 1998

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1987-06-22

CMS overall rating

4 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

$10,188 total

Last standard inspection

2025-03-27

Nurse staffing

4.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$606 per day (≈ $18,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

4% Medicaid · 16% Medicare · 80% private/other

Occupancy

90% (fiscal year 2023)

Vs. state median

18% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2025-03-27Health inspection8 citations

F-0578

E · No harm found

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.

Corrected 2025-04-25

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-25

F-0656

D · No harm found

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

Corrected 2025-04-25

F-0686

D · No harm found

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

Corrected 2025-04-25

F-0689

D · No harm found

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

Corrected 2025-04-25

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2025-04-25

F-0867

E · No harm found

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

Corrected 2025-04-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-25

2025-03-05Health inspectionComplaint-triggered2 citations

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-04

F-0755

D · No harm foundFrom a complaint

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

Corrected 2025-04-04

5 earlier / fire-safety inspections (27 citations)

2023-03-02Health inspection8 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-04-02

F-0656

D · No harm found

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

Corrected 2023-04-02

F-0677

D · No harm found

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

Corrected 2023-04-02

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-02

F-0686

D · No harm found

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

Corrected 2023-04-02

F-0688

D · No harm found

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.

Corrected 2023-04-02

F-0790

D · No harm found

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2023-04-02

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-04-02

2019-08-29Health inspection7 citations

F-0656

D · No harm found

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

Corrected 2019-08-30

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-08-30

F-0692

D · No harm found

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

Corrected 2019-08-30

F-0758

D · No harm found

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.

Corrected 2019-08-30

F-0802

E · No harm foundFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2019-08-30

F-0812

F · No harm foundFood safety

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

Corrected 2019-08-30

F-0842

D · No harm found

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

Corrected 2019-08-30

2025-03-27Fire-safety inspection2 citations

K-0200

E · No harm found

Meet other general requirements.

Corrected 2025-04-22

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-22

2023-03-02Fire-safety inspection5 citations

E-0032

C · No harm found

Provide primary/alternate means for communication.

Corrected 2023-03-13

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-13

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-03-13

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-03-13

K-0918

C · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-13

2019-08-29Fire-safety inspection5 citations

E-0026

D · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2019-10-08

E-0041

E · No harm found

Implement emergency and standby power systems.

Corrected 2019-10-08

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2019-10-08

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-08

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-10-08

Federal penalties

2025-03-05Fine$10,188

2025-03-05Medicare payment denial — 15 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555263.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 12% of nursing homes in the state

State median: 65

Federal fines, 3 years

$10,188

More than 68% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

4.5

Higher than 67% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

32%

Higher than 35% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 7 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	10.2%	10.2%	13.5%	Near state average
Lose too much weight	5.4%	4.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.1%	0.7%	0.7%	Worse than state
With a urinary tract infection	0.7%	1.2%	1.5%	Better than state
Have depressive symptoms	3.8%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	4.1%	1.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	5.7%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	0.7%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	4.5%	4.3%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	21.7%	9.8%	18.3%	Worse than state
Received an antipsychotic medication	7.4%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	3.42	2.21	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.69	1.50	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.9%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.7%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	96.3%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	27.6%	22.6%	23.4%	Worse than state
Had an outpatient emergency department visit	13.0%	11.1%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0686 2 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0880 2 inspections. Provide and implement an infection prevention and control program.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0355 2 inspections. Properly select, install, inspect, or maintain portable fire extinguishes.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Paradise Valley Hospital, about 0.4 miles. CMS rating 3 of 5.
Nmc San Diego, about 4.2 miles.
Sharp Coronado Hospital and Hlthcr Ctr, about 4.6 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Bliss Assisted Living & Memory Care, National City, about 0.5 miles. 2 state visits on record.
Plaza Village Senior Living, National City, about 0.5 miles. 23 state visits on record.
Paradise Valley Health Care, National City, about 0.6 miles. CMS rating 5 of 5.
Friendship Manor Nursing & Rehab Center, National City, about 0.6 miles. CMS rating 5 of 5.
Cedars @ Paradise Village, National City, about 0.6 miles. 14 state visits on record.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 37 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered