ElderGrade
B

71/100

Above average

Castle Manor Nursing & Rehabilitation Center

541 V Avenue, National City, CA 91950

CMS 4/5 stars #57 of 81 in San Diego County (619) 791-7900
Certified beds
99
Occupancy
93%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $10,188 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.6 total nurse hours per resident per day (national median 3.77)
  • 0.8 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 37% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

6/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $10,188 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.58 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.80 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.98 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 37.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 25 citations

Last standard health inspection: March 27, 2025 (1 year ago).

E Mar 27, 2025 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Mar 27, 2025 F0867

Administration Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0583

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0686

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0689

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of GENERATIONS HEALTHCARE, which operates 27 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BMO BANK NATIONAL ASSOCIATION Organization 5% OR GREATER SECURITY INTEREST
MASTROCOLA, LOIS Individual W-2 MANAGING EMPLOYEE
MASTROCOLA, LOIS Individual CORPORATE DIRECTOR
OLDS, THOMAS Individual CORPORATE DIRECTOR
MASTROCOLA, LOIS Individual CORPORATE OFFICER
OLDS, THOMAS Individual CORPORATE OFFICER
LIFE GENERATIONS HEALTHCARE, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
MASTROCOLA, LOIS Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
OLDS, THOMAS Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Castle Manor Nursing & Rehabilitation Center

What is the ElderGrade for Castle Manor Nursing & Rehabilitation Center? +

Castle Manor Nursing & Rehabilitation Center holds an ElderGrade of B (71 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Castle Manor Nursing & Rehabilitation Center? +

Residents receive an average of 4.58 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Castle Manor Nursing & Rehabilitation Center been cited for harming residents? +

Yes. 1 of the 25 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Castle Manor Nursing & Rehabilitation Center accept Medicaid? +

Yes, Castle Manor Nursing & Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.