★★★★☆CMS 4/598 bedsFor-profitMedicaid
- Nurse hours
- 4.23 /day
- Staff turnover
- n/a
- Serious cites
- 0
Hillcrest Manor Sanitarium runs 98 certified beds in National City under corporate ownership, and its nurse staffing sits at 4.23 hours per resident day, about 9% above the national average of 3.86. That's the strongest number here, though weekends drop roughly 9% below the home's own weekday coverage, so the weekday floor isn't the whole picture. The health inspection record shows 33 deficiencies, including one abuse-related citation, but none at the harm or jeopardy level, and the most recent inspection was in February 2026, so the survey picture is current rather than stale. CMS gives it 4 of 5 stars for both health inspections and quality measures, 3 of 5 for staffing.
★★★★★CMS 5/5104 bedsFor-profitMedicaid
- Nurse hours
- 4.21 /day
- Staff turnover
- 33%
- Serious cites
- 0
Friendship Manor runs about 4.21 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 33.3% sits well below the national 45.8%, meaning the people caring for residents tend to stick around. Weekends run about 16% leaner than weekdays, which is common but worth asking about. The tradeoff shows up in its record: 29 deficiencies and four fines totaling $297,367, though none of those deficiencies rose to the level of actual harm or jeopardy, and one was abuse-related. Inspectors were last on site in July 2025.
★★★☆☆CMS 3/598 bedsFor-profitMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 44%
- Serious cites
- 0
National City Post Acute runs 98 beds under for-profit LLC ownership, and its nurse staffing sits at 3.93 hours per resident day, just above the national average of 3.86, though weekends drop roughly 10% below its own weekday levels. Staff turnover is 44.3%, slightly better than the 45.8% national figure. What stands out is the inspection record: 46 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with one fine of $15,652 and a 2-out-of-5 health inspection rating, though the most recent inspection was December 2025. Quality measures rate 5 out of 5, so the clinical numbers look strong even as the survey history tells a rougher story.
★★★★★CMS 5/586 bedsFor-profitMedicaid
- Nurse hours
- 4.93 /day
- Staff turnover
- 21%
- Serious cites
- 0
Paradise Valley runs 4.93 nursing hours per resident day, roughly 28 percent above the national average, and weekend staffing dips only about 10 percent below its own weekday level. That steadiness matters, and so does a turnover rate of 21.3 percent in a field where the typical home loses closer to 46 percent of its staff each year. The tradeoffs show up elsewhere: 21 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, plus one fine of $10,036. Inspectors last visited in November 2024, and the federal ratings split sharply, full marks on quality measures, four stars on inspections, middle of the pack on staffing.
★★★★☆CMS 4/599 bedsFor-profitMedicaid
- Nurse hours
- 4.58 /day
- Staff turnover
- 37%
- Serious cites
- 0
Castle Manor runs about 4.58 nurse hours per resident day, roughly 19% above the national average, though weekends drop about 13% below its own weekday levels, worth asking about if your family visits then. Staff turnover sits at 37.4%, better than the 45.8% national figure, which matters for continuity of care. The home carries 25 deficiencies on its current record, one at the harm level, with a single fine of $10,188 and no abuse findings. Its last inspection was March 2025, and it's owned by a for-profit limited liability company.