Castle Manor Nursing & Rehabilitation Center
541 V Avenue · National City, CA · 91950 · 6197917900
99 certified beds For profit - Limited Liability company Chain: Generations Healthcare
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.80 | 0.55–0.75 |
| Weekend hours / resident-day | 4.03 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 1 · $10,188 |
Inspection citations (25 in the current record)
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Potential for harm · E March 27, 2025
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 April 25, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Ensure that residents are free from significant medication errors.
Corrected April 25, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 25, 2025 · Administration
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Potential for harm · D March 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 25, 2025 · Infection Control
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Actual harm · G March 5, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · D March 2, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 2, 2023 · Resident Rights
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Potential for harm · D March 2, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 2, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 2, 2023 · Quality of Life and Care
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Potential for harm · E March 2, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 2, 2023 · Quality of Life and Care
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Potential for harm · D March 2, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 2, 2023 · Quality of Life and Care
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Potential for harm · D March 2, 2023
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 April 2, 2023 · Quality of Life and Care
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Potential for harm · D March 2, 2023
Provide routine and 24-hour emergency dental care for each resident.
Corrected April 2, 2023 · Quality of Life and Care
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Potential for harm · D March 2, 2023
Provide and implement an infection prevention and control program.
Corrected April 2, 2023 · Infection Control
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Potential for harm · D August 29, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 30, 2019 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 30, 2019 · Quality of Life and Care
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Potential for harm · D August 29, 2019
Provide enough food/fluids to maintain a resident's health.
Corrected August 30, 2019 · Quality of Life and Care
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Potential for harm · D August 29, 2019
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 August 30, 2019 · Pharmacy Service
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Potential for harm · E August 29, 2019
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected August 30, 2019 · Nutrition and Dietary
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Potential for harm · F August 29, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 30, 2019 · Nutrition and Dietary
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Potential for harm · D August 29, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 30, 2019 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 5, 2025 | Fine | $10,188 |
| March 5, 2025 | Payment Denial | 15 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555263 · certified since June 22, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.