Friendship Manor Nursing & Rehab Center
902 South Euclid Avenue · National City, CA · 91950 · 6197917700
104 certified beds For profit - Limited Liability company Chain: Generations Healthcare
Why this verdict
- Federal penalties on record: $285,130 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
$285,130 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 5 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 3.66 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 4 · $297,367 |
Inspection citations (29 in the current record)
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Potential for harm · D July 24, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D February 4, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 27, 2025 · Pharmacy Service
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Potential for harm · D February 4, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 27, 2025 · Pharmacy Service
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Potential for harm · D June 25, 2024 · found via complaint
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.
Corrected July 25, 2024 · Nursing and Physician Services
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Potential for harm · D June 12, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 11, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 11, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 11, 2022 · Quality of Life and Care
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Potential for harm · D August 11, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 11, 2022 · Quality of Life and Care
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Potential for harm · D August 11, 2022
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.
Corrected September 11, 2022 · Quality of Life and Care
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Potential for harm · D August 11, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 11, 2022 · Quality of Life and Care
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Potential for harm · D August 11, 2022
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 11, 2022 · Quality of Life and Care
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Potential for harm · D August 11, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 11, 2022 · Pharmacy Service
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Potential for harm · D August 11, 2022
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 September 11, 2022 · Pharmacy Service
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Potential for harm · D August 11, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected September 11, 2022 · Pharmacy Service
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Potential for harm · D August 11, 2022
Ensure that residents are free from significant medication errors.
Corrected September 11, 2022 · Pharmacy Service
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Potential for harm · D August 11, 2022
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.
Corrected September 11, 2022 · Pharmacy Service
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Potential for harm · E August 11, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 11, 2022 · Nutrition and Dietary
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Potential for harm · E August 11, 2022
Provide and implement an infection prevention and control program.
Corrected September 11, 2022 · Infection Control
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Potential for harm · D March 14, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 5, 2019 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2019
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · D March 14, 2019
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · E March 14, 2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 5, 2019 · Pharmacy Service
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Potential for harm · D March 14, 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 April 5, 2019 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 25, 2025 | Fine | $285,130 |
| November 6, 2023 | Fine | $3,147 |
| October 30, 2023 | Fine | $2,797 |
| October 10, 2023 | Fine | $6,293 |
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 055964 · certified since August 30, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.