Nursing HomeInspections

Castle Manor Nursing & Rehabilitation Center

Nursing home in National City, CA

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
541 V Avenue, National City, CA 91950
Phone
(619) 791-7900
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
555263
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
99
Average residents per day
93
Ownership
For-profit, limited Liability company
Legal business name
Ghc of National City II, LLC
Chain
Generations Healthcare (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 22, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 555263. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 27, 2025. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 29, 2019 to Mar 27, 2025): 2 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 27, 2025Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 27, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 27, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 27, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 27, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 27, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 27, 2025Honor 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…
Resident Rights		E
Potential for more than minimal harm, pattern
Mar 27, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration		E
Potential for more than minimal harm, pattern
Mar 5, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 5, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Mar 2, 2023Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 2, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,188 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 5, 2025Fine: $10,188
Mar 5, 2025Payment denial for 15 days from Apr 10, 2025

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.52 hours
Registered nurse (RN) time per resident per day
0.87 hours
Nurse aide time per resident per day
2.46 hours
Total nurse staffing on weekends
4.00 hours
Nursing staff turnover (yearly)
32%
RN turnover (yearly)
38%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in National City

Friendship Manor Nursing & Rehab Center902 South Euclid Avenue · National City, CA 91950 · (619) 791-7700 · For-profit30 health citations in 3 inspection cycles · last standard inspection Jul 24, 2025 · $291,074 in CMS fines (3 yrs)Medicare & Medicaid certified5★ overall (CMS)
Paradise Valley Health Care2575 E. Eighth St. · National City, CA 91950 · (619) 470-6700 · For-profit21 health citations in 3 inspection cycles · last standard inspection Nov 21, 2024 · $10,036 in CMS fines (3 yrs)Medicare & Medicaid certified5★ overall (CMS)
Hillcrest Manor Sanitarium1889 National City Blvd. · National City, CA 91950 · (619) 477-1176 · For-profit33 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)
National City Post Acute220 East 24th Street · National City, CA 91950 · (619) 474-6741 · For-profit47 health citations in 3 inspection cycles · last standard inspection Dec 19, 2025 · $15,652 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 5 in National City →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error