541 V Avenue, National City, CA 91950 (opens Google Maps) · San Diego County · (619) 791-7900· 99 certified beds · avg 92 residents/day · certified since Jun 22, 1987 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GENERATIONS HEALTHCARE (27 facilities, chain avg rating 4.1★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Actual harm, isolated · Mar 5, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 4, 2025 (Deficient, Provider has date of correction)
Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. F-0867
The facility did not keep residents' personal and medical information private and confidential. F-0583
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 27, 2025 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Mar 27, 2025 | E · Potential for more than minimal harm, pattern | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 5, 2025 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Mar 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Mar 2, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Mar 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Mar 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Mar 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Mar 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Mar 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Mar 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790 |
| Mar 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Aug 29, 2019 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Aug 29, 2019 | E · Potential for more than minimal harm, pattern | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | F |
| 2023 | 8 | 0 | E |
| 2025 | 10 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $10,188, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Mar 5, 2025 | Fine | $10,188 |
| Mar 5, 2025 | Payment Denial | 15 days from Apr 10, 2025 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.60 | 4.31 | 3.95 | bottom 15% in California; bottom 42% in the U.S. |
| Registered Nurse hours | 0.63 | 0.61 | 0.69 | top 30% in California; top 44% in the U.S. |
| Weekend total nurse staffing | 3.13 | 3.90 | 3.50 | bottom 8% in California; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.62 | 0.51 | 0.48 | top 20% in California; top 21% in the U.S. |
| Total nursing staff turnover (%) | 37.4 | 36.7 | 45.8 | bottom 46% in California; top 30% in the U.S. |
| RN turnover (%) | 52.9 | 38.1 | 42.9 | bottom 22% in California; bottom 31% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.58, RN 0.80, weekend 3.98.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.58 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Castle Manor Nursing & Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mastrocola, Lois | Individual | 5% or Greater Direct Ownership Interest | 9% | 02/01/1998 |
| Olds, Thomas | Individual | 5% or Greater Direct Ownership Interest | 78% | 02/01/1998 |
| Bmo Bank National Association | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 10/06/2021 |
| Life Generations Healthcare, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/1998 |
| Mastrocola, Lois | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/20/2023 |
| Mastrocola, Lois | Individual | Corporate Director | NOT APPLICABLE | 02/01/1998 |
| Mastrocola, Lois | Individual | Corporate Officer | NOT APPLICABLE | 02/01/1998 |
| Olds, Thomas | Individual | Corporate Director | NOT APPLICABLE | 02/01/1998 |
| Olds, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 02/01/1998 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Generations Healthcare — 27 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 26 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Paradise Valley Health Care | 0.6 mi | National City, CA | ★★★★★ | 4/5 | |
| Friendship Manor Nursing & Rehab Center | 0.6 mi | National City, CA | ★★★★★ | 5/5 | |
| Hillcrest Manor Sanitarium | 1.4 mi | National City, CA | ★★★★☆ | 4/5 | |
| National City Post Acute | 1.6 mi | National City, CA | ★★★☆☆ | 2/5 | |
| Reo Vista Healthcare Center | 2.0 mi | San Diego, CA | ★★★☆☆ | 2/5 | |
| Brighton Place San Diego | 2.5 mi | San Diego, CA | ★☆☆☆☆ | 2/5 | |
| Golden Hill Post Acute | 2.9 mi | San Diego, CA | ★★★☆☆ | 3/5 | |
| South Bay Post Acute Care | 3.2 mi | Chula Vista, CA | ★★★★★ | 5/5 | |
| Arroyo Vista Nursing Center | 3.7 mi | San Diego, CA | ★★★★★ | 4/5 | |
| University Care Center | 4.4 mi | San Diego, CA | ★★★★★ | 4/5 | |
| Jacob Healthcare Center | 4.6 mi | San Diego, CA | ★★★★★ | 4/5 | |
| Villa Coronado D/P SNF | 4.7 mi | Coronado, CA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
CMS records place this facility in San Diego, CA — 83 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 555263.
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