Castle Manor Nursing & Rehabilitation Center

Name: Castle Manor Nursing & Rehabilitation Center
Address: 541 V AVENUE, National City, CA, 91950, US
Telephone: 6197917900

541 V Avenue, National City, CA 91950 · San Diego County · 99 certified beds · avg 92 residents/day · certified since Jun 22, 1987

Part of chain: GENERATIONS HEALTHCARE (27 facilities, chain avg rating 4.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

$10,188

Fines, last 3 years

3.60

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 4, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 27, 2025	E · Potential for harm, repeated	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.
Mar 27, 2025	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 27, 2025	D · Potential for harm, one-off	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.
Mar 27, 2025	D · Potential for harm, one-off	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.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 27, 2025	D · Potential for harm, one-off	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.
Mar 27, 2025	D · Potential for harm, one-off	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.
Mar 5, 2025	▲ G · Actual harm, one-off	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
Mar 5, 2025	D · Potential for harm, one-off	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
Mar 2, 2023	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 2, 2023	D · Potential for harm, one-off	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.
Mar 2, 2023	D · Potential for harm, one-off	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.
Mar 2, 2023	D · Potential for harm, one-off	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.
Mar 2, 2023	D · Potential for harm, one-off	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.
Mar 2, 2023	D · Potential for harm, one-off	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.
Mar 2, 2023	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Mar 2, 2023	D · Potential for harm, one-off	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.
Aug 29, 2019	F · Potential for harm, facility-wide	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.
Aug 29, 2019	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Aug 29, 2019	D · Potential for harm, one-off	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.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 29, 2019	D · Potential for harm, one-off	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.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).

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.

Fines and enforcement (last 3 years)

1 fine totaling $10,188, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Mar 5, 2025	Fine	$10,188
Mar 5, 2025	Payment Denial	15 days from Apr 10, 2025

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
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 →

All facilities in National City →

Facility data as of CMS processing date 2026-08-01. CCN 555263.

The Care File

Visit checklist — Castle Manor Nursing & Rehabilitation Center

541 V Avenue, National City, CA 91950 · 6197917900

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $10,188

Most serious findings on record:

▲ Mar 5, 2025 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555263 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)