Friendship Manor Nursing & Rehab Center

Name: Friendship Manor Nursing & Rehab Center
Address: 902 SOUTH EUCLID AVENUE, National City, CA, 91950, US
Telephone: 6197917700

902 South Euclid Avenue, National City, CA 91950 · San Diego County · 104 certified beds · avg 88 residents/day · certified since Aug 30, 1968

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

5/5

Health inspection rating (on-site)

Serious findings on record

$297,367

Fines, last 3 years

5.14

Nurse hours/resident/day (adjusted)

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

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

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.

All citations in the current public record (29)

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
Jul 24, 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.
Jul 24, 2025	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Feb 4, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint
Feb 4, 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. · from a complaint
Jun 25, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Jun 12, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Jan 24, 2024	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. · from a complaint
Aug 11, 2022	E · Potential for harm, repeated	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 11, 2022	E · Potential for harm, repeated	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 11, 2022	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 11, 2022	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 11, 2022	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.
Aug 11, 2022	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Aug 11, 2022	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.
Aug 11, 2022	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 11, 2022	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 11, 2022	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.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 14, 2019	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 14, 2019	E · Potential for harm, repeated	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.
Mar 14, 2019	E · Potential for harm, repeated	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 14, 2019	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 14, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 14, 2019	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 14, 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.
Mar 14, 2019	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 14, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 2).

Year	Citations	Worst severity that year
2019	9	E
2022	13	E
2024	3	D
2025	4	D

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)

4 fines totaling $297,367.

Date	Type	Amount / length
Apr 25, 2025	Fine	$285,130
Nov 6, 2023	Fine	$3,147
Oct 30, 2023	Fine	$2,797
Oct 10, 2023	Fine	$6,293

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)	5.14	4.31	3.95	top 12% in California; top 11% in the U.S.
Registered Nurse hours	0.77	0.61	0.69	top 19% in California; top 30% in the U.S.
Weekend total nurse staffing	4.30	3.90	3.50	top 20% in California; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.51	0.48	top 48% in California; bottom 48% in the U.S.
Total nursing staff turnover (%)	33.3	36.7	45.8	top 40% in California; top 20% in the U.S.
RN turnover (%)	50.0	38.1	42.9	bottom 29% in California; bottom 39% 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 4.21, RN 0.63, weekend 3.52. Staffing rating: 4/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Mastrocola, Lois	Individual	5% or Greater Direct Ownership Interest	—	02/01/1998
Olds, Thomas	Individual	5% or Greater Direct Ownership Interest	—	02/01/1998
Bmo Bank National Association	Organization	5% or Greater Security Interest	NOT APPLICABLE	10/06/2021
Kevorkian, Michael	Individual	W-2 Managing Employee	NOT APPLICABLE	07/01/2019
Life Generations Healthcare, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/1998
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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	0.1 mi	National City, CA	★★★★★	4/5
Castle Manor Nursing & Rehabilitation Center	0.6 mi	National City, CA	★★★★☆	4/5
Reo Vista Healthcare Center	1.4 mi	San Diego, CA	★★★☆☆	2/5
Hillcrest Manor Sanitarium	1.6 mi	National City, CA	★★★★☆	4/5
National City Post Acute	1.8 mi	National City, CA	★★★☆☆	2/5
Brighton Place San Diego	2.6 mi	San Diego, CA	★☆☆☆☆	2/5
South Bay Post Acute Care	3.1 mi	Chula Vista, CA	★★★★★	5/5
Golden Hill Post Acute	3.4 mi	San Diego, CA	★★★☆☆	3/5
Arroyo Vista Nursing Center	4.0 mi	San Diego, CA	★★★★★	4/5
University Care Center	4.6 mi	San Diego, CA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in National City →

Facility data as of CMS processing date 2026-08-01. CCN 055964.

The Care File

Visit checklist — Friendship Manor Nursing & Rehab Center

902 South Euclid Avenue, National City, CA 91950 · 6197917700

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $297,367

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 055964 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)