All states › California › National City › Castle Manor Nursing & Rehabilitation Center
541 V Avenue National City, CA 91950 · San Diego County
All 5 nursing homes in National City, CA (5 take Medicaid)
CMS certification number 555263 · See this home on Medicare Care Compare
Is Castle Manor Nursing & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Castle Manor Nursing & Rehabilitation Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.52 hours per resident per day at Castle Manor Nursing & Rehabilitation Center, above the California median of 4.27 (US median: 3.72). About 0.87 of those hours are from registered nurses. On weekends it falls to 4.00 hours, 11% below its all-week average. 31.5% of nursing staff left within a year (California median 36%). 2 administrators left in the past year.
About this nursing home
Paying for care at Castle Manor Nursing & Rehabilitation Center: Medicare and Medicaid
Castle Manor Nursing & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 27, 2025 and found 8 deficiencies. In total, inspectors issued 25 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 25 citations at Castle Manor Nursing & Rehabilitation Center across 4 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on March 5, 2025. The most common areas cited were quality of life and care (10) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, March 5, 2025).
March 27, 2025 · 8 citations
EHonor 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 directive.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DKeep residents' personal and medical records private and confidential.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
March 5, 2025 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
March 2, 2023 · 8 citations
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide routine and 24-hour emergency dental care for each resident.
DProvide and implement an infection prevention and control program.
August 29, 2019 · 7 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DImplement 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Castle Manor Nursing & Rehabilitation Center
- Inspectors cited the home at the actual-harm level on March 5, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $10,188 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 5, 2025 | Fine | $10,188 |
| Mar 5, 2025 | Payment Denial | 15 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
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Location
Hospitals near Castle Manor Nursing & Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.4 mi
Paradise Valley Hospital National CityEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 8m for patients treated and sent home
- 4.3 mi
-
4.6 mi
Sharp Coronado Hospital and Hlthcr Ctr CoronadoEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 6m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Castle Manor Nursing & Rehabilitation Center › All nursing homes in National City ›
Compare Castle Manor Nursing & Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Paradise Valley Health Care · National City · 5 stars · 0.6 mi
- Friendship Manor Nursing & Rehab Center · National City · 5 stars · 0.6 mi
- South Bay Post Acute Care · Chula Vista · 5 stars · 3.2 mi
- Arroyo Vista Nursing Center · San Diego · 5 stars · 3.7 mi
Other Generations Healthcare nursing homes in California
- Lawton Skilled Nursing & Rehabilitation Center · San Francisco · 5 stars
- Plum Tree Care Center · San Jose · 5 stars
- Stanford Court Skilled Nursing & Rehab Center · Santee · 5 stars
- Pleasanton Nursing and Rehabilitation Center · Pleasanton · 5 stars
- Kearny Mesa Convalescent and Nursing Home · San Diego · 5 stars
- Lompoc Skilled Nursing & Rehabilitation Center · Lompoc · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 27 Generations Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.