The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
CASTLE MANOR NURSING & REHABILITATION CENTER
NATIONAL CITY, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
4 out of 5 stars overall. Castle Manor Nursing & Rehabilitation Center has solid inspection and quality ratings, staffing at 3 out of 5 stars with 4.58 nurse hours per resident day above the 4.1 federal benchmark, and it has had $10,188 in fines in the last 24 months including a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.5787 hrs/resident/day
Quality measures
Last inspection: March 27, 2025Penalties, last 24 months: $10,188recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5787.
Staffing detail
- Registered nurses
- 0.80
- Licensed practical nurses
- 1.28
- Nurse aides
- 2.50
- Weekend nursing
- 3.98
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 53%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4%11.1%Worsening
Residents with a fall causing major injury
7.3%3%Improving
Residents with pressure ulcers (bedsores)
1.7%6.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.6%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.9%3.7%Worsening
Residents whose ability to walk got worse
—3.7%—
Long-stay residents on antianxiety or sleep medication
0%0%No change
Short-stay residents newly given an antipsychotic
0.7%0.7%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.4%26.5%Worsening
Residents with depressive symptoms
2.7%3.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.8%—
Short-stay residents given the pneumonia vaccine
99.3%99.1%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: E
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited August 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $10,188 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,188 in total fines · 1 payment denial.
- 15 days
Medicare/Medicaid payment denial
Mar 5, 2025
- $10,188
Federal fine
Mar 5, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GENERATIONS HEALTHCARE · 27 homes · 4.2 stars avg
- Occupancy
- 92 residents on an average day (93% of 99 beds)
- Medicare history
- Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.