FRIENDSHIP MANOR NURSING & REHAB CENTER in National City, CA has a 5-star overall rating, with 5 stars for health inspections and quality measures and 4 stars for staffing. Reported nurse staffing is 4.30 hours per resident per day, above the federal benchmark of 4.1, but the facility had $285,130 in fines in the last 24 months and a recent federal penalty.
Last inspection: July 24, 2025Penalties, last 24 months: $285,130recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3024.
Staffing detail
Registered nurses
0.62
Licensed practical nurses
1.55
Nurse aides
2.14
Weekend nursing
3.66
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 45%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
31.7%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
0.4%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
5.1%Improving
Residents who were physically restrained
0.7%Worsening
Residents needing more help with daily activities
3.1%Improving
Residents whose ability to walk got worse
3.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
18.1%Worsening
Short-stay residents newly given an antipsychotic
1.3%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
4.1%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2022 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2019 — limited pattern, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2025 — isolated incident, potential for harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited July 2025 — isolated incident, potential for harm.
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F-Tag 694 — 42 CFR §483.25 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $285,130 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 4 fines · $297,367 in total fines.
Federal fine
Apr 25, 2025
$285,130
Federal fine
Nov 6, 2023
$3,147
Federal fine
Oct 30, 2023
$2,797
Federal fine
Oct 10, 2023
$6,293
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of GENERATIONS HEALTHCARE · 27 homes · 4.2 stars avg
Occupancy
88.4 residents on an average day (85% of 104 beds)
Medicare history
Certified for 57 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.