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Nursing HomeMedicaid Top Rated

Castle Manor Nursing & Rehabilitation Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

541 V Avenue, National City, CA 9195099 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 164 Google reviews

5
4
3
2
1
Castle Manor Nursing & Rehabilitation Center Nursing Home in National City, CA — Street View
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What this means for your family

This facility is an excellent choice for families prioritizing cleanliness and a compassionate, skilled therapy team for rehabilitation. However, you should proactively monitor medication schedules and ensure that call buttons are being answered promptly, as some families have reported lapses in these specific areas.

Google Reviews

Google Reviews

164 reviews on Google
Families considering Castle Manor can expect a facility that is widely praised for its exceptionally clean environment and a highly compassionate, attentive nursing and therapy staff. While many reviewers highlight successful rehabilitation outcomes and pleasant dining, there are serious, isolated reports of medication errors, poor responsiveness to call buttons, and inadequate nutritional quality for certain patients.

Quality Themes

Tap a score for details
Food7.0Staff9.0Clean9.0Activities8.0Meds3.0MemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Effective physical and occupational therapy
  • Pleasant outdoor courtyard and atmosphere

Concerns

  • Inconsistent responsiveness to call buttons/patient needs (mentioned by 3 reviewers)
  • Issues with medication management and availability (mentioned by 3 reviewers)
  • Inconsistent food quality and nutritional variety (mentioned by 3 reviewers)
  • Communication difficulties with administration/staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(2)'18(9)'20(3)'22(6)'24(19)'26(34)

Distribution · 166 analyzed

5
123
4
15
3
1
2
5
1
22

How They Respond to Reviews

93%response rate
Good

The owner provides personalized responses that acknowledge specific details mentioned in reviews, such as mentions of food, cleanliness, or specific family members. While they use some templated phrasing, they consistently tailor the message to the reviewer's content.

Questions for Your Tour

  • 1We noticed how much the management team engages with feedback online; how does the administration typically communicate important updates or changes to families?
  • 2With the wonderful courtyard and outdoor space you have, what kind of daily activities or social outings are planned for the residents?
  • 3Could you walk us through your specific protocols for ensuring medication is administered accurately and is always available when needed?
  • 4How do the nursing staff manage call button responses during the night shifts to ensure no resident's needs go unmet?
  • 5What is the process for handling medical emergencies or sudden changes in a resident's health after regular business hours?
  • 6We've heard great things about the therapy services here; how do the physical and occupational therapists work with residents to help them maintain their independence?

Personalized based on this facility's data


Key Review Excerpts

The staff are excellent. They really care about the patients and take time to communicate when you have questions or concerns.

Long-term resident's family · 2026★★★★★

I had my doubts about this place when my mom was transferred from the hospital to castle manor for her rehabilitation. It grew on me day by day when I went to see my mom. This place is clean, the nurses were kind and very helpful, they have activities and even live music at times, the food is not bad at all and healthy.

Rehab patient's family · 2026★★★★★

My mom has been here for 1 week post her hip surgery from a trauma fall. Everyone has been so helpful and supportive for moms needs in this rehabilitation, their attention and empathy and warmth is 100, so thankful to all the staff from registration to the nurses

Rehab patient's family · 2025★★★★★
Source: 164 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.80hrs
OK
Registered nurses for medical care
Total Nursing
4.50hrs
OK
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
36%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
19.5%
CA
13.7%
San diego
16.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
15.3%
CA
10.5%
San diego
9.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
15.5%
CA
11.7%
San diego
10.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
19.4%
CA
10.7%
San diego
11.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
12.1%
CA
7.0%
San diego
9.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San diego
99.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
79.8%
CA
93.2%
San diego
96.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
CA
94.2%
San diego
96.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
CA
1.5%
San diego
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
2penalties
Near state avg (15.4)
2 complaint-triggered
$10,188 in fines

Families filed complaints triggering two deficiencies in 2025 related to treatment care and medication management. This facility has recurring issues across all surveys with care planning, infection control, medication errors, and fire safety systems. While all deficiencies show correction dates, the pattern of repeated problems in core care areas like treatment quality, pressure ulcer prevention, and safety systems suggests ongoing operational challenges that families should investigate during visits.

Mar 27, 2025Routine
10
0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0200Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Mar 5, 2025Complaint
2
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Mar 2, 2023Routine
13
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide 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.

0790Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0032Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Aug 29, 2019Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0041Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement 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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0026Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Federal Penalties

Fine

Mar 5, 2025

$10,188

Payment Denial

Mar 5, 2025

15-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Castle Manor Nursing & Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Generations Healthcare

Chain Size

27 facilities nationwide

Chain avg rating: 3.8/5 · Rank 14 of 33 (Best)

Ownership & Management

Owners

Mastrocola, Lois

Owner

9%

Olds, Thomas

Owner

78%

Key personnel

Bmo Bank National Association5% or Greater Security InterestMastrocola, LoisW-2 Managing EmployeeMastrocola, LoisOfficer / DirectorOlds, ThomasOfficer / DirectorMastrocola, LoisOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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