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Nursing HomeMedicaid Top Rated

Friendship Manor Nursing & Rehab Center

Strong Medicare quality ratings; families often praise exceptional activities and engagement programs. Still worth an in-person visit.

902 South Euclid Avenue, Paradise Village · National City, CA 91950104 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 285 Google reviews

5
4
3
2
1
Friendship Manor Nursing & Rehab 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 social engagement and physical rehabilitation, as their activities and therapy teams are standout strengths. However, you should monitor the quality of dining and ask about the consistency of nursing response times during shift changes.

Google Reviews

Google Reviews

285 reviews on Google
Families considering this facility can expect exceptional engagement from the activities department and highly praised rehabilitation services. While the nursing and therapy teams are frequently commended for their compassion, some reviewers have raised concerns regarding food quality and responsiveness to call lights.

Quality Themes

Tap a score for details
Food3.0Staff9.0Clean5.0Activities10.0MedsN/AMemoryN/AComms8.0Value9.0

Strengths

  • Exceptional activities and engagement programs
  • Highly skilled and compassionate therapy teams
  • Kind and attentive nursing staff
  • Welcoming and respectful environment

Concerns

  • Inconsistent food quality and variety (mentioned by 3 reviewers)
  • Slow response times to call lights (mentioned by 2 reviewers)
  • Issues with basic hygiene/care routines

Rating Trends

Tap a year to see what changed

2344.92021(48)4.32022(57)5.02023(198)4.42024(81)4.72025(74)5.02026(18)

Distribution · 476 analyzed

5
429
4
21
3
4
2
0
1
22
78 reviews posted between Oct 20, 2023Oct 20, 2023 · 72 were 5-star
51 reviews posted between Mar 29, 2023Apr 7, 2023 · 51 were 5-star
33 reviews posted between Apr 2, 2023Apr 7, 2023 · 33 were 5-star

How They Respond to Reviews

100%response rate
Generic

The owner relies heavily on repetitive, templated responses that often repeat the exact same text for multiple identical reviews. While some responses attempt to personalize by using the reviewer's name or mentioning specific staff, the overall pattern is highly automated.

Questions for Your Tour

  • 1It is wonderful to see such high ratings for your therapy and nursing teams; how do you ensure that level of compassion stays consistent across all shifts?
  • 2We noticed the facility is very active with engagement programs; could you walk us through what a typical day of activities looks like for a resident?
  • 3Since the facility is so well-regarded for its welcoming environment, how do you involve families in the daily life of the residents?
  • 4Could you tell us a bit more about the dining experience, specifically regarding how the menu variety and food quality are managed?
  • 5How does the nursing team manage call light responses during the busier times of the day to ensure everyone's needs are met promptly?
  • 6In the event of a medical emergency after hours, what is the specific protocol for contacting physicians or coordinating urgent care?

Personalized based on this facility's data


Key Review Excerpts

The programs and activities have given her the ability to thrive.

Assisted living family member · 2026★★★★★

I am also grateful for the professionalism and commitment to truly caring about their residents is truly commendable.

Long-term resident's family · 2024★★★★★

The food could be better. It's palatable. Gordon Ramsay would probably tell them to put up their pots and pans and tell them to throw their aprons in the trash.

Rehab patient · 2026★★★★★
Source: 285 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.62hrs
82%
Registered nurses for medical care
Total Nursing
4.30hrs
OK
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
45%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility31.7%
Worse than Avg
Here
31.7%
US
15.4%
CA
11.6%
San diego
11.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
19.4%
CA
10.7%
San diego
11.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
CA
7.0%
San diego
9.2%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
15.3%
CA
10.5%
San diego
9.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.1%
Better than Avg
Here
3.1%
US
14.4%
CA
10.4%
San diego
8.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San diego
98.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
San diego
95.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
San diego
97.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
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

2deficiencies
4penalties
Well below state avg (15.4)
5 complaint-triggered
$297,367 in fines

This facility has a concerning pattern with families filing complaint reports triggering 5 deficiencies, including serious issues with medication management, abuse prevention policies, and nursing staff competency. The most recurring problems involve medication errors and safety issues, fire safety violations, and quality of care concerns. While all deficiencies show correction dates, the repeated medication management problems across multiple surveys and family-initiated complaints suggest ongoing care quality challenges that warrant careful consideration during your visit.

Jul 24, 2025Routine
8
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0006Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Feb 4, 2025Complaint
2
0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 25, 2024Complaint
1
0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Jun 12, 2024Complaint
1
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Jan 24, 2024Complaint
1
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.

Aug 11, 2022Routine
20
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Federal Penalties

Fine

Apr 25, 2025

$285,130

Fine

Nov 6, 2023

$3,147

Fine

Oct 30, 2023

$2,797

Fine

Oct 10, 2023

$6,293

Ownership & Operations

Who Operates This Facility

Owner / Operator

Friendship Manor Nursing & Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Generations Healthcare

Chain Size

27 facilities nationwide

Chain avg rating: 3.8/5 · Rank 10 of 33 (Best)

Ownership & Management

Owners

Mastrocola, Lois

Owner

Olds, Thomas

Owner

Key personnel

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

Contact

Get in Touch

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References & Resources

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