Federal inspection record · CMS data as of October 1, 2026
Friendship Manor Nursing & Rehab Center
902 South Euclid Avenue, National City, CA · (619) 791-7700
- CMS high-performer trophy
- Certified beds
- 104
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- Generations Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 30, 1968
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Friendship Manor Nursing & Rehab Center carries 29 inspection points. That is fewer than 92% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service11E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Quality of Life and Care10D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2025-07-24
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2022-08-11
15 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (7 deficiencies)
2019-03-14
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
4 h 12 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 26% of nursing staff and 41% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$291,074 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-25 | Fine | $285,130 |
| 2023-11-06 | Fine | $3,147 |
| 2023-10-30 | Fine | $2,797 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7 pts better | 0.6% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 5.0% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.1 pts worse | 21.8% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication22.3 pts worse | 34.6% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts worse | 0.5% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6 pts better | 2.9% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better | 2.6% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.3% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.5% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts better | 3.3% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 0.6% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts better | 10.8% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 99.6% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 26.3% | 22.6% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bmo Bank, N.a. | 5% Or Greater Security Interest · Organization | 0% | 25 facilities |
| Kevorkian, Michael | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Life Generations Healthcare, LLC | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Mastrocola, Lois | 5% Or Greater Direct Ownership Interest · Individual | 0% | 27 facilities |
| Mastrocola, Lois | Corporate Director · Individual | 0% | 27 facilities |
| Mastrocola, Lois | Corporate Officer · Individual | 0% | 27 facilities |
| Olds, Thomas | 5% Or Greater Direct Ownership Interest · Individual | 0% | 27 facilities |
| Olds, Thomas | Corporate Director · Individual | 0% | 27 facilities |
| Olds, Thomas | Corporate Officer · Individual | 0% | 27 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Miscellaneous3D
- D
Provide a written emergency evacuation plan.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness3D
- C
Conduct risk assessment and an All-Hazards approach.
- D
Provide emergency officials' contact information.
- D
Address subsistence needs for staff and patients.
Construction1D
- D
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Paradise Valley Health Care
National City, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 7 min
- Fines
- $10,036
-
Castle Manor Nursing & Rehabilitation Center
National City, CA · Generations Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 31 min
- Fines
- $10,188
-
Reo Vista Healthcare Center
San Diego, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 40 min
- Fines
- $20,501