Castle Manor Nursing & Rehabilitation Center: Staffing, Turnover, and Inspection Record
Castle Manor Nursing & Rehabilitation Center is a 99-bed for-profit nursing home in National City, California, part of Generations Healthcare. In the CMS August 2026 release it reported 2.50 nurse aide hours per resident per day, 6% below the California average of 2.65, and 37.4% nursing staff turnover (California average 36.7%).
Castle Manor Nursing & Rehabilitation Center
541 V AvenueNational City, CA 91950
San Diego County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Castle Manor Nursing & Rehabilitation Center, nurse aides logged 2.50 hours per resident per day, 6% below the California average. With about 92 residents a day, that works out to roughly 230 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.50 | 2.65 | 2.32 |
| Licensed practical nurses | 1.28 | 1.20 | 0.86 |
| Registered nurses | 0.80 | 0.67 | 0.69 |
| All nursing staff | 4.58 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.98 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
37.4% of nursing staff at Castle Manor Nursing & Rehabilitation Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 52.9%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 27, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (California average 15.7). CMS lists 1 fine totaling $10,188 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 5, 2025 | Fine | $10,188 |
| Mar 5, 2025 | Payment Denial | 15 days from Apr 10, 2025 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Castle Manor Nursing & Rehabilitation Center holds 4 of 5 overall; the California average is 3.2.
About Castle Manor Nursing & Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Generations Healthcare, 27 homes
- Legal name: GHC of National City II, LLC
- Medicare and Medicaid certified since: Jun 22, 1987
- Area: urban
Nursing homes near Castle Manor Nursing & Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Paradise Valley Health Care National City | 0.6 | 86 | 2.74 | 4.93 | 21.3% | 5 | $10,036 |
| Friendship Manor Nursing & Rehab Center National City | 0.6 | 104 | 2.06 | 4.21 | 33.3% | 5 | $297,367 |
| Hillcrest Manor Sanitarium National City | 1.4 | 98 | 2.98 | 4.23 | — | 4 | None |
| National City Post Acute National City | 1.6 | 98 | 2.49 | 3.93 | 44.3% | 3 | $15,652 |
| Reo Vista Healthcare Center San Diego | 2.0 | 162 | 2.36 | 3.96 | 42.6% | 3 | $25,406 |
| Brighton Place San Diego San Diego | 2.5 | 99 | 2.45 | 3.91 | — | 1 | None |
| Golden Hill Post Acute San Diego | 2.9 | 99 | 2.41 | 4.24 | — | 3 | None |
| South Bay Post Acute Care Chula Vista | 3.2 | 99 | 2.39 | 4.23 | 40.6% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.