Skilled nursing facility · CMS certification number 055964
FRIENDSHIP MANOR NURSING & REHAB CENTER
NATIONAL CITY, California · Medicare and Medicaid · 104 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $291,074.00 · Payment denials: 0. The most recent penalty on file: April 25, 2025, Fine, $285,130. Every penalty on file ↓
FRIENDSHIP MANOR NURSING & REHAB CENTER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on September 17, 2025.
- Net patient revenue rose from $17.4M in fiscal year 2023 to $17.9M in fiscal year 2024.
- Its result from service to patients: −$472K (2022), −$141K (2023), −$685K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Since its cost report for fiscal year 2023 was filed on May 7, 2026, 3 changes are listed on this record: an owner change, an owner change and a deficiency.
- Its net patient revenue of $17.9M ranks 314th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
FRIENDSHIP MANOR NURSING & REHAB CENTER: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year.
| Form CMS-2540-10 | 2024 · report 1439697 | 2023 · report 1449580 | 2022 · report 1397238 | 2021 · report 1368903 | 2020 · report 1342701 | 2019 · report 1301465 | 2018 · report 1255811 | 2017 · report 1221392 | 2016 · report 1213361 | 2015 · report 1178821 | 2014 · report 1150167 | 2013 · report 1077397 | 2012 · report 1044747 | 2011 · report 1022073 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | reopened | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled |
| Processed by CMS | September 17, 2025 | May 7, 2026 | October 16, 2024 | November 30, 2023 | February 20, 2023 | September 30, 2021 | May 20, 2020 | March 19, 2019 | October 29, 2018 | November 23, 2017 | December 27, 2016 | August 29, 2014 | August 1, 2013 | December 17, 2012 |
| Total patient revenue | $21,404,438 | $21,418,789 | $18,023,879 | $16,414,343 | $18,649,123 | $24,047,937 | $21,022,563 | $19,081,965 | $17,414,431 | $15,097,975 | $13,323,579 | $12,753,068 | $14,370,440 | $13,799,760 |
| Contractual allowances and discounts | $3,540,004 | $4,033,186 | $3,018,701 | $3,058,333 | $5,472,630 | $9,319,665 | $7,505,057 | $4,646,446 | $3,333,054 | $3,187,579 | $2,706,735 | $2,376,747 | $2,510,118 | $1,598,951 |
| Net patient revenue | $17,864,434 | $17,385,603 | $15,005,178 | $13,356,010 | $13,176,493 | $14,728,272 | $13,517,506 | $14,435,519 | $14,081,377 | $11,910,396 | $10,616,844 | $10,376,321 | $11,860,322 | $12,200,809 |
| Total operating expenses | $18,549,903 | $17,526,301 | $15,477,270 | $13,503,073 | $14,345,955 | $14,433,199 | $13,613,587 | $13,564,240 | $12,992,912 | $11,860,881 | $9,968,374 | $9,644,450 | $9,854,486 | $9,794,810 |
| Net income from service to patients | −$685,469 | −$140,698 | −$472,092 | −$147,063 | −$1,169,462 | $295,073 | −$96,081 | $871,279 | $1,088,465 | $49,515 | $648,470 | $731,871 | $2,005,836 | $2,405,999 |
| Total other income | $19,077 | $61,981 | $199,376 | $8,412 | $895,756 | $13,163 | $8,269 | $5,100 | $9,830 | $3,277 | $3,139 | $479 | $1,013 | $304 |
| Net income after other income | −$666,392 | −$78,717 | −$272,716 | −$138,651 | −$273,706 | $308,236 | −$87,812 | $876,379 | $1,098,295 | $52,792 | $651,609 | $732,350 | $2,006,849 | $2,406,303 |
| Net income | −$707,010 | −$78,717 | −$272,716 | −$146,677 | −$273,706 | $302,453 | −$87,812 | $876,379 | $1,098,138 | $52,325 | $651,402 | $732,100 | $2,006,715 | $2,400,768 |
| Total facility beds, all components | 104 | 104 | 104 | 104 | 104 | 104 | 104 | 104 | 104 | 104 | 104 | 104 | 104 | 104 |
| Bed days available, all components | 38,064 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 4,250 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 1,230 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 26,971 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 32,451 | 35,803 | 33,854 | 29,397 | 30,956 | 36,252 | 34,988 | 34,190 | 35,585 | 35,529 | 34,100 | 32,934 | 34,532 | 34,827 |
| Medicare discharges | 117 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 9 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 767 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 893 | 476 | 502 | 552 | 456 | 732 | 790 | 821 | 747 | 689 | 577 | 476 | 537 | 481 |
| Average length of stay, Medicare, in days | 36.32 | 38.67 | 40.61 | 54.33 | 42.88 | 37.3 | 39.87 | 40.34 | 41.32 | 32.69 | 30.11 | 37.48 | 33.28 | 58.26 |
| Average length of stay, Medicaid, in days | 136.67 | 158.42 | 146.07 | 113.53 | 120.06 | 92.41 | 99.08 | 112.4 | 130.11 | 198.68 | 122.65 | 195.02 | 130.3 | 186.5 |
| Average length of stay, all patients, in days | 36.34 | 75.22 | 67.44 | 53.26 | 67.89 | 49.52 | 44.29 | 41.64 | 47.64 | 51.57 | 59.1 | 69.19 | 64.31 | 72.41 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 422882 | 2009 · report 405233 | 2008 · report 347743 | 2007 · report 319383 | 2006 · report 288427 | 2005 · report 254710 | 2004 · report 228321 | 2003 · report 181223 | 2002 · report 185595 | 2001 · report 171814 | 2000 · report 81647 | 1999 · report 81645 | 1997 · report 81641 | 1996 · report 81640 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 2000 | February 2, 1999 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | December 31, 1997 | December 31, 1996 |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | settled |
| Processed by CMS | January 18, 2012 | June 17, 2011 | June 26, 2009 | July 23, 2008 | July 25, 2007 | June 20, 2006 | July 20, 2005 | June 10, 2004 | June 29, 2004 | March 24, 2004 | January 2, 2002 | May 3, 2001 | August 26, 1999 | June 17, 1998 |
| Net patient revenue | $11,156,643 | $10,578,116 | $10,619,890 | $9,855,373 | $9,722,078 | $8,966,878 | $8,129,180 | $6,946,443 | $6,782,788 | $6,764,122 | $5,697,930 | $4,400,982 | $4,119,390 | $4,007,529 |
| Total operating expenses | $9,245,356 | $8,812,303 | $8,689,361 | $8,084,892 | $7,707,733 | $7,065,022 | $6,910,357 | $6,466,711 | $6,215,117 | $5,748,951 | $5,108,678 | $4,236,215 | $4,110,548 | $4,038,517 |
| Net income from service to patients | $1,911,287 | $1,765,813 | $1,930,529 | $1,770,481 | $2,014,345 | $1,901,856 | $1,218,823 | $479,732 | $567,671 | $1,015,171 | $589,252 | $164,767 | $8,842 | −$30,988 |
| Total other income | $393 | $11,520 | $5,419 | $3,875 | $765 | $4,359 | $1,430 | $1,836 | $27,664 | $31,447 | $16,434 | $7,995 | $64,958 | $11,375 |
| Total other expenses | $19,652 | $65 | $12,611 | $21,961 | $11,086 | $20,664 | $17,923 | $10,132 | $21,011 | — | — | — | — | — |
| Net income | $1,892,028 | $1,777,268 | $1,923,337 | $1,752,395 | $2,004,024 | $1,885,551 | $1,202,330 | $471,436 | $574,324 | $1,046,618 | $605,686 | $172,762 | $73,800 | −$19,613 |
| Total facility beds, all components | 104 | 104 | 104 | 104 | 104 | 104 | 104 | 102 | 104 | 102 | 104 | 104 | 104 | 104 |
| Total patient days, all components | 33,313 | 34,254 | 34,284 | 34,532 | 35,375 | 35,932 | 35,275 | 35,627 | 35,106 | 35,999 | 36,369 | 33,006 | 35,111 | 35,365 |
| Total discharges, all components | 623 | 454 | 412 | 655 | 639 | 649 | 450 | 538 | 450 | 412 | 342 | 341 | 318 | 214 |
| Average length of stay, Medicare, in days | 36.17 | 36.91 | 37.4 | 33.92 | 30.9 | 34.69 | 37.12 | 31.53 | 34.71 | 39.98 | 37.44 | 27.07 | 30.78 | 32.58 |
| Average length of stay, Medicaid, in days | 128.46 | 194.7 | 435.55 | 103.38 | 142.5 | 152.69 | 165.63 | 203.77 | 190.7 | 195.26 | 289.79 | 344.68 | 323.7 | 630.24 |
| Average length of stay, all patients, in days | 53.47 | 75.45 | 83.21 | 52.72 | 55.36 | 55.37 | 78.39 | 66.22 | 78.01 | 87.38 | 106.34 | 96.79 | 110.41 | 165.26 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
FRIENDSHIP MANOR NURSING & REHAB CENTER: nurse staffing hours by quarter →
Who owns FRIENDSHIP MANOR NURSING & REHAB CENTER, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: MASTROCOLA, LOIS (individual), NO PERCENTAGE PROVIDED, since 02/01/1998; OLDS, THOMAS (individual), NO PERCENTAGE PROVIDED, since 02/01/1998
- 5% OR GREATER SECURITY INTEREST: BMO BANK, N.A. (organization), NOT APPLICABLE, since 10/06/2021
- CORPORATE DIRECTOR: MASTROCOLA, LOIS (individual), NOT APPLICABLE, since 02/01/1998; OLDS, THOMAS (individual), NOT APPLICABLE, since 02/01/1998
- CORPORATE OFFICER: MASTROCOLA, LOIS (individual), NOT APPLICABLE, since 02/01/1998; OLDS, THOMAS (individual), NOT APPLICABLE, since 02/01/1998
- OPERATIONAL/MANAGERIAL CONTROL: LIFE GENERATIONS HEALTHCARE, LLC (organization), NOT APPLICABLE, since 02/01/1998
- W-2 MANAGING EMPLOYEE: KEVORKIAN, MICHAEL (individual), NOT APPLICABLE, since 07/01/2019
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of GHC OF NATIONAL CITY I, LLC (enrollment ID O20040917000992).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIFE GENERATIONS HEALTHCARE, LLC (organization), 100.00%, since 02/01/1998; LOIS A MASTROCOLA (individual), since 02/01/1998; THOMAS OLDS (individual), since 02/01/1998
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: FRED SMITH (individual), since 02/01/1998
- 5% OR GREATER SECURITY INTEREST: BMO BANK, N.A. (organization), 100.00%, since 10/06/2021
- CORPORATE DIRECTOR: LOIS A MASTROCOLA (individual), since 02/01/1998; THOMAS OLDS (individual), since 02/01/1998
- CORPORATE OFFICER: LOIS A MASTROCOLA (individual), since 02/01/1998; THOMAS OLDS (individual), since 02/01/1998
- OPERATIONAL/MANAGERIAL CONTROL: LIFE GENERATIONS HEALTHCARE, LLC (organization), since 02/01/1998
- W-2 MANAGING EMPLOYEE: MICHAEL KEVORKIAN (individual), since 07/01/2019
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: LIFE GENERATIONS HEALTHCARE, LLC; BMO BANK, N.A.; LIFE GENERATIONS HEALTHCARE, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: LOIS A MASTROCOLA; THOMAS OLDS; FRED SMITH; LOIS A MASTROCOLA; THOMAS OLDS; LOIS A MASTROCOLA; THOMAS OLDS; MICHAEL KEVORKIAN.
Changes in ownership
- September 1, 2026, Care Compare ownership file; no longer listed: BMO BANK NATIONAL ASSOCIATION (5% OR GREATER SECURITY INTEREST); listed: BMO BANK, N.A. (5% OR GREATER SECURITY INTEREST). NH_Ownership_Sep2026_2.csv
- January 5, 2024, enrollment ownership file; no longer listed: WELLS FARGO BANK, NATIONAL ASSOCIATION (5% OR GREATER SECURITY INTEREST); first listed: BMO HARRIS BANK (5% OR GREATER SECURITY INTEREST), associated since October 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- July 8, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
Inspections of FRIENDSHIP MANOR NURSING & REHAB CENTER
- Cycle 1: health July 24, 2025 (3 deficiencies), fire safety July 24, 2025 (6)
- Cycle 2: health August 11, 2022 (15 deficiencies), fire safety August 11, 2022 (7)
- Cycle 3: health March 14, 2019 (12 deficiencies), fire safety March 14, 2019 (6)
Deficiencies cited at FRIENDSHIP MANOR NURSING & REHAB CENTER
30 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 6 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0689, quality of life and care: July 8, 2026 (D, from a complaint, corrected July 23, 2026); August 11, 2022 (D, corrected September 11, 2022).
- F 0686, quality of life and care: July 24, 2025 (D, corrected August 22, 2025).
- F 0694, quality of life and care: July 24, 2025 (D, corrected August 22, 2025).
- F 0756, pharmacy service: February 4, 2025 (D, from a complaint, corrected February 27, 2025).
- F 0760, pharmacy service: February 4, 2025 (D, from a complaint, corrected February 27, 2025); August 11, 2022 (D, corrected September 11, 2022).
- F 0726, nursing and physician services: June 25, 2024 (D, from a complaint, corrected July 25, 2024).
- F 0607, freedom from abuse, neglect, and exploitation: June 12, 2024 (D, from a complaint, corrected June 19, 2024).
- F 0656, resident assessment and care planning: January 24, 2024 (D, from a complaint, corrected February 25, 2024).
- F 0658, resident assessment and care planning: August 11, 2022 (D, corrected September 11, 2022); March 14, 2019 (D, corrected April 5, 2019).
- F 0684, quality of life and care: August 11, 2022 (D, corrected September 11, 2022).
- F 0693, quality of life and care: August 11, 2022 (D, corrected September 11, 2022).
- F 0695, quality of life and care: August 11, 2022 (D, corrected September 11, 2022).
- F 0698, quality of life and care: August 11, 2022 (D, corrected September 11, 2022); March 14, 2019 (D, corrected April 5, 2019).
- F 0755, pharmacy service: August 11, 2022 (D, corrected September 11, 2022); March 14, 2019 (E, corrected April 5, 2019).
- F 0758, pharmacy service: August 11, 2022 (D, corrected September 11, 2022); March 14, 2019 (D, corrected April 5, 2019).
- F 0759, pharmacy service: August 11, 2022 (D, corrected September 11, 2022); March 14, 2019 (D, corrected April 5, 2019).
- F 0761, pharmacy service: August 11, 2022 (D, corrected September 11, 2022); March 14, 2019 (D, corrected April 5, 2019).
- F 0812, nutrition and dietary: August 11, 2022 (E, corrected September 11, 2022); March 14, 2019 (E, corrected April 5, 2019).
- F 0880, infection control: August 11, 2022 (E, corrected September 11, 2022); March 14, 2019 (E, corrected April 5, 2019).
- F 0697, quality of life and care: March 14, 2019 (D, corrected April 5, 2019).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 25, 2025 | Fine | $285,130 | 131180 | ||
| November 6, 2023 | Fine | $3,147 | 129251 | ||
| October 30, 2023 | Fine | $2,797 | 129227 | ||
| October 10, 2023 | Fine | $6,293 | 129008 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
FRIENDSHIP MANOR NURSING & REHAB CENTER in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: GHC OF NATIONAL CITY I, LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1968-08-30
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: San Diego
- Telephone Number: 6197917700
- Chain Name: GENERATIONS HEALTHCARE
- Chain ID: 236
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: None
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 87.4
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in NATIONAL CITY and California
Report a figure on FRIENDSHIP MANOR NURSING & REHAB CENTER’s record that differs from its CMS file, quoting 055964.