Skilled nursing facility · CMS certification number 555263
CASTLE MANOR NURSING & REHABILITATION CENTER
NATIONAL CITY, California · Medicare and Medicaid · 99 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $10,188.00 · Payment denials: 1. The most recent penalty on file: March 5, 2025, Fine, $10,188. Every penalty on file ↓
CASTLE MANOR NURSING & REHABILITATION 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 19, 2025.
- Net patient revenue rose from $16.5M in fiscal year 2023 to $17.9M in fiscal year 2024.
- Its result from service to patients: −$994K (2022), −$295K (2023), −$961K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on September 19, 2025, 2 changes are listed on this record: an owner change and an owner change.
- Its net patient revenue of $17.9M ranks 313th 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.
CASTLE MANOR NURSING & REHABILITATION CENTER: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1439872 | 2023 · report 1394860 | 2022 · report 1398208 | 2021 · report 1333902 | 2020 · report 1329701 | 2019 · report 1313698 | 2018 · report 1264275 | 2017 · report 1248951 | 2016 · report 1173008 | 2015 · report 1141144 | 2014 · report 1108583 | 2013 · report 1077944 | 2012 · report 1077943 | 2011 · report 1022102 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | September 19, 2025 | September 13, 2024 | October 28, 2024 | September 23, 2022 | August 12, 2022 | April 21, 2022 | August 19, 2020 | January 16, 2020 | August 11, 2017 | August 15, 2016 | August 23, 2015 | September 10, 2014 | September 10, 2014 | December 17, 2012 |
| Total patient revenue | $19,765,007 | $19,712,222 | $17,323,290 | $17,867,145 | $16,831,940 | $19,853,204 | $16,845,605 | $15,316,672 | $14,169,025 | $13,901,639 | $12,729,936 | $12,686,259 | $13,359,878 | $13,525,935 |
| Contractual allowances and discounts | $1,847,072 | $3,252,481 | $2,925,074 | $3,633,821 | $4,704,359 | $6,901,299 | $4,533,201 | $2,617,050 | $2,662,032 | $2,902,748 | $2,441,654 | $2,314,038 | $2,334,073 | $1,268,920 |
| Net patient revenue | $17,917,935 | $16,459,741 | $14,398,216 | $14,233,324 | $12,127,581 | $12,951,905 | $12,312,404 | $12,699,622 | $11,506,993 | $10,998,891 | $10,288,282 | $10,372,221 | $11,025,805 | $12,257,015 |
| Total operating expenses | $18,878,708 | $16,754,922 | $15,392,031 | $13,665,570 | $13,047,651 | $13,209,148 | $12,958,290 | $12,776,857 | $12,004,966 | $11,269,265 | $9,813,693 | $9,690,351 | $9,879,079 | $10,120,869 |
| Net income from service to patients | −$960,773 | −$295,181 | −$993,815 | $567,754 | −$920,070 | −$257,243 | −$645,886 | −$77,235 | −$497,973 | −$270,374 | $474,589 | $681,870 | $1,146,726 | $2,136,146 |
| Total other income | $19,108 | $11,695 | $82,298 | $274,939 | $721,027 | $11,877 | $5,547 | $7,419 | $10,338 | $4,415 | $1,888 | $211 | $334 | $3,984 |
| Net income after other income | −$941,665 | −$283,486 | −$911,517 | $842,693 | −$199,043 | −$245,366 | −$640,339 | −$69,816 | −$487,635 | −$265,959 | $476,477 | $682,081 | $1,147,060 | $2,140,130 |
| Net income | −$996,329 | −$348,887 | −$911,939 | $836,887 | −$199,043 | −$248,972 | −$653,981 | −$69,816 | −$487,868 | −$266,085 | $476,169 | $681,673 | $1,146,622 | $2,107,369 |
| Total facility beds, all components | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Bed days available, all components | 36,234 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 5,200 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 2,188 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 25,729 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 33,117 | 32,541 | 31,681 | 28,884 | 28,777 | 33,258 | 32,152 | 32,133 | 32,710 | 32,794 | 33,583 | 32,385 | 33,050 | 34,002 |
| Medicare discharges | 173 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 9 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 602 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 784 | 655 | 570 | 461 | 390 | 635 | 699 | 680 | 617 | 809 | 472 | 484 | 533 | 484 |
| Average length of stay, Medicare, in days | 30.06 | 36.21 | 30.9 | 36.22 | 34.49 | 30.38 | 32.17 | 28.2 | 26.52 | 30.81 | 33.02 | 32.74 | 36.51 | 53.2 |
| Average length of stay, Medicaid, in days | 243.11 | 91.31 | 215.25 | 164.82 | 239.45 | 244.89 | 224.47 | 188.73 | 139.87 | 71.54 | 122.51 | 137.04 | 136.41 | 160.72 |
| Average length of stay, all patients, in days | 42.24 | 49.68 | 55.58 | 62.66 | 73.79 | 52.37 | 46 | 47.25 | 53.01 | 40.54 | 71.15 | 66.91 | 62.01 | 70.25 |
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 424161 | 2009 · report 388297 | 2008 · report 349311 | 2007 · report 323170 | 2006 · report 336180 | 2005 · report 260794 | 2004 · report 229262 | 2003 · report 179900 | 2002 · report 194623 | 2001 · report 194507 | 2000 · report 134693 | 1999 · report 97763 | 1997 · report 97759 | 1996 · report 97758 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | reopened | settled | settled | settled | settled | settled | settled | settled | settled | settled |
| Processed by CMS | January 27, 2012 | September 30, 2010 | July 14, 2009 | August 7, 2008 | March 27, 2009 | August 9, 2006 | July 28, 2005 | June 3, 2004 | September 21, 2004 | September 21, 2004 | April 3, 2003 | May 2, 2001 | June 9, 1999 | June 17, 1998 |
| Net patient revenue | $10,939,343 | $10,613,469 | $10,373,976 | $9,474,976 | $9,189,784 | $8,310,142 | $7,617,243 | $7,040,907 | $6,616,876 | $6,440,236 | $5,790,543 | $4,897,137 | $4,652,478 | $4,411,460 |
| Total operating expenses | $9,257,109 | $8,765,149 | $8,663,450 | $8,138,620 | $7,624,192 | $6,891,199 | $6,351,761 | $6,304,616 | $6,080,461 | $5,810,353 | $5,284,264 | $4,458,951 | $4,630,645 | $4,468,645 |
| Net income from service to patients | $1,682,234 | $1,848,320 | $1,710,526 | $1,336,356 | $1,565,592 | $1,418,943 | $1,265,482 | $736,291 | $536,415 | $629,883 | $506,279 | $438,186 | $21,833 | −$57,185 |
| Total other income | $12,282 | $17,301 | $37,665 | $24,000 | $31,121 | $13,613 | $17,089 | $33,696 | $34,976 | −$14,130 | $82,538 | $72,645 | $118,665 | $122,998 |
| Total other expenses | $2,774 | $13,937 | — | — | $6,989 | $22,810 | $35,104 | $5,577 | $4,863 | — | — | — | — | — |
| Net income | $1,691,742 | $1,851,684 | $1,748,191 | $1,360,356 | $1,589,724 | $1,409,746 | $1,247,467 | $764,410 | $566,528 | $615,753 | $588,817 | $510,831 | $140,498 | $65,813 |
| Total facility beds, all components | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Total patient days, all components | 33,345 | 32,777 | 33,054 | 32,738 | 33,512 | 34,075 | 34,484 | 33,345 | 33,699 | 34,342 | 34,301 | 31,099 | 33,555 | 31,074 |
| Total discharges, all components | 405 | 420 | 416 | 446 | 638 | 615 | 437 | 548 | 459 | 431 | 460 | 567 | 388 | 272 |
| Average length of stay, Medicare, in days | 46.66 | 47.42 | 39.03 | 31.88 | 30.13 | 35.05 | 30.77 | 30.27 | 30.91 | 37.04 | 28.04 | 24.43 | 26.71 | 30.64 |
| Average length of stay, Medicaid, in days | 178.37 | 191.1 | 299.12 | 148.18 | 146.98 | 144.53 | 202.68 | 105 | 202.11 | 222.39 | 290.43 | 147.44 | 325.25 | 340.68 |
| Average length of stay, all patients, in days | 82.33 | 78.04 | 79.46 | 73.4 | 52.53 | 55.41 | 78.91 | 60.85 | 73.42 | 79.68 | 74.57 | 54.85 | 86.48 | 114.24 |
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.
CASTLE MANOR NURSING & REHABILITATION CENTER: nurse staffing hours by quarter →
Who owns CASTLE MANOR NURSING & REHABILITATION CENTER, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: MASTROCOLA, LOIS (individual), 9%%, since 02/01/1998; OLDS, THOMAS (individual), 78%%, 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: MASTROCOLA, LOIS (individual), NOT APPLICABLE, since 09/20/2023
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of GHC OF NATIONAL CITY II, LLC (enrollment ID O20041015000438).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIFE GENERATIONS HEALTHCARE, LLC (organization), 100.00%, since 02/01/1998; LOIS A MASTROCOLA (individual), 9.18%, since 02/01/1998; THOMAS OLDS (individual), 78.13%, since 02/01/1998
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: FRED SMITH (individual), 12.69%, 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: LOIS A MASTROCOLA (individual), since 09/20/2023
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; LOIS A MASTROCOLA.
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
- December 1, 2023, enrollment ownership file; no longer listed: MARISSA PADILLA (W-2 MANAGING EMPLOYEE); first listed: LOIS A MASTROCOLA (W-2 MANAGING EMPLOYEE), associated since September 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Inspections of CASTLE MANOR NURSING & REHABILITATION CENTER
- Cycle 1: health March 27, 2025 (8 deficiencies), fire safety March 27, 2025 (2)
- Cycle 2: health March 2, 2023 (10 deficiencies), fire safety March 2, 2023 (5)
- Cycle 3: health August 29, 2019 (7 deficiencies), fire safety August 29, 2019 (5)
Deficiencies cited at CASTLE MANOR NURSING & REHABILITATION CENTER
25 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 2 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0578, resident rights: March 27, 2025 (E, corrected April 25, 2025).
- F 0583, resident rights: March 27, 2025 (D, corrected April 25, 2025).
- F 0656, resident assessment and care planning: March 27, 2025 (D, corrected April 25, 2025); March 2, 2023 (D, corrected April 2, 2023); August 29, 2019 (D, corrected August 30, 2019).
- F 0686, quality of life and care: March 27, 2025 (D, corrected April 25, 2025); March 2, 2023 (D, corrected April 2, 2023).
- F 0689, quality of life and care: March 27, 2025 (D, corrected April 25, 2025).
- F 0760, pharmacy service: March 27, 2025 (D, corrected April 25, 2025).
- F 0867, administration: March 27, 2025 (E, corrected April 25, 2025).
- F 0880, infection control: March 27, 2025 (D, corrected April 25, 2025); March 2, 2023 (D, corrected April 2, 2023).
- F 0684, quality of life and care: March 5, 2025 (G, from a complaint, corrected April 4, 2025); March 2, 2023 (E, corrected April 2, 2023); August 29, 2019 (D, corrected August 30, 2019).
- F 0755, pharmacy service: March 5, 2025 (D, from a complaint, corrected April 4, 2025).
- F 0561, resident rights: March 2, 2023 (D, corrected April 2, 2023).
- F 0677, quality of life and care: March 2, 2023 (D, corrected April 2, 2023).
- F 0688, quality of life and care: March 2, 2023 (D, corrected April 2, 2023).
- F 0790, quality of life and care: March 2, 2023 (D, corrected April 2, 2023).
- F 0692, quality of life and care: August 29, 2019 (D, corrected August 30, 2019).
- F 0758, pharmacy service: August 29, 2019 (D, corrected August 30, 2019).
- F 0802, nutrition and dietary: August 29, 2019 (E, corrected August 30, 2019).
- F 0812, nutrition and dietary: August 29, 2019 (F, corrected August 30, 2019).
- F 0842, resident assessment and care planning: August 29, 2019 (D, corrected August 30, 2019).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 5, 2025 | Fine | $10,188 | 131226 | ||
| March 5, 2025 | Payment Denial | April 10, 2025 | 15 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
CASTLE MANOR NURSING & REHABILITATION CENTER in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: GHC OF NATIONAL CITY II, LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1987-06-22
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: San Diego
- Telephone Number: 6197917900
- 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: 92.8
- Overall Rating: 4
- Health Inspection Rating: 4
- QM Rating: 4
- Long-Stay QM Rating: 4
- 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 CASTLE MANOR NURSING & REHABILITATION CENTER’s record that differs from its CMS file, quoting 555263.