Castle Manor Convalescent Center
541 V Avenue, National City, CA 91950


Castle Manor Convalescent Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555263. The address is 541 V Avenue, National City, CA 91950. The zip code is 91950. The phone number is 6197917900.


Castle Manor Convalescent Center · 541 V Avenue, National City, CA 91950

Federal Provider Number 555263
Provider Name CASTLE MANOR CONVALESCENT CENTER
Address 541 V AVENUE
NATIONAL CITY, CA 91950
Phone Number 6197917900
SSA County Code 470
County Name San Diego
Ownership Type For profit - Corporation
Certified Beds 99
Certified Beds Residents 95
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GHC OF NATIONAL CITY II, LLC
Date First Approved to Provide Medicare Medicaid Services 06/22/1987
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.17316
Reported LPN Staffing Hours per Resident per Day 0.83421
Reported RN Staffing Hours per Resident per Day 0.84263
Reported Licensed Staffing Hours per Resident per Day 1.67684
Reported Total Nurse Staffing Hours per Resident per Day 3.85
Reported Physical Therapist Staffing Hours per Resident Per Day 0.22842
Expected CNA Staffing Hours per Resident per Day 2.59191
Expected LPN Staffing Hours per Resident per Day 0.77006
Expected RN Staffing Hours per Resident per Day 1.30588
Expected Total Nurse Staffing Hours per Resident per Day 4.66785
Adjusted CNA Staffing Hours per Resident per Day 2.05728
Adjusted LPN Staffing Hours per Resident per Day 0.89914
Adjusted RN Staffing Hours per Resident per Day 0.48214
Adjusted Total Nurse Staffing Hours per Resident per Day 3.32465
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 72
Cycle 1 Standard Survey Health Date 04/04/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 72
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 04/03/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 48
Cycle 3 Standard Health Survey Date 03/21/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 3 Total Health Score 48
Total Weighted Health Survey Score 50.667
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 1
Number of Fines 0
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 08/01/2017

Owner or Manager · Castle Manor Convalescent Center

Owner Name Role Association Date
LIFE GENERATIONS HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/1998
MASTROCOLA, LOIS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/1998
MASTROCOLA, LOIS (Individual) DIRECTOR since 02/01/1998
MASTROCOLA, LOIS (Individual) OFFICER since 02/01/1998
OLDS, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/1998
OLDS, THOMAS (Individual) DIRECTOR since 02/01/1998
OLDS, THOMAS (Individual) OFFICER since 02/01/1998
PADILLA, MARISSA (Individual) MANAGING EMPLOYEE since 11/12/2013
PADILLA, MARISSA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/02/2008
SMITH, FRED (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
since 02/01/1998

91950 · Nursing Home

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National City · Nursing Home

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Paradise Valley Health Care 2575 E. Eighth St., National City, CA 91950

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