Friendship Manor Nursing & Rehab Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

61.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 137 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 48 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 104 beds and averages 87.9 residents a day — about 85% occupied, or roughly 16 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.21 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.52 hrs/resident/day on weekends vs 4.48 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.73 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

• Potential for harm · D2025-07-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review the facility failed to implement measures to prevent pressure injury (damage to the skin and underlying tissue caused by prolonged pressure on a specific area of the body) when there was no monitoring for the use of a protective head gear (helmet) for one of the two residents reviewed for pressure injury. (Resident 2).This failure had the potential to cause the development of pressure injury.Resident 2's record was reviewed. Resident 2 was readmitted to the facility on [DATE], with diagnoses which included right hemiparesis and hemiplegia (weakness or the inability to move on one side of the body, making it hard to perform everyday activities like eating or dressing) and epilepsy (a condition where a person's brain activity becomes abnormal, causing seizures), per the facility's admission Record.On 7/21/25 at 9:16 A.M., an observation was conducted with Resident 2 in her room. Resident 2 was seated in the wheelchair with the helmet on. Resident 2 was non-…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to assess and change a peripherally inserted central catheter line (PICC - a long, thin, flexible tube inserted into a vein in the arm and threaded into a large vein near the heart) dressing for one of 18 sampled resident (Resident 40).This failure had the potential for medical complications related to Resident 40's intravenous (IV - delivery of fluids, medications, or nutrients into the body's bloodstream, usually through a needle or catheter inserted into a vein) therapy. According to the facility's admission Record, Resident 40 was admitted on [DATE] with diagnoses that included chronic osteomyelitis (bone infection) of the left ankle and foot. A record review of Resident 40's physician's order report indicated on 6/14/25 there was an order for PICC line dressing change .every 7 days .measure external length of catheter and upper arm circumference.On 7/21/25, at 9:02 A.M., an observation and interview was conducted with Resident 40 in his…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-04 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the pharmacy consultant identified irregularities during a medication regimen review for one of three residents (Resident 1) reviewed for medications. In addition, the facility failed to ensure a pharmacy recommendation for labs was acted upon for Resident 1. These failures placed resident 1 at risk for adverse consequences due to receiving an excessive dose of a medication, and lack of laboratory tests to monitor drug levels. Findings: According to the admission Record, Resident 1 was admitted to the facility on [DATE] with diagnoses which included kidney transplant and immunodeficiency (a weakened immune system) due to medications. A review of Resident 1 ' s After Visit Summary (a document from the hospital which provided instructions for Resident 1 and included a medication list) dated 9/19/24 indicated, tacrolimus (a medication given to organ transplant recipients designed to prevent organ rejection) 0.5MG capsule .Take 2 capsules (1mg) by…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-04 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one of three residents reviewed for medications (Resident 1) was free from significant medication errors when the prescribed dose of tacrolimus (a medication given to organ transplant recipients designed to prevent organ rejection) was not given per physician ' s orders. This failure placed Resident 1 at risk for adverse effects and health decline. Findings: During a record review on 1/3/25, the admission Record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses which included kidney transplant and immunodeficiency (the body ' s inability to fight against infection) due to drugs. The admission Record indicated Resident 1 was discharged home on [DATE]. During a record review on 1/3/25, the After Visit Summary (a document from the hospital which provided instructions for Resident 1 including a medication list) dated 9/19/24 indicated, tacrolimus 0.5MG capsule .Take 2 capsules (1mg) by mouth every morning AND 3 capsules…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-25 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure one of four nursing staff reviewed had the required continuing education and state certifications for working with the facilty resident population. This failure placed up to 11 residents at risk for harm due to a lack of required education related to patient care. Findings: On [DATE] an unannounced visit was made to the facility in response to a Facility Reported Incident. On [DATE], at 10:24 A.M., a record review of a facility Performance Improvement Plan (PIP), dated [DATE], and interview was held with the Director of Nursing, (DON), and the Administrator (ADM). The PIP reflected a Certified Nursing Assistant (CNA 1) had an expired license as of [DATE], but had been working full time assisting residents and providing care. The ADM stated that there was a lapse in checking licenses; the current Director of Staff Development (DSD) was transferred from another position and was unaware of the cancelling of the COVID blanket waiver that allowed a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-12 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure staff completed annual Federal mandatory abuse training for one of one employee (licensed nurse 1 {LN 1}, reviewed for abuse. As a result, all residents were at risk for possible staff to resident abuse (verbal, physical, financial, sexual, neglect and isolation). Findings: On 5/30/24 an unannounced visit was made to the facility in response to a complaint with an allegation of abuse. A record review was conducted on 5/30/24 at 11:54 A.M., of LN 1's employee file. LN 1 was hired in 5/21/18. LN 1's employee file did not contain evidence of annual mandatory abuse training. Proof of LN 1's last abuse training was requested from the Director of Staff Development (DSD). An interview was conducted with certified nursing assistant 1 (CNA 1) on 5/30/24 at 12:23 P.M. CNA 1 stated abuse training was mandatory and should be done at last once a year. CNA 1 stated abuse training was provided in-person by the DSD and a course was also available on-line. CNA 1 stated abuse training was important to keep the resident's safe and to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-24 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the licensed nurse (LN) re-checked the resident's blood pressure (BP - a measure of the heart pumping blood around the body) after administering the medication as ordered by the physician for 1 of 4 sampled residents (1). This failure could delay Resident 1's care needs. Findings: Resident 1 was admitted to the facility on [DATE] with diagnoses that included hypertension (high blood pressure), per the admission Record. A review of Resident 1's medical record was conducted. Per the Physician's Order dated 9/29/23, the LN was to administer Clonidine Hydrochloride (a medication to lower the BP) three times a day as needed, give if the systolic BP is greater than 160, and re-check the BP after 15 minutes. Per the Resident 1's Weight and Vital Signs Summary: On 1/7/24 at 8 A.M., Resident 1's BP was 184/94 On 1/7/24 at 8:13 A.M., Resident 1's BP was 162/84 On 1/7/24 at 9:40 A.M., Resident 1's BP was 102/54 On 1/7/24 at 10:35 A.M., Resident 1's BP was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-08-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to ensure sanitary conditions were maintained when one can of condensed milk was dented, and two cans of white hominy (a type of corn from white corn kernels) had rusted lid and were not removed from the storage. These failures had the potential to cause widespread food borne illnesses among residents who consume food from the kitchen. Findings: On 8/8/22 at 11:05 A.M., an observation and interview were conducted with the Certified Dietary Manager (CDM) of the dry storage room. On the shelf, one can of condensed milk was dented. On the lower shelf, 2 cans of white hominy had rusted lids. The CDM stated she and the staff checked the storage room every day for outdated food items, dented cans, and rusty lids. The CDM further stated, those canned food items should have been removed from the shelf. Per the facility's policy, dated 2020, titled Storage of Food and Supplies, indicated .15. Foods in unlabeled rusty, leaking, broken containers or cans with side seam dents, rim dents or swell shall not be retained or used.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-08-11 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to observe infection control measures when: 1. Nursing staff failed to properly disinfect resident's glucometer for four randomly selected residents (Residents 241, 46, 67, 34) according to manufacturer's specifications. 2. Nursing staff failed to remove personal protective equipment gown after resident care prior to leaving resident room. 3. Tube feed formula was not discarded upon completion. 4. Tube feed tubing was not labeled. 5. An indwelling catheter bag was in contact with the floor. These deficient practices have the potential for the development and the spread of infection to all residents. Findings: 1. During a medication pass observation on 8/8/22 at 8:07 A.M., at North Station, Hall 1, LN 60, LN 60 was observed using a glucometer to check Resident 67's concentration of blood glucose. LN 60 was observed wiping the glucometer with bleach disposable wipes for approximately 12 seconds, then placing the glucometer on the medication…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2022-08-11 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure professional standards of practice were followed for one of 21 sampled residents (48) when the physician's orders were not clarified and transcribed correctly. This failure resulted in the physician's order not being followed. Findings: Resident 48 was admitted to the facility on [DATE] with diagnoses which included diabetes mellitus (too much sugar circulating in your blood stream), per the facility's admission Record. On 8/10/22 at 2:48 P.M., Resident 48's record review was conducted. Resident 48 was discharged to the general acute hospital on 6/15/22 due to chest pain and she was readmitted back to the facility on 6/17/22. The Medication Reconciliation / Physician Order Form from the acute hospital, was signed as a physician telephone order dated 6/17/22, indicated the list of medications that Resident 48 would continue to take, medications to stop, and new medications. On 8/10/22 at 3:07 P.M., an interview was conducted with Licensed Nurse…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$297,367 in federal fines across 4 penalties.

• $285,130 — penalty dated 2025-04-25
• $3,147 — penalty dated 2023-11-06
• $2,797 — penalty dated 2023-10-30
• $6,293 — penalty dated 2023-10-10

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to GENERATIONS HEALTHCARE — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $3.2M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA