nursing home in San Andreas, CA

Golden San Andreas Care Center

900 Mountain Ranch Road, San Andreas, CA 95249 · (209) 754-3823

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★3
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Golden San Andreas Care Center at a glance

Golden San Andreas Care Center is a 99-bed for-profit nursing home in San Andreas, California (Calaveras County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the California average of 3.2.

Residents receive about 4.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (June 12, 2026) found 15 health citations. The California average is 15.5.

Federal regulators fined it 3 times in the past three years, totaling $91,172.

Nursing staff turnover is 49.5% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
99
Certified for
Medicare and Medicaid
Chain / affiliated entity
Golden SNF Operations
Medicare-certified since
July 1, 1977
Resident/family council
Resident
County
Calaveras County
CMS Certification Number
056132

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 53.3 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)3 / 54.1 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 54.4 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)3 / 53.6 / 53.3 / 5Average

Staffing

This facility4.09 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.09 hrs4.52 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.25 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.53 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.62 hrs4.09 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)49.5%36.7%45.8%Worse
Registered nurse turnover (yearly) (lower is better)60%38.1%42.9%Worse
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility15California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)15169Worse
Citations from complaint investigations (latest cycle) (lower is better)443Worse
Weighted health inspection score ⓘ (lower is better)118105.880.6Worse

Penalties

This facility3California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)311Worse
Total fines in the past 3 years (lower is better)$91,172$23,986$30,972Worse
All federal penalties in the past 3 years (lower is better)411Worse

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds9999107
Average residents per day828886
Occupancy82.7%88.4%80.9%

Long-stay residents

This facility0%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)5.8%4.3%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)7.5%12%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1.6%1.2%1.6%Average
Long-stay residents with a catheter left in the bladder (lower is better)0%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)14.6%10.2%13.9%Average
Long-stay residents whose walking worsened (lower is better)19.9%9.8%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.8%4%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)1.3%7.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)13.6%13.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)27.3%10.2%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility0%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)96.3%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98.7%94.4%82%Better

Inspection citations

State inspectors cited this home for 80 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
July 7, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 20, 2026
July 7, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected July 20, 2026
June 12, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected June 16, 2026
June 12, 2026
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected June 18, 2026
June 12, 2026
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected June 22, 2026
June 12, 2026
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected June 18, 2026
June 12, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected June 19, 2026
June 12, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
C
No harm, widespread
Corrected June 23, 2026
June 12, 2026
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected June 16, 2026
June 12, 2026
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected June 17, 2026
June 12, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 1, 2026
June 12, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 15, 2026
June 12, 2026
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected June 29, 2026
June 12, 2026
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected July 1, 2026
June 12, 2026
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected July 1, 2026
June 12, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 29, 2026
June 12, 2026
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected July 1, 2026
June 12, 2026
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected July 1, 2026
June 12, 2026
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected July 1, 2026
June 12, 2026
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected July 1, 2026
June 12, 2026
Standard
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Nursing and Physician Services Deficiencies · Tag F0841
D
Potential harm, isolated
Corrected July 1, 2026
June 4, 2026
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected June 9, 2026
May 29, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected June 9, 2026
July 1, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 25, 2025
May 22, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected May 28, 2025
May 22, 2025
Complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Tag F0678
D
Potential harm, isolated
Corrected May 28, 2025
May 22, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 28, 2025
May 13, 2025
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected June 13, 2025
February 6, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected March 5, 2025
February 6, 2025
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected February 13, 2025
February 6, 2025
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected March 3, 2025
February 6, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected January 19, 2025
February 6, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
D
Potential harm, isolated
Corrected March 3, 2025
February 6, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected February 13, 2025
February 6, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected February 26, 2025
February 6, 2025
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected February 26, 2025
February 6, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected February 26, 2025
February 6, 2025
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected February 26, 2025
February 6, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected February 26, 2025
February 6, 2025
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected February 26, 2025
February 6, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected February 26, 2025
January 21, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected January 22, 2025
October 15, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected November 22, 2024
July 30, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
C
No harm, widespread
Corrected September 16, 2024
March 15, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 15, 2024
March 15, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected March 15, 2024
March 15, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 15, 2024
February 13, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 7, 2024
February 13, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected March 7, 2024
January 30, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected March 6, 2024
January 30, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
E
Potential harm, pattern
Corrected March 6, 2024
January 30, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected March 6, 2024
January 30, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected March 6, 2024
January 30, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected March 6, 2024
January 30, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected March 6, 2024
January 30, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected March 6, 2024
January 30, 2024
Fire safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929
D
Potential harm, isolated
Corrected March 6, 2024
January 30, 2024
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Tag F0688
G
Actual harm, isolated
Corrected March 15, 2024
January 30, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected March 15, 2024
January 30, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · Tag F0622
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Tag F0800
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 15, 2024
January 30, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected March 15, 2024
December 12, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected January 11, 2024
November 10, 2023
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected November 29, 2023
November 10, 2023
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected November 29, 2023
October 3, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected November 14, 2023
October 3, 2023
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected November 14, 2023
September 27, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected October 9, 2023
September 5, 2023
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected September 22, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 4 federal penalties in the past three years, including $91,172 in fines.

DatePenaltyAmount / length
October 15, 2024Fine$14,293
January 30, 2024Payment Denial14 days from March 1, 2024
January 30, 2024Fine$52,241
October 3, 2023Fine$24,638

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CAFIVE OPERATIONS HOLDINGS LLC
Organization
5% or greater direct ownership interest100%03/01/2023
CH CAFIVE HOLDINGS LLC
Organization
5% or greater indirect ownership interest61%03/01/2023
BARIAS, KAREN
Individual
adp of the snfNOT APPLICABLE03/01/2023
CAFIVE OPCO MANAGER LLC
Organization
adp of the snfNOT APPLICABLE04/08/2025
CAFIVE SNF CONSULTING LLC
Organization
adp of the snfNOT APPLICABLE04/08/2025
COUVE HEALTHCARE CONSULTING LLC
Organization
adp of the snfNOT APPLICABLE04/08/2025
EARL, STEVEN
Individual
adp of the snfNOT APPLICABLE03/01/2023
HERZKA, YISROEL
Individual
adp of the snfNOT APPLICABLE03/01/2023
KELAITA, DEAN
Individual
adp of the snfNOT APPLICABLE03/01/2023
LICHTENHAN, CYNTHIA
Individual
adp of the snfNOT APPLICABLE03/01/2023
RUHL, GINA
Individual
adp of the snfNOT APPLICABLE03/01/2023
SAN ANDREAS SNF OPERATIONS LLC
Organization
adp of the snfNOT APPLICABLE04/08/2025
SAN ANDREAS SNF REALTY LLC
Organization
adp of the snfNOT APPLICABLE04/08/2025
SPIELMAN, SHIMON
Individual
adp of the snfNOT APPLICABLE03/01/2023
VERITAS HEALTH SOLUTIONS LLC
Organization
adp of the snfNOT APPLICABLE04/08/2025
WITZCORP LLC
Organization
adp of the snfNOT APPLICABLE03/01/2023
YENOWITZ, YITZCHOK
Individual
adp of the snfNOT APPLICABLE03/01/2023
SPIELMAN, SHIMON
Individual
corporate officerNOT APPLICABLE03/01/2023
YENOWITZ, YITZCHOK
Individual
corporate officerNOT APPLICABLE03/01/2023
BARIAS, KAREN
Individual
managing control - governing bodyNOT APPLICABLE03/01/2023
EARL, STEVEN
Individual
managing control - governing bodyNOT APPLICABLE03/01/2023
BARIAS, KAREN
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
CAFIVE OPCO MANAGER LLC
Organization
operational/managerial controlNOT APPLICABLE03/01/2023
CAFIVE SNF CONSULTING LLC
Organization
operational/managerial controlNOT APPLICABLE03/01/2023
COUVE HEALTHCARE CONSULTING LLC
Organization
operational/managerial controlNOT APPLICABLE08/31/2023
EARL, STEVEN
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
KELAITA, DEAN
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
LICHTENHAN, CYNTHIA
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
RUHL, GINA
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
SAN ANDREAS SNF OPERATIONS LLC
Organization
operational/managerial controlNOT APPLICABLE03/01/2023
SPIELMAN, SHIMON
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
VERITAS HEALTH SOLUTIONS LLC
Organization
operational/managerial controlNOT APPLICABLE03/01/2023
YENOWITZ, YITZCHOK
Individual
operational/managerial controlNOT APPLICABLE03/01/2023

Other nursing homes near Golden San Andreas Care Center

  1. Kit Carson Nursing & Rehabilitation Center

    811 Court Street, Jackson, CA 95642 · 12.5 mi

    For-profit · 199 beds · Part of Eva Care Group

    ★★★★★1Much below average
  2. Adventist Health Sonora - D/P SNF

    179 South Fairview Lane, Sonora, CA 95370 · 21.1 mi

    Non-profit · 68 beds · Part of Adventist Health

    • CMS high performer
    ★★★★★5Much above average
  3. Golden Sonora Care Center

    19929 Greenley Road, Sonora, CA 95370 · 21.8 mi

    For-profit · 210 beds · Part of Golden SNF Operations

    ★★★★★1Much below average
  4. Oakdale Nursing and Rehabilitation Center

    275 South Oak Avenue, Oakdale, CA 95361 · 31.6 mi

    Government · 115 beds

    ★★★★★4Above average
  5. Lodi Creek Post Acute

    321 West Turner Road, Lodi, CA 95240 · 33.3 mi

    For-profit · 86 beds · Part of Links Healthcare Group

    • Abuse citation
    ★★★★★3Average
  6. Arbor Rehabilitation & Nursing Center

    900 North Church Street, Lodi, CA 95240 · 33.5 mi

    For-profit · 149 beds · Part of The Ensign Group

    ★★★★★4Above average

All nursing homes in San Andreas, CA · Compare side by side

Frequently asked questions

What is Golden San Andreas Care Center's rating?

Golden San Andreas Care Center has 2 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Golden San Andreas Care Center receive?

Its most recent standard health inspection found 15 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Golden San Andreas Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Golden San Andreas Care Center?

It is for profit - limited liability company and part of Golden SNF Operations. The ownership section on this page lists the owners and managers reported to CMS.

Where is Golden San Andreas Care Center and how do I contact it?

Golden San Andreas Care Center is at 900 Mountain Ranch Road, San Andreas, CA 95249. Phone: (209) 754-3823.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.