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GOLDEN SAN ANDREAS CARE CENTER

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GOLDEN SAN ANDREAS CARE CENTER is a for profit - limited liability company facility in SAN ANDREAS, CA with 99 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $91K.

900 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249

Phone: 2097543823

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
056132
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
99
Residents
82
In Hospital
No
County
Calaveras
Last Inspection
Feb 6, 2025

Staffing Data

RN Hours
0.36 (nat'l avg: 0.68)
LPN Hours
1.16
CNA Hours
2.53
Total Nursing Hours
4.04 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
48.5%
RN Turnover
60.0%

What the CMS Record Reveals About GOLDEN SAN ANDREAS CARE CENTER

GOLDEN SAN ANDREAS CARE CENTER operates 99 certified beds in SAN ANDREAS, CA with approximately 82 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $91K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.04 total nursing hours per resident day (national average 3.89), with RN coverage at 0.36 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, GOLDEN SAN ANDREAS CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 48.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 25, 2025

E — Pattern - Minimal harm May 22, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 28, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 28, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: May 28, 2025

G — Isolated - Actual harm May 13, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Feb 26, 2025

E — Pattern - Minimal harm Feb 6, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 26, 2025

E — Pattern - Minimal harm Feb 6, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 26, 2025

E — Pattern - Minimal harm Feb 6, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2025

E — Pattern - Minimal harm Feb 6, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 26, 2025

E — Pattern - Minimal harm Feb 6, 2025 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Feb 26, 2025

D — Isolated - Minimal harm Jan 21, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 22, 2025

G — Isolated - Actual harm Oct 15, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Mar 15, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Mar 15, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Mar 15, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Feb 13, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 13, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Jan 30, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 15, 2024

E — Pattern - Minimal harm Jan 30, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 15, 2024

E — Pattern - Minimal harm Jan 30, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Mar 15, 2024

E — Pattern - Minimal harm Jan 30, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 15, 2024

E — Pattern - Minimal harm Jan 30, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 15, 2024

E — Pattern - Minimal harm Jan 30, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2024

G — Isolated - Actual harm Jan 30, 2024 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2024

E — Pattern - Minimal harm Jan 30, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 15, 2024

E — Pattern - Minimal harm Jan 30, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Jan 30, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 15, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.0% Yes

Penalty History 3 penalties totaling $91K

Date Type Amount
Oct 15, 2024 Fine $14K
Jan 30, 2024 Fine $52K
Jan 30, 2024 Payment Denial -
Oct 3, 2023 Fine $25K

Frequently Asked Questions

What is the overall CMS rating for GOLDEN SAN ANDREAS CARE CENTER?
GOLDEN SAN ANDREAS CARE CENTER has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (2★).
What are the staffing levels at GOLDEN SAN ANDREAS CARE CENTER?
GOLDEN SAN ANDREAS CARE CENTER reports 4.04 total nursing hours per resident day (national average: 3.89). RN hours are 0.36 per resident day (national average: 0.68). Nursing staff turnover is 48.5%.
How many beds does GOLDEN SAN ANDREAS CARE CENTER have?
GOLDEN SAN ANDREAS CARE CENTER has 99 certified beds with approximately 82 residents. The facility is located at 900 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249.
Does GOLDEN SAN ANDREAS CARE CENTER have any deficiencies on record?
Yes, GOLDEN SAN ANDREAS CARE CENTER has 50 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has GOLDEN SAN ANDREAS CARE CENTER received any fines or penalties?
Yes, GOLDEN SAN ANDREAS CARE CENTER has received 3 penalties totaling $91K.
Who owns GOLDEN SAN ANDREAS CARE CENTER?
GOLDEN SAN ANDREAS CARE CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was GOLDEN SAN ANDREAS CARE CENTER last inspected?
The most recent health inspection for GOLDEN SAN ANDREAS CARE CENTER was on Feb 6, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for GOLDEN SAN ANDREAS CARE CENTER?
GOLDEN SAN ANDREAS CARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial