California › Calaveras County › San Andreas
Golden San Andreas Care Center
900 Mountain Ranch Road, San Andreas, CA 95249
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Golden San Andreas Care Center, in San Andreas, California, is certified for 99 beds under for-profit, limited liability company ownership and belongs to the Golden Snf Operations chain.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 78 health deficiencies across the three most recent survey cycles (14, 22, 42 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 78.8 per 100 beds, more than the state median of 51.1.
CMS lists 4 penalties in the period covered: fines totalling $91K and 1 payment denial.
Reported nurse staffing is 4.1 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 49.5%.
78health deficiencies, 3 survey cycles6 at actual harm or worse
$91Kfines listed by CMS4 penalties in period
4.1nurse hours per resident per daystate median 4.2
83%occupancy (residents ÷ beds)82 residents a day
Compared with county, state and nation
| Measure | This facility | Calaveras Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 78 | 78 | 44 | 28.7 |
| Citations per 100 beds | 78.8 | 78.8 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 49.5% | 49.5% | 36.4% | 45.8% |
| Fines listed | $91,172 | $91,172 | $0 | — |
County and state figures are medians across facilities (1 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Jun 2026, 6 Feb 2025.
Severity mix: J ×1 G ×5 D ×53 E ×19
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Jun 2026 |
| 12 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Jun 2026 |
| 12 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Jul 2026 |
| 12 Jun 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 1 Jul 2026 |
| 12 Jun 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 1 Jul 2026 |
| 12 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Jul 2026 |
| 12 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Jun 2026 |
| 12 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Jul 2026 |
| 12 Jun 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 1 Jul 2026 |
| 12 Jun 2026 | F0761 | 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. | D | Standard survey | 1 Jul 2026 |
| 12 Jun 2026 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | D | Standard survey | 1 Jul 2026 |
| 12 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Jun 2026 |
| 4 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 9 Jun 2026 |
| 29 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 Jun 2026 |
| 1 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Jul 2025 |
| 22 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 28 May 2025 |
| 22 May 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 28 May 2025 |
| 22 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 May 2025 |
| 13 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 13 Jun 2025 |
| 6 Feb 2025 | F0578 | 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. | E | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 26 Feb 2025 |
| 6 Feb 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 26 Feb 2025 |
| 21 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Jan 2025 |
| 15 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Nov 2024 |
| 15 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Mar 2024 |
| 15 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Mar 2024 |
| 15 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Mar 2024 |
| 13 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 7 Mar 2024 |
| 13 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Mar 2024 |
| 30 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0688 | 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. | G | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 15 Mar 2024 |
| 30 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 15 Mar 2024 |
| 30 Jan 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0761 | 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. | E | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 15 Mar 2024 |
| 30 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Mar 2024 |
| 30 Jan 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0622 | 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. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0758 | 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. | D | Complaint investigation | 15 Mar 2024 |
| 30 Jan 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0887 | 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. | D | Standard survey | 15 Mar 2024 |
| 30 Jan 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 15 Mar 2024 |
| 12 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Jan 2024 |
| 10 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 29 Nov 2023 |
| 10 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 29 Nov 2023 |
| 3 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Nov 2023 |
| 3 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Nov 2023 |
| 27 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Oct 2023 |
| 5 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Oct 2024 | Fine | $14,293 | |
| 30 Jan 2024 | Payment denial | — | 14 days |
| 30 Jan 2024 | Fine | $52,241 | |
| 3 Oct 2023 | Fine | $24,638 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 49.5%, RNs 60.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.9% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.5% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: San Andreas Snf Operations Llc. Chain: Golden Snf Operations (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cafive Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 03/01/2023 |
| Ch Cafive Holdings LLC | 5% or greater indirect ownership interest | 61% | 03/01/2023 |
| Cafive Opco Manager LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Cafive SNF Consulting LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Couve Healthcare Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| San Andreas SNF Operations LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Veritas Health Solutions LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Cafive Opco Manager LLC | Adp of the snf | NOT APPLICABLE | 04/08/2025 |
| Cafive SNF Consulting LLC | Adp of the snf | NOT APPLICABLE | 04/08/2025 |
| Couve Healthcare Consulting LLC | Adp of the snf | NOT APPLICABLE | 04/08/2025 |
| San Andreas SNF Operations LLC | Adp of the snf | NOT APPLICABLE | 04/08/2025 |
| San Andreas SNF Realty LLC | Adp of the snf | NOT APPLICABLE | 04/08/2025 |
| Veritas Health Solutions LLC | Adp of the snf | NOT APPLICABLE | 04/08/2025 |
| Witzcorp LLC | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Golden San Andreas Care Center been cited for?
78 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Golden San Andreas Care Center been fined?
Yes. CMS lists fines totalling $91K in the period covered, plus 1 payment denial.
How does staffing at Golden San Andreas Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Golden San Andreas Care Center?
It is part of the Golden Snf Operations chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cafive Operations Holdings LLC, Ch Cafive Holdings LLC and Cafive Opco Manager LLC. Individual owners and managers are not listed on this site.
When was Golden San Andreas Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 12 Jun 2026; the most recent standard health survey was 12 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.