GOLDEN SAN ANDREAS CARE CENTER
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-05-13 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-10-15 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-30 — ACTUAL HARM (tag F0688, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
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.
2024-01-30 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-11-10 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-11-10 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.64
state median 3.94
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.12
registered nurses only
Contract (agency) staff
9%
share of all nursing hours
Days with zero RN hours reported
13
with residents present
Nursing staff turnover
50%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $91,172 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-10-15 | Fine | $14,293 |
| 2024-01-30 | Fine | $52,241 |
| 2024-01-30 | Payment Denial | payment denial |
| 2023-10-03 | Fine | $24,638 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the GOLDEN SNF OPERATIONS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Madera Care Center (MADERA, CA) —
- GOLDEN HEIGHTS HEALTHCARE (DALY CITY, CA) —
- GOLDEN MERCED CARE CENTER (MERCED, CA) —
- GOLDEN MODESTO CARE CENTER (MODESTO, CA) —
- GOLDEN PAVILION HEALTHCARE (DALY CITY, CA) —
- GOLDEN SONORA CARE CENTER (SONORA, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-29 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-22 | F0678 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-22 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-22 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-05-13 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-02-06 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-06 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-06 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-02-06 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-06 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-02-06 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-02-06 | F0814 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-02-06 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-06 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-02-06 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2025-02-06 | F0908 | Environmental Deficiencies | D | not recorded |
| 2025-01-21 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-15 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-03-15 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-15 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-15 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-13 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-30 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-30 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-30 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-01-30 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-01-30 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-01-30 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-30 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-30 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-01-30 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-01-30 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-01-30 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-01-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-30 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-30 | F0688 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-01-30 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-30 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-30 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-01-30 | F0730 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-01-30 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-01-30 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-01-30 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-01-30 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-01-30 | F0800 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-01-30 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-01-30 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-01-30 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2024-01-30 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2024-01-30 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2024-01-30 | F0908 | Environmental Deficiencies | D | not recorded |
| 2023-12-12 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-10 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-11-10 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-10-03 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-03 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-27 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-05 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-06-09 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2022-06-09 | F0567 | Resident Rights Deficiencies | E | not recorded |
| 2022-06-09 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2022-06-09 | F0583 | Resident Rights Deficiencies | B | not recorded |
| 2022-06-09 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-06-09 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-06-09 | F0661 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-06-09 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-06-09 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-06-09 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-06-09 | F0691 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-06-09 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-06-09 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2022-06-09 | F0757 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-06-09 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-06-09 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-06-09 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-06-09 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2022-06-09 | F0887 | Infection Control Deficiencies | E | not recorded |
| 2022-06-09 | F0908 | Environmental Deficiencies | D | not recorded |
| 2022-06-09 | F0921 | Environmental Deficiencies | C | not recorded |