Golden San Andreas Care Center

Certification

Medicare-certified.

Ratings

Inspection history (86)

Records from June 2022 to May 2026.

• January 30, 2024

  Tag F0657

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0623

  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0600

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

  Severity J: isolated, immediate jeopardy. Corrected March 15, 2024.

• January 30, 2024

  Tag F0658

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0883

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag 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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0755

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0689

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0730

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0582

  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0725

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag F0580

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• January 30, 2024

  Tag 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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2024.

• December 12, 2023

  Tag F0689

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 11, 2024.

• November 10, 2023

  Tag F0684

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

  Severity G: isolated, actual harm. Corrected November 29, 2023.

Penalties (4)

Total fines: $91,172

• October 15, 2024 · Fine

  CMS recorded a civil money penalty of $14,293 against this nursing home on October 15, 2024.

• January 30, 2024 · Fine

  CMS recorded a civil money penalty of $52,241 against this nursing home on January 30, 2024.

• January 30, 2024 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting March 1, 2024, lasting 14 days (triggered by inspection on January 30, 2024).

• October 3, 2023 · Fine

  CMS recorded a civil money penalty of $24,638 against this nursing home on October 3, 2023.

Staffing

4.12 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit