The nursing home failed to protect residents from abuse and neglect by others. Cited January 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
GOLDEN SAN ANDREAS CARE CENTER
SAN ANDREAS, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
1 of 5 overall
Golden San Andreas Care Center has a 1-star overall rating, with a 1-star health inspection rating and a recent federal penalty with $14,293 in fines over the last 24 months. Staffing is 3 stars, and reported nurse staffing is 4.16 hours per resident per day, just above the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.157 hrs/resident/day
Quality measures
Last inspection: July 1, 2025Penalties, last 24 months: $14,293recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.157.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 1.18
- Nurse aides
- 2.65
- Weekend nursing
- 3.65
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.3%Improving
Residents with a fall causing major injury
0.8%Improving
Residents with pressure ulcers (bedsores)
5.8%Steady
Residents with a urinary tract infection
2%Steady
Residents who lost too much weight
6.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.5%Improving
Residents whose ability to walk got worse
18.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
14.6%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
29.8%Worsening
Residents with depressive symptoms
1.8%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96.3%Steady
Short-stay residents given the pneumonia vaccine
98.3%Steady
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited January 2024 — isolated incident, actual harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $14,293 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $91,172 in total fines · 1 payment denial.
- $14,293
Federal fine
Oct 15, 2024
- 14 days
Medicare/Medicaid payment denial
Jan 30, 2024
- $52,241
Federal fine
Jan 30, 2024
- $24,638
Federal fine
Oct 3, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GOLDEN SNF OPERATIONS · 7 homes · 2.6 stars avg
- Occupancy
- 84.3 residents on an average day (85% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.