Starfile

Starfile / California

GOLDEN SAN ANDREAS CARE CENTER

900 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249 · CCN 056132

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
99
Avg residents/day
81.9
Phone
2097543823

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-02-062015.69.5+4.4 worse
22024-01-303517.49.8+17.6 worse
32022-06-093517.19.3+17.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care8
Resident assessment and care planning3
Resident rights2
Nutrition and dietary3
Pharmacy service1
Environmental1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.0448.5%
RN staffing (reported)0.3660.0%
Total nurse staffing (adjusted)4.56—

Fines & penalties

Total fines
$91,172
Number of fines
3
Number of penalties
4
Payment denials
1

Chain

Chain
GOLDEN SNF OPERATIONS
Facilities in chain
7
Chain avg overall
2.30 / 5

Inspection citations (90)1 immediate jeopardy5 actual harm

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-01 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  2. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-05-22 · Health · corrected 2025-05-28

    Potential for more than minimal harm

  3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-22 · Health · corrected 2025-05-28

    Potential for more than minimal harm

  4. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-22 · Health · corrected 2025-05-28

    Potential for more than minimal harm

  5. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-13 · Health · corrected 2025-06-13

    Actual harm

  6. DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  7. EF0578Honor 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.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  8. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  10. DF0692Provide enough food/fluids to maintain a resident's health.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  12. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  13. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  14. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  15. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  16. DF0814Dispose of garbage and refuse properly.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  17. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  18. EF0880Provide and implement an infection prevention and control program.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  19. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  20. DF0908Keep all essential equipment working safely.2025-02-06 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-21 · Health · corrected 2025-01-22

    Potential for more than minimal harm

  22. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-15 · Health · corrected 2024-11-22

    Actual harm

  23. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  24. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-15 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  26. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-13 · Health · corrected 2024-03-07

    Potential for more than minimal harm

  27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-13 · Health · corrected 2024-03-07

    Potential for more than minimal harm

  28. DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  29. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  30. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  31. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-30 · Health · corrected 2024-03-15

    Immediate jeopardy

  32. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  33. EF0610Respond appropriately to all alleged violations.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  34. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  35. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  36. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  37. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  38. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  39. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  40. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  41. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  42. GF0688Provide 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 · Health · corrected 2024-03-15

    Actual harm

  43. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  44. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  45. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  46. DF0730Observe each nurse aide's job performance and give regular training.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  47. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  48. DF0758Implement 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.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  49. EF0759Ensure medication error rates are not 5 percent or greater.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  50. EF0761Ensure 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.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  51. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  52. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  53. EF0880Provide and implement an infection prevention and control program.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  54. DF0881Implement a program that monitors antibiotic use.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  55. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  56. DF0887Educate 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.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  57. DF0908Keep all essential equipment working safely.2024-01-30 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  58. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-12 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  59. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-10 · Health · corrected 2023-11-29

    Actual harm

  60. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-10 · Health · corrected 2023-11-29

    Actual harm

  61. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-03 · Health · corrected 2023-11-14

    Potential for more than minimal harm

  62. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-03 · Health · corrected 2023-11-14

    Potential for more than minimal harm

  63. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-27 · Health · corrected 2023-10-09

    Potential for more than minimal harm

  64. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-05 · Health · corrected 2023-09-22

    Potential for more than minimal harm

  65. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-05-23 · Health · corrected 2023-06-06

    Potential for more than minimal harm

  66. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-12 · Health · corrected 2023-04-12

    Potential for more than minimal harm

  67. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-02 · Health · corrected 2023-03-14

    Potential for more than minimal harm

  68. DF0760Ensure that residents are free from significant medication errors.2023-03-02 · Health · corrected 2023-03-14

    Potential for more than minimal harm

  69. EF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-03-02 · Health · corrected 2023-03-14

    Potential for more than minimal harm

  70. DF0558Reasonably accommodate the needs and preferences of each resident.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  71. EF0567Honor the resident's right to manage his or her financial affairs.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  72. EF0578Honor 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.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  73. BF0583Keep residents' personal and medical records private and confidential.2022-06-09 · Health · corrected 2022-07-09

    Potential for minimal harm

  74. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  75. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  76. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  77. DF0685Assist a resident in gaining access to vision and hearing services.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  78. DF0688Provide 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.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  79. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  80. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  81. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  82. CF0732Post nurse staffing information every day.2022-06-09 · Health · corrected 2022-07-09

    Potential for minimal harm

  83. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  84. DF0760Ensure that residents are free from significant medication errors.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  85. EF0761Ensure 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.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  86. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  87. EF0880Provide and implement an infection prevention and control program.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  88. EF0887Educate 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.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  89. DF0908Keep all essential equipment working safely.2022-06-09 · Health · corrected 2022-07-09

    Potential for more than minimal harm

  90. CF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-06-09 · Health · corrected 2022-07-09

    Potential for minimal harm

Ownership

OwnerTypeRolePercentSince
CAFIVE OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-03-01
CH CAFIVE HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-03-01
WITZCORP LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-03-01
HERZKA, YISROELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-03-01
YENOWITZ, YITZCHOKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-03-01
CAFIVE OPCO MANAGER LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
CAFIVE SNF CONSULTING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
COUVE HEALTHCARE CONSULTING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2023-08-31
SAN ANDREAS SNF OPERATIONS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
VERITAS HEALTH SOLUTIONS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
BARIAS, KARENIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
EARL, STEVENIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
KELAITA, DEANIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
LICHTENHAN, CYNTHIAIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
PERLMAN, HAROLDIndividualOPERATIONAL/MANAGERIAL CONTROL—2025-03-03
RUHL, GINAIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
SPIELMAN, SHIMONIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
YENOWITZ, YITZCHOKIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
SPIELMAN, SHIMONIndividualCORPORATE OFFICER—2023-03-01
YENOWITZ, YITZCHOKIndividualCORPORATE OFFICER—2023-03-01

Other facilities in SAN ANDREAS

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.