Nursing home
Golden San Andreas Care Center
900 Mountain Ranch Road, San Andreas, CA 95249 · Map
For profit - Limited Liability company · Part of Golden Snf Operations (7 facilities) · 99 certified beds
Golden San Andreas Care Center is a Medicare-certified nursing home in San Andreas, California. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.04 hours per resident per day, below the California average of 4.51. Its most recent inspection on Feb 6, 2025 cited 20 deficiencies.
- 3 fines totaling $91,172In CMS records: 4 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Golden San Andreas Care Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.04 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.36 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.53 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 48.5% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 20.0 | 15.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $91,172, 4 total penalties, 1 Medicare payment denial.
What inspectors found at Golden San Andreas Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 1, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · May 22, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · May 13, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Feb 6, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 900 Mountain Ranch Road
San Andreas, CA 95249 - CMS certification #
- 056132
- Ownership
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 81.9
- Provider type
- Medicare and Medicaid
- First certified
- 1977-07-01
- Chain
- Golden Snf Operations (7 facilities)
- Setting
- Rural
Part of Golden Snf Operations
Golden Snf Operations operates 7 nursing facilities across the United States. View all Golden Snf Operations facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Golden San Andreas Care Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2026, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jun 10, 2026: programmed (planned) inspection, complete (safety). Case open. No violations cited. OSHA record. OSHA recorded the employer as San Andreas SNF Operations, LLC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Sutter Amador Hospital, Jackson. 12.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Kit Carson Nursing & Rehabilitation Center, Jackson. 12.5 miles away, straight line.
- Nearest home health agency office
- United Home Care Of Northern California, Jackson. 12.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 9.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95249 as rural (rural area).
- Dialysis within 15 miles
- Innovative Renal Care Jackson, Jackson, 14.3 miles away, straight line
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 95249.
Hospice Of Amador & Calaveras, office in Jackson, 11.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Adventist Health Home Care Services, office in Sonora, 22.6 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Sutter Valley Medical Foundation, Jackson. 12.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In San Andreas, CA, risk to homes is greater than 80% of communities in California and 97% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire very high, tornado very low, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Golden San Andreas Care Center a good nursing home?
CMS gives Golden San Andreas Care Center an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Golden San Andreas Care Center staffed?
Golden San Andreas Care Center reports 4.04 total nurse hours per resident per day, compared with the California average of 4.51.
Has Golden San Andreas Care Center had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Golden San Andreas Care Center have?
Golden San Andreas Care Center is certified for 99 beds.