Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056132

Golden San Andreas Care Center

90 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $91,172.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
90
Total citations
65
Last 3 years
6
Actual harm+
4
Federal penalties
$91,172
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care31 Care Planning12 Resident Rights12 Medication & Pharmacy9 Infection Control8

Most common F-tags at this facility

F68911 F6846 F6864 F6564 F5583

Citation history

90 on record
SurveyF-TagViolationSeveritySource
Jul 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 22, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
May 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 22, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint
May 13, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Feb 6, 2025F908Keep all essential equipment working safely.DStandard
Feb 6, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Feb 6, 2025F880Provide and implement an infection prevention and control program.EStandard
Feb 6, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 6, 2025F814Dispose of garbage and refuse properly.DStandard
Feb 6, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 6, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Feb 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Feb 6, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Feb 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 6, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Feb 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Feb 6, 2025F578Honor 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.EStandard
Feb 6, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 13, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 30, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jan 30, 2024F758Implement 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.DComplaint
Jan 30, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jan 30, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jan 30, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 30, 2024F908Keep all essential equipment working safely.DStandard
Jan 30, 2024F887Educate 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.DStandard
Jan 30, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 30, 2024F881Implement a program that monitors antibiotic use.DStandard
Jan 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 30, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DStandard
Jan 30, 2024F761Ensure 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.EStandard
Jan 30, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Jan 30, 2024F730Observe each nurse aide's job performance and give regular training.DStandard
Jan 30, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 30, 2024F688Provide 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.GStandard
Jan 30, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 30, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jan 30, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jan 30, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 30, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 30, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jan 30, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Jan 30, 2024F610Respond appropriately to all alleged violations.EStandard
Jan 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Jan 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard
Jan 30, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jan 30, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 10, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Nov 10, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Oct 3, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 3, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 5, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 23, 2023F584Honor 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.DComplaint
Apr 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Mar 2, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.EComplaint
Mar 2, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Mar 2, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 9, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.CStandard
Jun 9, 2022F908Keep all essential equipment working safely.DStandard
Jun 9, 2022F887Educate 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.EStandard
Jun 9, 2022F880Provide and implement an infection prevention and control program.EStandard
Jun 9, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 9, 2022F761Ensure 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.EStandard
Jun 9, 2022F760Ensure that residents are free from significant medication errors.DStandard
Jun 9, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jun 9, 2022F732Post nurse staffing information every day.CStandard
Jun 9, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jun 9, 2022F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard
Jun 9, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jun 9, 2022F688Provide 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.DStandard
Jun 9, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
Jun 9, 2022F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Jun 9, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 9, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 9, 2022F583Keep residents' personal and medical records private and confidential.BStandard
Jun 9, 2022F578Honor 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.EStandard
Jun 9, 2022F567Honor the resident's right to manage his or her financial affairs.EStandard
Jun 9, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $91,172 and 1 payment-denial actions spanning 14 days.

DateTypeFinePayment denial
Oct 15, 2024Fine$14,293—
Jan 30, 2024Fine$52,241—
Jan 30, 2024Payment Denial—Mar 1, 2024 · 14 days
Oct 3, 2023Fine$24,638—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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