Golden San Andreas Care Center
Nursing Home · San Andreas, CA
CMS certification number056132
Contact & location
900 Mountain Ranch RoadSan Andreas, CA 95249
Calaveras County
- Phone
- (209) 754-3823
- ZIP code
- 95249 – all care providers
Facility details
- Certified beds
- 99
- Residents per day
- 81.9 (83% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- San Andreas SNF Operations LLC
- Chain
- Golden SNF Operations (7 facilities, avg 2.9★)
- Medicare certified since
- July 1, 1977
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.09 (state 4.52 · U.S. 3.86)
- Registered nurses (RN)
- 0.25 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 1.31 (state 1.20 · U.S. 0.86)
- Nurse aides
- 2.53 (state 2.65 · U.S. 2.32)
- Weekend total
- 3.62 (state 4.09 · U.S. 3.42)
- Nursing staff turnover
- 49.5 (state 36.7 · U.S. 45.8)%
- RN turnover
- 60.0 (state 38.1 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- June 12, 2026
- Health deficiencies (last cycle)
- 13.0 (state 15.7 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 66 health · 14 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-17 |
| 2026-06-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-06-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-12 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-12 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-29 |
| 2026-06-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-12 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-12 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-12 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0841 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-12 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-29 |
| 2026-06-04 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-09 |
| 2026-05-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-09 |
| 2025-07-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-25 |
| 2025-05-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-28 |
| 2025-05-22 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-28 |
| 2025-05-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-28 |
| 2025-05-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-06-13 |
| 2025-02-06 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-06 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-01-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-22 |
| 2024-10-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-22 |
| 2024-03-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-03-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-03-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-02-13 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-07 |
| 2024-02-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-07 |
| 2024-01-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-03-15 |
| 2024-01-30 | Provide 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. F0688 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-03-15 |
| 2024-01-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-30 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-30 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-30 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $91,172 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-10-15 | Fine | $14,293 |
| 2024-01-30 | Payment Denial | 14 days payment denial |
| 2024-01-30 | Fine | $52,241 |
| 2023-10-03 | Fine | $24,638 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Cafive Operations Holdings LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| CH Cafive Holdings LLC (organization) | 5%+ Indirect Ownership Interest · 61% | |
| Barias, Karen (individual) | Administrator · NOT APPLICABLE | |
| Cafive Opco Manager LLC (organization) | Administrator · NOT APPLICABLE | |
| Cafive SNF Consulting LLC (organization) | Administrator · NOT APPLICABLE | |
| Couve Healthcare Consulting LLC (organization) | Administrator · NOT APPLICABLE | |
| Earl, Steven (individual) | Administrator · NOT APPLICABLE | |
| Herzka, Yisroel (individual) | Administrator · NOT APPLICABLE | |
| Kelaita, Dean (individual) | Administrator · NOT APPLICABLE | |
| Lichtenhan, Cynthia (individual) | Administrator · NOT APPLICABLE | |
| Ruhl, Gina (individual) | Administrator · NOT APPLICABLE | |
| San Andreas SNF Operations LLC (organization) | Administrator · NOT APPLICABLE | |
| San Andreas SNF Realty LLC (organization) | Administrator · NOT APPLICABLE | |
| Spielman, Shimon (individual) | Administrator · NOT APPLICABLE | |
| Veritas Health Solutions LLC (organization) | Administrator · NOT APPLICABLE | |
| Witzcorp LLC (organization) | Administrator · NOT APPLICABLE | |
| Yenowitz, Yitzchok (individual) | Administrator · NOT APPLICABLE | |
| Spielman, Shimon (individual) | Corporate Officer · NOT APPLICABLE | |
| Yenowitz, Yitzchok (individual) | Corporate Officer · NOT APPLICABLE | |
| Barias, Karen (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Earl, Steven (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Barias, Karen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cafive Opco Manager LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Cafive SNF Consulting LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Couve Healthcare Consulting LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Earl, Steven (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kelaita, Dean (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lichtenhan, Cynthia (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ruhl, Gina (individual) | Operational/managerial Control · NOT APPLICABLE | |
| San Andreas SNF Operations LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Spielman, Shimon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Veritas Health Solutions LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Yenowitz, Yitzchok (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Golden San Andreas Care Center?
Golden San Andreas Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.
How many beds does Golden San Andreas Care Center have?
It has 99 certified beds and cares for about 82 residents per day.
Has Golden San Andreas Care Center been fined?
Yes. CMS lists 4 penalties totaling $91,172 in the last three years.
Who owns Golden San Andreas Care Center?
It is part of Golden SNF Operations and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Golden San Andreas Care Center?
(209) 754-3823. The facility is located at 900 Mountain Ranch Road, San Andreas, CA 95249.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.