Deficiency timeline

GOLDEN SAN ANDREAS CARE CENTER

Dated inspection findings, penalties, and correction notes for this nursing home in San Andreas, CA. Newest events first.

90 eventsTimeline fines $91,172Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  2. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jul 25, 2025

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0678: Quality of Life and Care

    Quality of life & care

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected May 28, 2025

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 28, 2025

  5. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 28, 2025

  6. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Jun 13, 2025

  7. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Feb 26, 2025

  8. Class IIIPotential for more than minimal harm (D)cms

    F0883: Infection Control

    Infection control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected Feb 26, 2025

  9. Class IIIPotential for more than minimal harm (D)cms

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Feb 26, 2025

  10. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Feb 26, 2025

  11. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Feb 26, 2025

  12. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Feb 26, 2025

  13. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Feb 26, 2025

  14. Class IIIPotential for more than minimal harm (D)cms

    F0697: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected Feb 26, 2025

  15. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Feb 26, 2025

  16. Class IIIPotential for more than minimal harm (D)cms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Feb 26, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Feb 26, 2025

  18. Class IIIPotential for more than minimal harm (E)cms

    F0578: Resident Rights

    Resident rights

    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.

    Corrected Feb 26, 2025

  19. Class IIIPotential for more than minimal harm (E)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Feb 26, 2025

  20. Class IIIPotential for more than minimal harm (E)cms

    F0805: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected Feb 26, 2025

  21. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Feb 26, 2025

  22. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jan 22, 2025

  23. Fine $14,293cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  24. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Nov 22, 2024

  25. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Mar 15, 2024

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Mar 15, 2024

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Mar 15, 2024

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Mar 7, 2024

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Mar 7, 2024

  30. Class IIIPotential for more than minimal harm (D)cms

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Mar 15, 2024

  31. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Mar 15, 2024

  32. Class IImmediate jeopardy (J)cms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Mar 15, 2024

  33. Class IIActual harm (G)cms

    F0688: Quality of Life and Care

    Quality of life & care

    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.

    Corrected Mar 15, 2024

  34. Class IIIPotential for more than minimal harm (E)cms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Mar 15, 2024

  35. Class IIIPotential for more than minimal harm (E)cms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Mar 15, 2024

  36. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Mar 15, 2024

  37. Class IIIPotential for more than minimal harm (E)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Mar 15, 2024

  38. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0725: Nursing and Physician Services

    Nursing & physician services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected Mar 15, 2024

  39. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Mar 15, 2024

  40. Class IIIPotential for more than minimal harm (E)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Mar 15, 2024

  41. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Mar 15, 2024

  42. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Mar 15, 2024

  43. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Mar 15, 2024

  44. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Mar 15, 2024

  45. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Mar 15, 2024

  46. Class IIIPotential for more than minimal harm (D)cms

    F0582: Resident Rights

    Resident rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected Mar 15, 2024

  47. Class IIIPotential for more than minimal harm (D)cms

    F0622: Resident Rights

    Resident rights

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected Mar 15, 2024

  48. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Mar 15, 2024

  49. Class IIIPotential for more than minimal harm (D)cms

    F0645: Resident Assessment and Care Planning

    Assessment & care planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected Mar 15, 2024

  50. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Mar 15, 2024

  51. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Mar 15, 2024

  52. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Mar 15, 2024

  53. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Mar 15, 2024

  54. Class IIIPotential for more than minimal harm (D)cms

    F0730: Nursing and Physician Services

    Nursing & physician services

    Observe each nurse aide's job performance and give regular training.

    Corrected Mar 15, 2024

  55. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0758: Pharmacy Service

    Pharmacy services

    Implement 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.

    Corrected Mar 15, 2024

  56. Class IIIPotential for more than minimal harm (D)cms

    F0800: Nutrition and Dietary

    Nutrition & dietary

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected Mar 15, 2024

  57. Class IIIPotential for more than minimal harm (D)cms

    F0881: Infection Control

    Infection control

    Implement a program that monitors antibiotic use.

    Corrected Mar 15, 2024

  58. Class IIIPotential for more than minimal harm (D)cms

    F0883: Infection Control

    Infection control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected Mar 15, 2024

  59. Class IIIPotential for more than minimal harm (D)cms

    F0887: Infection Control

    Infection control

    Educate 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.

    Corrected Mar 15, 2024

  60. Fine $52,241cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  61. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  62. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jan 11, 2024

  63. Class IIActual harm (G)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Nov 29, 2023

  64. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Nov 29, 2023

  65. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Nov 14, 2023

  66. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Nov 14, 2023

  67. Fine $24,638cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  68. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Oct 9, 2023

  69. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Sep 22, 2023

  70. Class IIIPotential for more than minimal harm (E)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Jul 9, 2022

  71. Class IIIPotential for more than minimal harm (E)cms

    F0757: Pharmacy Service

    Pharmacy services

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected Jul 9, 2022

  72. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Jul 9, 2022

  73. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jul 9, 2022

  74. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jul 9, 2022

  75. Class IIIPotential for more than minimal harm (E)cms

    F0887: Infection Control

    Infection control

    Educate 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.

    Corrected Jul 9, 2022

  76. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Jul 9, 2022

  77. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Jul 9, 2022

  78. Class IIIPotential for more than minimal harm (D)cms

    F0661: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected Jul 9, 2022

  79. Class IIIPotential for more than minimal harm (D)cms

    F0685: Quality of Life and Care

    Quality of life & care

    Assist a resident in gaining access to vision and hearing services.

    Corrected Jul 9, 2022

  80. Class IIIPotential for more than minimal harm (D)cms

    F0688: Quality of Life and Care

    Quality of life & care

    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.

    Corrected Jul 9, 2022

  81. Class IIIPotential for more than minimal harm (D)cms

    F0691: Quality of Life and Care

    Quality of life & care

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected Jul 9, 2022

  82. Class IIIPotential for more than minimal harm (D)cms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Jul 9, 2022

  83. Class IIIPotential for more than minimal harm (D)cms

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Jul 9, 2022

  84. Class IVMinimal harm / potential for minimal harm (C)cms

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Jul 9, 2022

  85. Class IVMinimal harm / potential for minimal harm (C)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Jul 9, 2022

  86. Class IVMinimal harm / potential for minimal harm (B)cms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Jul 9, 2022

  87. Class IIIPotential for more than minimal harm (E)cms

    F0567: Resident Rights

    Resident rights

    Honor the resident's right to manage his or her financial affairs.

    Corrected Jul 9, 2022

  88. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Jul 9, 2022

  89. Class IIIPotential for more than minimal harm (E)cms

    F0578: Resident Rights

    Resident rights

    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.

    Corrected Jul 9, 2022

  90. Class IIIPotential for more than minimal harm (E)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jul 9, 2022

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile