Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

GOLDEN MODESTO CARE CENTER

MODESTO, CA · 120 certified beds · Last Life Safety survey September 19, 2024

CMS Certification Number 056301 · first certified August 1974

Ownership

Operated by GOLDEN SNF OPERATIONS · For profit - Limited Liability company

Ownership changed March 1, 2023 (change of ownership)from AVALON CARE CENTER - MODESTO HYLOND LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CA

24 citations — more than 67% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (September 2025 to March 2026). Most CA facilities have been surveyed by February 2027. This facility’s last Life Safety survey was September 2024. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 24 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

13 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 24 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0584 Honor 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.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	24
Median facility in CA	19
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
May 18, 2018	8
August 9, 2019	11
September 19, 2024	5

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-09-19
K-0920	Ensure proper usage of power strips and extension cords.	2	2024-09-19
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-09-19
K-0363	Install corridor and hallway doors that block smoke.	2	2019-08-09
E-0013	Develop Emergency Preparedness policies and procedures.	1	2018-05-18
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2019-08-09
E-0026	Establish roles under a Waiver declared by secretary.	1	2019-08-09
E-0032	Provide primary/alternate means for communication.	1	2019-08-09

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 8
Smoke Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 5
Egress Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	8
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	5
Egress Deficiencies	2
Miscellaneous Deficiencies	1
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 19, 2024 — 5 citations

Citations issued on September 19, 2024
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (October 9, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 9, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 9, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 9, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 9, 2024)

August 9, 2019 — 11 citations

Citations issued on August 9, 2019
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 11, 2019)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (October 11, 2019)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (October 11, 2019)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (October 11, 2019)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (October 11, 2019)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (October 11, 2019)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 11, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 11, 2019)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (October 11, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 11, 2019)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (October 11, 2019)

May 18, 2018 — 8 citations

Citations issued on May 18, 2018
Tag	What the surveyor checks	Status
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (July 10, 2018)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (July 10, 2018)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (July 10, 2018)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (July 10, 2018)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 10, 2018)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (July 10, 2018)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 10, 2018)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (July 10, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.