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

GOLDEN SAN ANDREAS CARE CENTER

SAN ANDREAS, CA · 99 certified beds · Last Life Safety survey June 12, 2026

CMS Certification Number 056132 · first certified July 1977

Ownership

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

  • Ownership changed March 1, 2023 (change of ownership)from AVALON CARE CENTER - SAN ANDREAS, LLC
22
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within CA

22 citations — more than 60% 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

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

The latest survey found 7 citations; the earlier surveys in the window averaged 5. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 9 months from now. This facility’s last Life Safety survey was June 2026. 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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Which alerts

5 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.

Physical environment (health survey)

15 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 22 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.

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.

This facility22CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
82024-0112024-0762025-0272026-06
Citations at each Life Safety survey
Survey dateCitations
January 30, 20248
July 30, 20241
February 6, 20256
June 12, 20267

Most-cited tags

Most-cited tags at this facility
K-09184K-03553K-03532K-03632K-09192K-07122K-09202K-09291
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.42026-06-12
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.32026-06-12
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-06-12
K-0363Install corridor and hallway doors that block smoke.22026-06-12
K-0919Meet requirements for the use of electrical equipment.22026-06-12
K-0712Have simulated fire drills held at unexpected times.22026-06-12
K-0920Ensure proper usage of power strips and extension cords.22026-06-12
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12024-01-30

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 10
  • Smoke Deficiencies 9
  • Miscellaneous Deficiencies 2
  • Construction Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies10
Smoke Deficiencies9
Miscellaneous Deficiencies2
Construction Deficiencies1

Every citation on file

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

June 12, 2026 — 7 citations

Citations issued on June 12, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 16, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 18, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 19, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 16, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 23, 2026)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (June 22, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 18, 2026)

February 6, 2025 — 6 citations

Citations issued on February 6, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 13, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 13, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 3, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 5, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (March 3, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 19, 2025)

July 30, 2024 — 1 citation

Citations issued on July 30, 2024
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 16, 2024)

January 30, 2024 — 8 citations

Citations issued on January 30, 2024
TagWhat the surveyor checksStatus
K-0321Ensure 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 (March 6, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 6, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 6, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 6, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 6, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 6, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 6, 2024)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (March 6, 2024)

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