Golden San Andreas Care Center
900 Mountain Ranch Road, San Andreas, CA 95249
Nestled in the beautiful foothills of the Mother Lode, Mark Twain Convalescent is a 99 bed skilled nursing facility with a warm, homey atmosphere. In the town of San Andreas, we are conveniently located behind Mark Twain St. Joseph’s Hospital with close proximity to the Senior Center and Highway 49.
Operated by Avalon Health Care Group, which runs 63 communities in our directory.
Golden San Andreas Care Center is licensed for 99 beds.
Federal reporting puts occupancy at about 83% of its licensed beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in June 2026 and recorded 13 deficiencies.
Residents receive about 4.1 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 50%.
The community is located in Calaveras County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 78 problems at Golden San Andreas Care Center. 6 findings involved harm to a resident, including 1 that put residents in immediate danger. 26 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $66,534. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Show 6 more
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Golden San Andreas Care Center offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 99
- Occupancy 83%
- Nursing hours per resident/day 4.1
- Annual staff turnover 50%
- Last health inspection June 2026
Resident & family reviews
No one has shared a review of Golden San Andreas Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.