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.

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 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in February 2025 and recorded 17 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.

Medicare five-star ratings

Overall ★★★★★ 1/5
Health inspections ★★★★★ 1/5
Staffing ★★★★★ 3/5
Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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 February 2025