Merced, CA

Golden Merced Care Center

2-star overall rating with 2-star inspections with $103,467 in total fines with 15 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

3170 M Street, Merced, CA

(209) 723-1056

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

121

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Golden SNF Operations

Operator or chain grouping

Approved since

1968-10-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing

LPN hours / resident day

1.17

Licensed practical nurse staffing

Aide hours / resident day

2.54

Nurse aide staffing

Weekend hours

3.75

Weekend nurse staffing

RN turnover

55%

Annual RN turnover

Total nurse turnover

61%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
2.3
0.3 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 4.2
1.6
2.6 pts worse
1.8
2.4 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.3%
98.5%
11.2 pts worse
93.4%
6.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.5%
98.2%
9.7 pts worse
95.5%
7 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.1%
1.6%
0.5 pts worse
3.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.6%
6.8%
4.2 pts better
11.4%
8.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.8%
4.1%
0.3 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.4%
13.7%
3.7 pts worse
19.6%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.0%
14.2%
1.2 pts better
16.7%
3.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 23.4%
11.0%
12.4 pts worse
16.3%
7.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 21.0%
10.7%
10.3 pts worse
14.9%
6.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5%
1.0%
0.5 pts worse
1.0%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.8%
1.2%
0.4 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.4%
10.9%
17.5 pts worse
19.8%
8.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.8%
4.7%
2.1 pts worse
5.1%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.5%
94.0%
14.5 pts worse
81.7%
2.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 26.9%
11.2%
15.7 pts worse
12.0%
14.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86.0%
93.2%
7.2 pts worse
79.7%
6.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.7%
23.2%
4.5 pts worse
23.9%
3.8 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-21 · Fire 2025-03-21

15 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

5 health deficiencies

Top issue: Administration (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-04-12 · Fire 2019-04-12

16 health deficiencies

Top issue: Infection Control (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-21

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2025-03-26

F · Potential for more than minimal harm 2025-03-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-21

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-03-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-03-31

D · Potential for more than minimal harm 2025-03-21

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-03-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-03-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-01

D · Potential for more than minimal harm 2025-03-21

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-03-31

D · Potential for more than minimal harm 2025-03-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-01

C · Minimal harm 2025-03-21

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-03-26

E · Potential for more than minimal harm 2024-05-02

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-02

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-02

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-28

D · Potential for more than minimal harm 2019-04-12

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2019-06-11

D · Potential for more than minimal harm 2019-04-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-06-11

D · Potential for more than minimal harm 2019-04-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-06-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-11-20

D · Potential for more than minimal harm 2025-07-16

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-21

D · Potential for more than minimal harm 2025-07-11

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-06-11

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-04-02

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-14

E · Potential for more than minimal harm 2025-03-21

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-14

E · Potential for more than minimal harm 2025-03-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-14

E · Potential for more than minimal harm 2025-03-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-14

E · Potential for more than minimal harm 2025-03-21

F761 · Pharmacy Service Deficiencies

Health

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 2025-04-14

E · Potential for more than minimal harm 2025-03-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-14

E · Potential for more than minimal harm 2025-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-21

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-21

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-21

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-04-14

E · Potential for more than minimal harm 2025-02-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-02-28

D · Potential for more than minimal harm 2024-11-22

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-11-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-25

D · Potential for more than minimal harm 2024-05-02

F800 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-05-02

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-06-06

D · Potential for more than minimal harm 2023-10-17

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-11-09

F · Potential for more than minimal harm 2023-10-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-01

G · Actual harm 2023-09-01

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-15

D · Potential for more than minimal harm 2023-07-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-25

D · Potential for more than minimal harm 2023-03-29

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-12

F · Potential for more than minimal harm 2023-03-24

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-04-05

F · Potential for more than minimal harm 2023-03-24

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-04-05

F · Potential for more than minimal harm 2023-03-24

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-04-05

D · Potential for more than minimal harm 2023-03-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-23

G · Actual harm 2019-04-12

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-07-03

F · Potential for more than minimal harm 2019-04-12

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2019-07-03

F · Potential for more than minimal harm 2019-04-12

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2019-07-03

E · Potential for more than minimal harm 2019-04-12

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-07-03

D · Potential for more than minimal harm 2019-04-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-07-03

D · Potential for more than minimal harm 2019-04-12

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2019-07-03

D · Potential for more than minimal harm 2019-04-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-07-03

Penalties and ownership

What sits behind the stars

$83,538 2023-09-01

Fine

Fine · fine $83,538

Fine

$4,196 2023-08-14

Fine

Fine · fine $4,196

Fine

$3,846 2023-08-07

Fine

Fine · fine $3,846

Fine

$9,440 2023-07-17

Fine

Fine · fine $9,440

Fine

$2,447 2023-06-26

Fine

Fine · fine $2,447

Fine

Ownership

Cafive Operations Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2023-03-01
Barias, Karen

Operational/Managerial Control · Individual

0% 4 facilities 2025-03-03
Booth, Jeanette

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-01
Cafive Opco Manager LLC

Operational/Managerial Control · Organization

0% 3 facilities 2023-03-01
Cafive SNF Consulting LLC

Operational/Managerial Control · Organization

0% 3 facilities 2023-03-01
Ch Cafive Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2023-03-01
Couve Healthcare Consulting LLC

Operational/Managerial Control · Organization

0% 48 facilities 2023-08-31
Herzka, Yisroel

5% Or Greater Indirect Ownership Interest · Individual

0% 82 facilities 2023-03-01
Meador, Daniel

Operational/Managerial Control · Individual

0% 3 facilities 2023-03-01
Merced SNF Operations LLC

Operational/Managerial Control · Organization

0% 1 facilities 2023-03-01
Merced SNF Realty LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2023-03-01
Noyes, Deborah

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-01
Perlman, Harold

Operational/Managerial Control · Individual

0% 43 facilities 2025-03-03
Spielman, Shimon

Operational/Managerial Control · Individual

0% 46 facilities 2023-03-01
Spielman, Shimon

Corporate Officer · Individual

0% 46 facilities 2023-03-01
Veritas Health Solutions LLC

Operational/Managerial Control · Organization

0% 11 facilities 2023-03-01
Witzcorp LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2023-03-01
Yenowitz, Yitzchok

5% Or Greater Indirect Ownership Interest · Individual

0% 48 facilities 2023-03-01
Yenowitz, Yitzchok

Operational/Managerial Control · Individual

0% 48 facilities 2023-03-01
Yenowitz, Yitzchok

Corporate Officer · Individual

0% 48 facilities 2023-03-01

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Fines
$9,110

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