AVALON HEALTH CARE-SAN ANDREAS
NPI 1215921242
Skilled Nursing Facility in San Andreas, CA

Q: What is Avalon Care Center-San Andreas LLC's NPI number?

The NPI number for Avalon Care Center-San Andreas LLC is 1215921242. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Avalon Health Care-San Andreas.

Q: What is Avalon Care Center-San Andreas LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Avalon Care Center-San Andreas LLC have?

CMS rates Golden San Andreas Care Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since September 06, 2005

1/5

Overall Rating

900 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249(209) 754-3823(209) 754-5621 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2022, Aug 10, 2022, Jun 14, 2017 (3 updates tracked since 2017).

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About Avalon Health Care-san Andreas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON HEALTH CARE-SAN ANDREAS (NPI 1215921242) is a healthcare organization registered as a skilled nursing facility in San Andreas, California and active in the NPI registry since September 2005. The organization lists Charles Kirton, Ceo/chairman, as its authorized official.

NPPES Registry Identity

NPI1215921242

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameAVALON CARE CENTER-SAN ANDREAS LLC

Location Address900 MOUNTAIN RANCH RDSan Andreas, CA 95249-9713

Mailing Address206 N 2100 WSalt Lake City, UT 84116-4740 · (801) 596-8844 · Fax (801) 596-9001

Phone(209) 754-3823

Fax(209) 754-5621

Organization SubpartNo

Authorized OfficialCharles KirtonCeo/chairman · (801) 596-8844

Enumeration DateSeptember 6, 2005

Last NPPES UpdateAugust 17, 20223 updates tracked since enumeration

NPPES CertifiedAugust 17, 2022

✔ NPI 1215921242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in CA · 030000135

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

900 MOUNTAIN RANCH RD, San Andreas, CA 95249

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Other Names 1

Doing Business AsAvalon Health Care-san Andreas

Other Identifiers 1

MedicaidZZR061321ICA

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Golden San Andreas Care Center (CMS certification number 056132), from CMS Care Compare.

Golden San Andreas Care Center

Nursing home · San Andreas, CA

1/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number056132

Certified Beds99 beds72 residents per day on average

Medicare & Medicaid Participant SinceJuly 1, 1977

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

230.83

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.92 · LPN 1.2 · RN 0.48

4.61 hrs per resident per day

Weekend Nurse Staffing

3.98 hrs per resident per day

Physical Therapist Staffing

0.02 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

71.3%

Registered Nurse Turnover

88.9%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

8 totaling $124,763.93

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INFINITE MEDICAL CA PC

Family Medicine