Map showing the location of GOLDEN MODESTO CARE CENTER in MODESTO, California
1900 COFFEE ROAD, MODESTO, CA, 95355

Overall Score

CMS Five-Star Quality Rating
2/5Below averageCMS Five-Star overall rating

Where it ranks

  • CaliforniaAbove only 16% of peers1,154 rated homes · average 3.2★
  • Stanislaus CountyAbove only 19% of peers17 rated homes · average 3.0★
  • United StatesAbove only 20% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point2★−0.8 vs CA avg
  • StaffingCan add or remove a star2★−1.1 vs CA avg
  • Quality measuresCan add or remove a star4★−0.1 vs CA avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles2★Above only 19% of peersCA avg2.8★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover2★Above only 8% of peersCA avg3.1★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above only 24% of peersCA avg4.1★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff4.16hrsAbove only 42% of peersCA avg4.51Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.33hrsAbove only 19% of peersCA avg0.65Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better49%Above only 17% of peersCA avg38%RN turnover67%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$353,833Lowest tier among peersCA avg$26,970Fines · denials15 · 2
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
70citations
20inspection dates
10actual harm (G–I)
0immediate jeopardy (J–L)
Aug 21, 2025most recent

Citations by monthMay 2018 – Aug 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Aug 21, 20253 citationsCycle 1worst G · actual harm$42,114
  1. F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningD · isolatedCorrected Sep 19, 2025
  2. F692Provide enough food/fluids to maintain a resident's health.Quality of Life and CareG · isolatedCorrected Sep 19, 2025
  3. F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Resident RightsD · isolatedCorrected Sep 19, 2025
Apr 9, 20251 citationCycle 1worst D · no actual harm
  1. F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Resident RightsD · isolatedCorrected Apr 10, 2025
Mar 18, 20252 citationsCycle 1worst D · no actual harm
  1. F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Nutrition and DietaryD · isolatedCorrected Apr 12, 2025
  2. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Apr 12, 2025
Dec 11, 20242 citationsCycle 2worst G · actual harm$33,430
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Jan 10, 2025
  2. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceD · isolatedCorrected Jan 10, 2025
Oct 25, 20241 citationCycle 2worst D · no actual harm
  1. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Nov 14, 2024
Oct 10, 20242 citationsCycle 2worst G · actual harm
  1. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Nov 14, 2024
  2. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Nov 14, 2024
Sep 19, 20246 citationsCycle 1worst E · no actual harmpayment denial
  1. F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy ServiceD · isolatedCorrected Oct 19, 2024
  2. F759Ensure medication error rates are not 5 percent or greater.Pharmacy ServiceD · isolatedCorrected Oct 19, 2024
  3. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceD · isolatedCorrected Oct 19, 2024
  4. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Oct 19, 2024
  5. F645PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care PlanningD · isolatedCorrected Oct 19, 2024
  6. F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care PlanningD · isolatedCorrected Oct 19, 2024
Apr 26, 20241 citationCycle 2worst G · actual harm$60,834
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Jun 5, 2024
Dec 21, 20231 citationCycle 3worst D · no actual harm
  1. F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningD · isolatedCorrected Jan 26, 2024
Nov 22, 20231 citationCycle 3worst D · no actual harm$4,587, $4,587
  1. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected May 27, 2022
Nov 21, 20231 citationCycle 3worst D · no actual harm$4,587, $4,587
  1. F583Keep residents' personal and medical records private and confidential.Resident RightsD · isolatedCorrected Feb 21, 2023
Nov 8, 20232 citationsCycle 3worst D · no actual harm$4,587, $4,587
  1. F624Prepare residents for a safe transfer or discharge from the nursing home.Resident RightsD · isolatedCorrected Dec 8, 2023
  2. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Dec 8, 2023
Oct 10, 20231 citationCycle 3worst E · no actual harm$4,587, $4,587, $4,587
  1. F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Nutrition and DietaryE · patternCorrected Nov 16, 2023
Sep 26, 20232 citationsCycle 3worst D · no actual harm$4,587, $4,587, $4,587, $4,587
  1. F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsD · isolatedCorrected Oct 20, 2023
  2. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Oct 20, 2023
Sep 5, 20231 citationCycle 3worst D · no actual harm$4,587, $4,587, $4,587, $4,587
  1. F602Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Sep 28, 2023
Aug 28, 20231 citationCycle 3worst D · no actual harm$4,587, $166,302, payment denial
  1. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Oct 9, 2023
Aug 17, 20233 citationsCycle 3worst H · actual harm$4,587, $166,302, payment denial
  1. F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.AdministrationF · widespreadCorrected Sep 23, 2023
  2. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareH · patternCorrected Sep 23, 2023
  3. Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.AdministrationE · patternCorrected Sep 23, 2023
May 25, 20231 citationCycle 3worst D · no actual harm
  1. F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care PlanningD · isolatedCorrected Jun 27, 2023
Aug 9, 201912 citationsCycle 2worst H · actual harm
  1. F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EnvironmentalE · patternCorrected Sep 9, 2019
  2. F908Keep all essential equipment working safely.EnvironmentalE · patternCorrected Sep 9, 2019
  3. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryD · isolatedCorrected Sep 9, 2019
  4. F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Nutrition and DietaryE · patternCorrected Sep 9, 2019
  5. F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and CareD · isolatedCorrected Sep 9, 2019
  6. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareH · patternCorrected Sep 9, 2019
  7. F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareG · isolatedCorrected Sep 9, 2019
  8. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningH · patternCorrected Sep 9, 2019
  9. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningD · isolatedCorrected Sep 9, 2019
  10. F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident RightsE · patternCorrected Sep 9, 2019
  11. F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.AdministrationE · patternCorrected Sep 9, 2019
  12. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareG · isolatedCorrected Sep 9, 2019
May 18, 201826 citationsCycle 3worst G · actual harm
  1. F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsE · patternCorrected Jun 19, 2018
  2. F565Honor the resident's right to organize and participate in resident/family groups in the facility.Resident RightsE · patternCorrected Jun 19, 2018
  3. F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Resident RightsC · widespreadCorrected Jun 19, 2018
  4. F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident RightsD · isolatedCorrected Jun 19, 2018
  5. F583Keep residents' personal and medical records private and confidential.Resident RightsD · isolatedCorrected Jun 19, 2018
  6. F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident RightsE · patternCorrected Jun 19, 2018
  7. F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Freedom from Abuse, Neglect, and ExploitationE · patternCorrected Jun 19, 2018
  8. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningD · isolatedCorrected Jun 19, 2018
  9. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningE · patternCorrected Jun 19, 2018
  10. F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care PlanningE · patternCorrected Jun 19, 2018
  11. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningE · patternCorrected Jun 19, 2018
  12. F660Plan the resident's discharge to meet the resident's goals and needs.Resident Assessment and Care PlanningG · isolatedCorrected Aug 15, 2018
  13. F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Resident Assessment and Care PlanningD · isolatedCorrected Jun 19, 2018
  14. F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and CareD · isolatedCorrected Jun 19, 2018
  15. F692Provide enough food/fluids to maintain a resident's health.Quality of Life and CareE · patternCorrected Jun 19, 2018
  16. F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Nutrition and DietaryD · isolatedCorrected Jun 19, 2018
  17. F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Nutrition and DietaryF · widespreadCorrected Jun 19, 2018
  18. F803Ensure 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.Nutrition and DietaryE · patternCorrected Jun 19, 2018
  19. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected Jun 19, 2018
  20. F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Nutrition and DietaryE · patternCorrected Jun 19, 2018
  21. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryE · patternCorrected Jun 19, 2018
  22. F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Nutrition and DietaryF · widespreadCorrected Jun 19, 2018
  23. F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care PlanningD · isolatedCorrected Jun 19, 2018
  24. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Jun 19, 2018
  25. F919Make sure that a working call system is available in each resident's bathroom and bathing area.EnvironmentalE · patternCorrected Jun 19, 2018
  26. F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EnvironmentalE · patternCorrected Jun 19, 2018

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined4.16hrsAbove only 42% of peers−0.35 vs CA avg
  • Registered nursesRN hours only0.33hrsAbove only 19% of peers−0.32 vs CA avg
  • Licensed practical nursesLPN hours1.33hrs
  • Nurse aidesCNA hours2.50hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.94hrs
  • California average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better49%Above only 17% of peersCA avg 38%
  • RN turnoverRegistered nurses only67%Not ranked by CMS
  • Administrators who leftIn the past year3Leadership changed
  • Occupancy120 certified beds · ~107 residents a day89%Above only 38% of peersCA avg 88%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $353,833In fines
  • 15Fines
  • 2Payment denials
  • $26,970CA avg in fines
Lowest tier among peersMore in fines than nearly every rated home in California

Actions on record

  1. Aug 21, 2025Civil money penalty$42,114
  2. Dec 11, 2024Civil money penalty$33,430
  3. Sep 19, 2024Denial of payment for new admissionsfrom Nov 8, 2024
  4. Apr 26, 2024Civil money penalty$60,834
  5. Nov 13, 2023Civil money penalty$4,587
  6. Nov 6, 2023Civil money penalty$4,587
  7. Oct 17, 2023Civil money penalty$4,587
  8. Oct 10, 2023Civil money penalty$4,587
  9. Oct 2, 2023Civil money penalty$4,587
  10. Sep 25, 2023Civil money penalty$4,587
  11. Sep 18, 2023Civil money penalty$4,587
  12. Sep 11, 2023Civil money penalty$4,587
  13. Sep 5, 2023Civil money penalty$4,587
  14. Aug 28, 2023Civil money penalty$4,587
  15. Aug 17, 2023Civil money penalty$166,302
  16. Aug 17, 2023Denial of payment for new admissionsfrom Nov 17, 2023
  17. Mar 6, 2023Civil money penalty$5,283

Ownership

As filed with CMS

Structure

Ownership type
For profit - Limited Liability company
Chain
Golden SNF Operations7 facilities in the chain2.3★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Cafive Operations Holdings LLC
Indirect owners (5%+)
  • Ch Cafive Holdings LLC
  • Witzcorp LLC
  • Yisroel Herzka
  • Yitzchok Yenowitz
Operational or managerial control
  • Cafive Opco Manager LLC
  • Cafive SNF Consulting LLC
  • Couve Healthcare Consulting LLC
  • Modesto SNF Operations LLC
  • Veritas Health Solutions LLC
  • Karen Barias
  • Ryan Dickerson
  • Steven Earl
  • +5 more
Corporate officers
  • Shimon Spielman
  • Yitzchok Yenowitz

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 056301 · 1900 COFFEE ROAD, MODESTO, CA, 95355.
  • Percentiles compare this facility with every rated nursing home in California and Stanislaus County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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