nursing home in Sonora, CA
Golden Sonora Care Center
19929 Greenley Road, Sonora, CA 95370 · (209) 533-2500
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Golden Sonora Care Center at a glance
Golden Sonora Care Center is a 210-bed for-profit nursing home in Sonora, California (Tuolumne County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the California average of 3.2.
Residents receive about 3.9 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 4.5 hours.
Its most recent standard health inspection (August 7, 2025) found 30 health citations. The California average is 15.5.
Federal regulators fined it 1 time in the past three years, totaling $56,843.
Nursing staff turnover is 52.2% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 210
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Golden SNF Operations
- Medicare-certified since
- June 15, 1999
- Resident/family council
- Resident
- County
- Tuolumne County
- CMS Certification Number
- 555736
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.91 hrs | 4.52 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.32 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.52 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.67 hrs | 4.09 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 52.2% | 36.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 56.3% | 38.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 30 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 9 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 168 | 105.8 | 80.6 | Worse |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $56,843 | $23,986 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 210 | 99 | 107 | |
| Average residents per day | 187 | 88 | 86 | |
| Occupancy | 88.9% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.2% | 1.6% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 5.6% | 4.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 17.6% | 12% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.1% | 0.8% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 29% | 10.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 30.9% | 9.8% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.9% | 4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.3% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20% | 13.7% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 27.6% | 10.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.1% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 89.7% | 98.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.6% | 1.5% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 82.2% | 93.2% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 85.6% | 94.4% | 82% | Average |
Inspection citations
State inspectors cited this home for 90 health deficiencies and 33 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 9, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 10, 2026 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | E Potential harm, pattern | Corrected June 12, 2026 |
| May 20, 2026 Complaint | Provide 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 Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 21, 2026 |
| May 6, 2026 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | D Potential harm, isolated | Corrected May 7, 2026 |
| April 2, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected April 3, 2026 |
| April 2, 2026 Complaint | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected April 3, 2026 |
| March 12, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected March 13, 2026 |
| December 9, 2025 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected December 10, 2025 |
| September 2, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected September 3, 2025 |
| August 7, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected August 12, 2025 |
| August 7, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 12, 2025 |
| August 7, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 12, 2025 |
| August 7, 2025 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected August 12, 2025 |
| August 7, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 12, 2025 |
| August 7, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected August 12, 2025 |
| August 7, 2025 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | C No harm, widespread | Corrected August 12, 2025 |
| August 7, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | E Potential harm, pattern | Corrected August 8, 2025 |
| August 7, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Provide 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 Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Develop 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 Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Develop 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 Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 8, 2025 |
| July 1, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 1, 2025 |
| June 11, 2025 Complaint | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected June 11, 2025 |
| February 19, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 19, 2025 |
| February 19, 2025 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected February 19, 2025 |
| January 29, 2025 Complaint | Honor 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 Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected January 29, 2025 |
| October 2, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 8, 2024 |
| July 23, 2024 Complaint | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | D Potential harm, isolated | Corrected July 29, 2024 |
| July 18, 2024 Complaint | Develop 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 Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 29, 2024 |
| July 18, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 29, 2024 |
| June 20, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | D Potential harm, isolated | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 27, 2024 |
| June 20, 2024 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected June 27, 2024 |
| June 20, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 20, 2024 |
| June 20, 2024 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected June 20, 2024 |
| June 20, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected June 20, 2024 |
| June 20, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 20, 2024 |
| June 20, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 20, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Complaint | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected May 23, 2024 |
| April 11, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected April 19, 2024 |
| March 27, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 17, 2024 |
| March 5, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 5, 2024 |
| February 26, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 18, 2024 |
| January 9, 2024 Complaint | Develop 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 Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 9, 2024 |
| January 9, 2024 Complaint | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 9, 2024 |
| December 6, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 3, 2024 |
| October 20, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 8, 2023 |
| October 17, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 20, 2023 |
| October 11, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected October 30, 2023 |
| June 22, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 22, 2023 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | G Actual harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected July 19, 2023 |
| June 22, 2023 Standard | Develop 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 Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected July 19, 2023 |
| June 22, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected July 19, 2023 |
| June 22, 2023 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected July 19, 2023 |
| June 22, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Honor 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 Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 22, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 19, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $56,843 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 26, 2024 | Payment Denial | 21 days from March 29, 2024 |
| February 26, 2024 | Fine | $56,843 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SONORA OPERATIONS HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 03/01/2023 |
| CH CAFIVE HOLDINGS LLC Organization | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| CW CAFIVE HOLDINGS LLC Organization | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| BARIAS, KAREN Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| CH CAFIVE HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| COUVE HEALTHCARE CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| CW CAFIVE HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| EARL, STEVEN Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| HERZKA, YISROEL Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| LEININGER, GENESIS Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| MEADOR, DANIEL Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| SONORA OPCO MANAGER LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| SONORA SNF CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| SONORA SNF OPERATIONS LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| SONORA SNF REALTY LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| SPIELMAN, SHIMON Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| VERITAS HEALTH SOLUTIONS LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| WITZCORP LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| WOLOFSKY, CHAVA Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| YENOWITZ, YITZCHOK Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| SPIELMAN, SHIMON Individual | corporate officer | NOT APPLICABLE | 03/01/2023 |
| YENOWITZ, YITZCHOK Individual | corporate officer | NOT APPLICABLE | 03/01/2023 |
| BARIAS, KAREN Individual | managing control - governing body | NOT APPLICABLE | 03/01/2023 |
| EARL, STEVEN Individual | managing control - governing body | NOT APPLICABLE | 03/01/2023 |
| BARIAS, KAREN Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| COUVE HEALTHCARE CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| EARL, STEVEN Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| LEININGER, GENESIS Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| MEADOR, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| SONORA OPCO MANAGER LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| SONORA SNF CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| SONORA SNF OPERATIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| SPIELMAN, SHIMON Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| VERITAS HEALTH SOLUTIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| YENOWITZ, YITZCHOK Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
Other nursing homes near Golden Sonora Care Center
Adventist Health Sonora - D/P SNF
179 South Fairview Lane, Sonora, CA 95370 · 1.1 mi
Non-profit · 68 beds · Part of Adventist Health
- CMS high performer
★★★★★5Much above averageGolden San Andreas Care Center
900 Mountain Ranch Road, San Andreas, CA 95249 · 21.8 mi
For-profit · 99 beds · Part of Golden SNF Operations
★★★★★2Below averageOakdale Nursing and Rehabilitation Center
275 South Oak Avenue, Oakdale, CA 95361 · 30.8 mi
Government · 115 beds
★★★★★4Above averageKit Carson Nursing & Rehabilitation Center
811 Court Street, Jackson, CA 95642 · 33.7 mi
For-profit · 199 beds · Part of Eva Care Group
★★★★★1Much below averageRiverbank Post-Acute
2649 Topeka Street, Riverbank, CA 95367 · 35.8 mi
For-profit · 99 beds · Part of Links Healthcare Group
★★★★★1Much below average- ★★★★★5Much above average
Frequently asked questions
What is Golden Sonora Care Center's rating?
Golden Sonora Care Center has 1 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did Golden Sonora Care Center receive?
Its most recent standard health inspection found 30 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does Golden Sonora Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Golden Sonora Care Center?
It is for profit - limited liability company and part of Golden SNF Operations. The ownership section on this page lists the owners and managers reported to CMS.
Where is Golden Sonora Care Center and how do I contact it?
Golden Sonora Care Center is at 19929 Greenley Road, Sonora, CA 95370. Phone: (209) 533-2500.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.