Golden Sonora Care Center
19929 Greenley Road · Sonora, CA · 95370 · 2095332500
210 certified beds For profit - Limited Liability company Chain: Golden SNF Operations
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $93,308 |
Inspection citations (88 in the current record)
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Potential for harm · E April 2, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 2, 2026 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Deficient, Provider has no plan of correction · Administration
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Potential for harm · E March 12, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 13, 2026 · Resident Rights
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Potential for harm · D December 9, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 10, 2025 · Pharmacy Service
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Potential for harm · D September 2, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 3, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 8, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 8, 2025 · Resident Rights
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Potential for harm · E August 7, 2025
Keep residents' personal and medical records private and confidential.
Corrected August 8, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
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.
Corrected August 8, 2025 · Resident Rights
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Potential for harm · E August 7, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
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.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · E August 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 8, 2025 · Pharmacy Service
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Potential for harm · D August 7, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 8, 2025 · Pharmacy Service
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Potential for harm · E August 7, 2025
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 August 8, 2025 · Pharmacy Service
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Potential for harm · E August 7, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 8, 2025 · Nutrition and Dietary
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Potential for harm · E August 7, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected August 8, 2025 · Nutrition and Dietary
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Potential for harm · E August 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 8, 2025 · Nutrition and Dietary
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Potential for harm · D August 7, 2025
Dispose of garbage and refuse properly.
Corrected August 8, 2025 · Nutrition and Dietary
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Potential for harm · D August 7, 2025
Provide and implement an infection prevention and control program.
Corrected August 8, 2025 · Infection Control
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Potential for harm · E August 7, 2025
Implement a program that monitors antibiotic use.
Corrected August 8, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2024 | Fine | $56,843 |
| February 26, 2024 | Payment Denial | 21 days |
| June 22, 2023 | Fine | $36,465 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555736 · certified since June 15, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.