The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
ADVENTIST HEALTH SONORA - D/P SNF
SONORA, CA · Medicare-certified · 68 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall
5 out of 5 stars overall. ADVENTIST HEALTH SONORA - D/P SNF has strong staffing and health inspection results (5/5 staffing, 4/5 health inspections), reported nurse staffing above the federal benchmark (4.71 vs 4.1 hours/resident/day), no fines in the last 24 months, and a 3/5 quality measures rating.
Facility ratings
Health inspections
Staffing
4.7124 hrs/resident/day
Quality measures
Last inspection: January 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7124.
Staffing detail
- Registered nurses
- 1.11
- Licensed practical nurses
- 0.81
- Nurse aides
- 2.80
- Weekend nursing
- 4.01
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 23%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
25%22.2%Improving
Residents with a fall causing major injury
3.4%0%Improving
Residents with pressure ulcers (bedsores)
6.3%7.2%Worsening
Residents with a urinary tract infection
1.7%4.8%Worsening
Residents who lost too much weight
14%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14%13%Improving
Residents whose ability to walk got worse
3.8%9.6%Worsening
Long-stay residents on antianxiety or sleep medication
29.8%20.7%Improving
Residents with a long-term catheter
6.4%1.1%Improving
Residents with new or worsening incontinence
21.7%29.4%Worsening
Residents with depressive symptoms
0%8.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.3%100%Improving
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Chain
- Part of ADVENTIST HEALTH · 5 homes · 4 stars avg
- Occupancy
- 62.7 residents on an average day (92% of 68 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.