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
5 of 5 overall
Adventist Health Sonora - D/P SNF has a 5 out of 5 overall rating, with strong staffing (5 of 5) and nurse staffing above the federal benchmark (4.83 vs. 4.1 hours per resident per day), no fines in the last 24 months, and a 4 out of 5 health inspection rating.
Facility ratings
Health inspections
Staffing
4.8344 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 4.8344.
Staffing detail
- Registered nurses
- 1.27
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.79
- Weekend nursing
- 3.97
Hours per resident per day.
Total staff turnover: 29%
Registered nurse turnover: 24%
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
21.7%23.3%Worsening
Residents with a fall causing major injury
8.8%0%Improving
Residents with pressure ulcers (bedsores)
2.4%4.2%Worsening
Residents with a urinary tract infection
0%9.6%Worsening
Residents who lost too much weight
7.1%6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16%18.4%Worsening
Residents whose ability to walk got worse
4.3%4.1%No change
Long-stay residents on antianxiety or sleep medication
28.6%20%Improving
Residents with a long-term catheter
4.5%3%Improving
Residents with new or worsening incontinence
9.7%33.2%Worsening
Residents with depressive symptoms
1.9%1.9%No change
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
100%100%No change
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
- 59.8 residents on an average day (88% 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.