The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GOLDEN SONORA CARE CENTER
SONORA, CA · Medicare-certified · 210 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
GOLDEN SONORA CARE CENTER has an overall rating of 1 out of 5 stars, with 1-star health inspection and quality measures ratings and 3-star staffing. Reported nurse staffing is 3.91 hours per resident per day, just below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.907 hrs/resident/day
Quality measures
Last inspection: May 20, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.907.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 1.06
- Nurse aides
- 2.52
- Weekend nursing
- 3.67
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 56%
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
20%16.2%Improving
Residents with a fall causing major injury
1.9%6.1%Worsening
Residents with pressure ulcers (bedsores)
6.1%3.5%Improving
Residents with a urinary tract infection
0.7%0.7%No change
Residents who lost too much weight
5.6%4.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
36.1%23.9%Improving
Residents whose ability to walk got worse
32.5%21.7%Improving
Long-stay residents on antianxiety or sleep medication
18.3%23%Worsening
Short-stay residents newly given an antipsychotic
0.8%1.9%Worsening
Residents with a long-term catheter
1.9%0.9%Improving
Residents with new or worsening incontinence
28.7%24.5%Improving
Residents with depressive symptoms
0.7%0%Improving
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
—95.1%—
Long-stay residents given the pneumonia vaccine
91%90.3%Worsening
Short-stay residents given the seasonal flu vaccine
—82.2%—
Short-stay residents given the pneumonia vaccine
89.4%88.8%Worsening
What the inspectors found
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $56,843 in total fines · 1 payment denial.
- 21 days
Medicare/Medicaid payment denial
Feb 26, 2024
- $56,843
Federal fine
Feb 26, 2024
Operator & ownership
Recent ownership change · Mar 1, 2023
Now operated by Sonora Snf Operations LLC, previously Avalon Care Center-sonora, LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GOLDEN SNF OPERATIONS · 7 homes · 2.7 stars avg
- Occupancy
- 186.7 residents on an average day (89% of 210 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 27 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.