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
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 ratings and a 3-star staffing rating. Reported nurse staffing is 3.86 hours per resident per day, below the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8573 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8573.
Staffing detail
- Registered nurses
- 0.31
- Licensed practical nurses
- 1.04
- Nurse aides
- 2.50
- Weekend nursing
- 3.63
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 59%
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
17.3%15.9%Improving
Residents with a fall causing major injury
4.8%2.5%Improving
Residents with pressure ulcers (bedsores)
10.7%8.2%Improving
Residents with a urinary tract infection
2.1%1.3%Improving
Residents who lost too much weight
7.1%3.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.8%26.1%Worsening
Residents whose ability to walk got worse
25.1%28.6%Worsening
Long-stay residents on antianxiety or sleep medication
24.2%19.6%Improving
Short-stay residents newly given an antipsychotic
2.6%1.9%Improving
Residents with a long-term catheter
1.8%1.3%No change
Residents with new or worsening incontinence
20.8%30.4%Worsening
Residents with depressive symptoms
0.8%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
95.2%88.1%Worsening
Short-stay residents given the seasonal flu vaccine
—82.2%—
Short-stay residents given the pneumonia vaccine
90.9%83.3%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 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
The home failed to keep residents’ personal and medical records private and confidential. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — 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
- 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: 2 fines · $93,308 in total fines · 1 payment denial.
- 21 days
Medicare/Medicaid payment denial
Feb 26, 2024
- $56,843
Federal fine
Feb 26, 2024
- $36,465
Federal fine
Jun 22, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GOLDEN SNF OPERATIONS · 7 homes · 2.6 stars avg
- Occupancy
- 183 residents on an average day (87% 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.