California › Tuolumne County › Sonora
Golden Sonora Care Center
19929 Greenley Road, Sonora, CA 95370
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Golden Sonora Care Center, in Sonora, California, is certified for 210 beds under for-profit, limited liability company ownership and belongs to the Golden Snf Operations chain.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 3 and quality measures 1.
Inspectors recorded 89 health deficiencies across the three most recent survey cycles (29, 21, 39 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 42.4 per 100 beds, about the same as the state median of 51.1.
CMS lists 2 penalties in the period covered: fines totalling $57K and 1 payment denial.
Reported nurse staffing is 3.9 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 52.2%.
89health deficiencies, 3 survey cycles2 at actual harm or worse
$57Kfines listed by CMS2 penalties in period
3.9nurse hours per resident per daystate median 4.2
89%occupancy (residents ÷ beds)187 residents a day
Compared with county, state and nation
| Measure | This facility | Tuolumne Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 89 | 89 | 44 | 28.7 |
| Citations per 100 beds | 42.4 | 57.4 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.7 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 1.1 | 0.5 | 0.7 |
| Nursing staff turnover | 52.2% | 52.2% | 36.4% | 45.8% |
| Fines listed | $56,843 | $56,843 | $0 | — |
County and state figures are medians across facilities (2 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 20 Jun 2024.
Severity mix: G ×2 D ×61 E ×25 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 21 May 2026 |
| 2 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 3 Apr 2026 |
| 2 Apr 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 3 Apr 2026 |
| 12 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 13 Mar 2026 |
| 9 Dec 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 10 Dec 2025 |
| 2 Sep 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 3 Sep 2025 |
| 7 Aug 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0761 | 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. | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 8 Aug 2025 |
| 7 Aug 2025 | F0585 | 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. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0688 | 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. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 8 Aug 2025 |
| 7 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 Aug 2025 |
| 7 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Aug 2025 |
| 1 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Jul 2025 |
| 11 Jun 2025 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 11 Jun 2025 |
| 19 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 19 Feb 2025 |
| 19 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Feb 2025 |
| 29 Jan 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 29 Jan 2025 |
| 2 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Oct 2024 |
| 23 Jul 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 29 Jul 2024 |
| 18 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 Jul 2024 |
| 18 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Jul 2024 |
| 20 Jun 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 20 Jun 2024 |
| 20 Jun 2024 | F0761 | 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. | D | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 23 May 2024 |
| 11 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 19 Apr 2024 |
| 27 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 17 Apr 2024 |
| 5 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 5 Apr 2024 |
| 26 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 18 Mar 2024 |
| 9 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 9 Feb 2024 |
| 9 Jan 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint investigation | 9 Feb 2024 |
| 6 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Jan 2024 |
| 20 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 8 Nov 2023 |
| 17 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Oct 2023 |
| 11 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Oct 2023 |
| 22 Jun 2023 | F0688 | 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. | G | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0761 | 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. | D | Standard survey | 19 Jul 2023 |
| 22 Jun 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 19 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Feb 2024 | Payment denial | — | 21 days |
| 26 Feb 2024 | Fine | $56,843 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 52.2%, RNs 56.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.0% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.9% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.6% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Sonora Snf Operations Llc. Chain: Golden Snf Operations (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sonora Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 03/01/2023 |
| Ch Cafive Holdings LLC | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| Cw Cafive Holdings LLC | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| Couve Healthcare Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Sonora Opco Manager LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Sonora SNF Consulting LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Sonora SNF Operations LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Veritas Health Solutions LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Ch Cafive Holdings LLC | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Couve Healthcare Consulting LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Cw Cafive Holdings LLC | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Sonora Opco Manager LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Sonora SNF Consulting LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Sonora SNF Operations LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Sonora SNF Realty LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Veritas Health Solutions LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Witzcorp LLC | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Tuolumne County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Adventist Health Sonora - D/P SNF | Sonora | 68 | 5 | 4 | 5 | 39 | 57.4 | — | 23 Jan 2026 |
All 2 facilities in Tuolumne County
Questions and answers
How many deficiencies has Golden Sonora Care Center been cited for?
89 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Golden Sonora Care Center been fined?
Yes. CMS lists fines totalling $57K in the period covered, plus 1 payment denial.
How does staffing at Golden Sonora Care Center compare?
Reported total nurse staffing is 3.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Golden Sonora Care Center?
It is part of the Golden Snf Operations chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Sonora Operations Holdings LLC, Ch Cafive Holdings LLC and Cw Cafive Holdings LLC. Individual owners and managers are not listed on this site.
When was Golden Sonora Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 20 May 2026; the most recent standard health survey was 7 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.