Starfile / California

GOLDEN SONORA CARE CENTER

19929 GREENLEY ROAD, SONORA, CA 95370 · CCN 555736

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$93,308

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

GOLDEN SNF OPERATIONS

Facilities in chain

7

Chain avg overall

2.30 / 5

Inspection citations (90)2 actual harm

1. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-12-09 · Health

   Potential for more than minimal harm

2. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-02 · Health · corrected 2025-09-03

   Potential for more than minimal harm

3. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-07 · Health · corrected 2025-08-08

   Potential for more than minimal harm

4. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-07 · Health · corrected 2025-08-08

   Potential for more than minimal harm

5. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-07 · Health · corrected 2025-08-08

   Potential for more than minimal harm

6. EF0583Keep residents' personal and medical records private and confidential.2025-08-07 · Health · corrected 2025-08-08

   Potential for more than minimal harm

7. DF0585Honor 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.2025-08-07 · Health · corrected 2025-08-08

   Potential for more than minimal harm

8. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-07 · Health · corrected 2025-08-08

   Potential for more than minimal harm

9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-07 · Health · corrected 2025-08-08

   Potential for more than minimal harm

10. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

11. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

12. DF0688Provide 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.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

14. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

15. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

16. DF0759Ensure medication error rates are not 5 percent or greater.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

17. EF0761Ensure 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.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

18. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

19. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

21. DF0814Dispose of garbage and refuse properly.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

22. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

23. DF0880Provide and implement an infection prevention and control program.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

24. EF0881Implement a program that monitors antibiotic use.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

25. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

26. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-01 · Health · corrected 2025-07-01

    Potential for more than minimal harm

27. DF0687Provide appropriate foot care.2025-06-11 · Health · corrected 2025-06-11

    Potential for more than minimal harm

28. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-19 · Health · corrected 2025-02-19

    Potential for more than minimal harm

29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-19 · Health · corrected 2025-02-19

    Potential for more than minimal harm

30. DF0584Honor 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.2025-01-29 · Health · corrected 2025-01-29

    Potential for more than minimal harm

31. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-02 · Health · corrected 2024-10-08

    Potential for more than minimal harm

32. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-07-23 · Health · corrected 2024-07-29

    Potential for more than minimal harm

33. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-18 · Health · corrected 2024-07-29

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-18 · Health · corrected 2024-07-29

    Potential for more than minimal harm

35. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

36. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

37. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

38. EF0567Honor the resident's right to manage his or her financial affairs.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

39. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

40. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

41. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

42. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

43. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

44. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

45. DF0758Implement 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.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

46. DF0761Ensure 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.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

47. EF0803Ensure 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.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

48. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

49. EF0880Provide and implement an infection prevention and control program.2024-06-20 · Health · corrected 2024-06-20

    Potential for more than minimal harm

50. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-05-17 · Health · corrected 2024-05-23

    Potential for more than minimal harm

51. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-11 · Health · corrected 2024-04-19

    Potential for more than minimal harm

52. EF0880Provide and implement an infection prevention and control program.2024-03-27 · Health · corrected 2024-04-17

    Potential for more than minimal harm

53. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-05 · Health · corrected 2024-04-05

    Potential for more than minimal harm

54. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-26 · Health · corrected 2024-03-18

    Actual harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-09 · Health · corrected 2024-02-09

    Potential for more than minimal harm

56. DF0758Implement 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.2024-01-09 · Health · corrected 2024-02-09

    Potential for more than minimal harm

57. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-06 · Health · corrected 2024-01-03

    Potential for more than minimal harm

58. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-20 · Health · corrected 2023-11-08

    Potential for more than minimal harm

59. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-17 · Health · corrected 2023-10-20

    Potential for more than minimal harm

60. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-11 · Health · corrected 2023-10-30

    Potential for more than minimal harm

61. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

62. DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

63. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

64. DF0584Honor 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.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

65. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

66. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

67. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

68. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

69. DF0679Provide activities to meet all resident's needs.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

70. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

71. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

72. DF0687Provide appropriate foot care.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

73. GF0688Provide 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.2023-06-22 · Health · corrected 2023-07-19

    Actual harm

74. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

75. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

76. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

77. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

78. DF0759Ensure medication error rates are not 5 percent or greater.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

79. EF0760Ensure that residents are free from significant medication errors.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

80. DF0761Ensure 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.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

81. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

82. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

83. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

84. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

85. EF0880Provide and implement an infection prevention and control program.2023-06-22 · Health · corrected 2023-07-19

    Potential for more than minimal harm

86. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-05-31 · Health · corrected 2023-06-16

    Potential for more than minimal harm

87. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-10 · Health · corrected 2023-05-30

    Potential for more than minimal harm

88. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-05-10 · Health · corrected 2023-05-30

    Potential for more than minimal harm

89. DF0758Implement 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.2023-05-10 · Health · corrected 2023-05-30

    Potential for more than minimal harm

90. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-04 · Health · corrected 2023-04-19

    Potential for more than minimal harm

Ownership

Other facilities in SONORA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.