Nursing HomeInspections

Golden Sonora Care Center

Nursing home in Sonora, CA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
19929 Greenley Road, Sonora, CA 95370
Phone
(209) 533-2500
Listed under
For-profit
Medicare CCN
555736
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
1 of 5
Certified beds
210
Average residents per day
188
Ownership
For-profit, limited Liability company
Legal business name
Sonora SNF Operations LLC
Chain
Golden SNF Operations (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 15, 1999
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555736. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 7, 2025. CMS lists 90 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 22, 2023 to Jul 9, 2026): 29 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 9, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 20, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 2, 2026Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 2, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Mar 12, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Dec 9, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 2, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 7, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 7, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 7, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 7, 2025Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 7, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 90. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $56,843 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 26, 2024Fine: $56,843
Feb 26, 2024Payment denial for 21 days from Mar 29, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.08 hours
Registered nurse (RN) time per resident per day
0.30 hours
Nurse aide time per resident per day
2.61 hours
Total nurse staffing on weekends
3.87 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
53%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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