GOLDEN SONORA CARE CENTER

Tuolumne · CA · For profit - Limited Liability company · GOLDEN SNF OPERATIONS chain · 210 certified beds · CCN 555736 · SONORA SNF OPERATIONS LLC


GOLDEN SONORA CARE CENTER operates 210 certified beds in SONORA, California. Its Medicare and Medicaid certification dates to 1999-06-15. It averages 186.7 residents a day.

What harm was found in the violations cited at GOLDEN SONORA CARE CENTER?

CMS lists 89 health-inspection deficiencies for GOLDEN SONORA CARE CENTER since 2023-06-22, 64 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-20.

Survey dateTagDeficiencySeverity
2026-05-20F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-04-02F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2026-04-02F0770Provide timely, quality laboratory services/tests to meet the needs of residents.D
2026-03-12F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2025-12-09F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2025-09-02F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-08-07F0583, F0645, F0755, F0761, F0804, F0806, F0812, F0881, F0925Keep residents' personal and medical records private and confidential. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-08-07F0550, F0554, F0580, F0585, F0656, F0657, F0658, F0688, F0689, F0690, F0759, F0814, F0842, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure medication error rates are not 5 percent or greater. / Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2025-07-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-11F0687Provide appropriate foot care.D
2025-02-19F0655, F0684Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-01-29F0584Honor 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
2024-10-02F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-07-23F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D
2024-07-18F0656, F0684Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-06-20F0567, F0803, F0812, F0880Honor the resident's right to manage his or her financial affairs. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2024-06-20F0550, F0558, F0561, F0644, F0689, F0694, F0695, F0698, F0755, F0758, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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
2024-05-17F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D
2024-04-11F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2024-03-27F0880Provide and implement an infection prevention and control program.E
2024-03-05F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2024-02-26F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-01-09F0656, F0758Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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
2023-12-06F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2023-10-20F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2023-10-17F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-10-11F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-06-22F0688Provide 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
2023-06-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-06-22F0656, F0677, F0684, F0695, F0760, F0804, F0842, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that residents are free from significant medication errors. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2023-06-22F0550, F0558, F0568, F0584, F0655, F0658, F0679, F0686, F0687, F0689, F0694, F0697, F0759, F0761, F0806Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate foot care. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D

Why was GOLDEN SONORA CARE CENTER fined?

DateTypeAmount
2024-02-26Fine$56,843

Has GOLDEN SONORA CARE CENTER had payment denied by Medicare?

Payment denial startLength in days
2024-03-2921

How is GOLDEN SONORA CARE CENTER staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.907004.51570
Total nursing staff turnover (%)52.236.7
Average number of residents per day186.787.9

Who owns GOLDEN SONORA CARE CENTER, and what chain is it in?

GOLDEN SONORA CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name SONORA SNF OPERATIONS LLC and belongs to the GOLDEN SNF OPERATIONS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSONORA OPERATIONS HOLDINGS LLCsince 03/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTCH CAFIVE HOLDINGS LLC, CW CAFIVE HOLDINGS LLCsince 03/01/2023
MANAGING CONTROL - GOVERNING BODYBARIAS, KAREN, EARL, STEVENsince 03/01/2023
CORPORATE OFFICERSPIELMAN, SHIMON, YENOWITZ, YITZCHOKsince 03/01/2023
OPERATIONAL/MANAGERIAL CONTROLCOUVE HEALTHCARE CONSULTING LLC, SONORA OPCO MANAGER LLC, SONORA SNF CONSULTING LLC, SONORA SNF OPERATIONS LLC, VERITAS HEALTH SOLUTIONS LLC, BARIAS, KAREN, EARL, STEVEN, LEININGER, GENESIS, MEADOR, DANIEL, SPIELMAN, SHIMON, YENOWITZ, YITZCHOKsince 03/01/2023
ADP OF THE SNFCH CAFIVE HOLDINGS LLC, COUVE HEALTHCARE CONSULTING LLC, CW CAFIVE HOLDINGS LLC, SONORA OPCO MANAGER LLC, SONORA SNF CONSULTING LLC, SONORA SNF OPERATIONS LLC, SONORA SNF REALTY LLC, VERITAS HEALTH SOLUTIONS LLC, WITZCORP LLC, BARIAS, KAREN, EARL, STEVEN, HERZKA, YISROEL, LEININGER, GENESIS, MEADOR, DANIEL, SPIELMAN, SHIMON, WOLOFSKY, CHAVA, YENOWITZ, YITZCHOKsince 03/01/2023

Were you or a family member harmed at GOLDEN SONORA CARE CENTER?