Sonora, CA

Adventist Health Sonora - D/P SNF

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

179 South Fairview Lane, Sonora, CA

(209) 536-3779

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

68

Certified beds

Average residents

57

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Adventist Health

Operator or chain grouping

Approved since

1985-10-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.43

Registered nurse staffing

LPN hours / resident day

0.77

Licensed practical nurse staffing

Aide hours / resident day

3.00

Nurse aide staffing

Weekend hours

4.20

Weekend nurse staffing

RN turnover

95%

Annual RN turnover

Total nurse turnover

93%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
2.3
1.3 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.6
0.1 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
98.5%
1.1 pts better
93.4%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.9%
1.6%
3.3 pts worse
3.3%
1.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.3%
6.8%
4.5 pts better
11.4%
9.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.7%
4.1%
4.6 pts worse
5.4%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.5%
13.7%
12.8 pts worse
19.6%
6.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.3%
14.2%
7.1 pts worse
16.7%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 15.3%
11.0%
4.3 pts worse
16.3%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 20.1%
10.7%
9.4 pts worse
14.9%
5.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.4%
1.0%
3.4 pts worse
1.0%
3.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.8%
1.2%
0.6 pts worse
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.8%
10.9%
9.9 pts worse
19.8%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.9%
4.7%
0.8 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.9%
94.0%
13.1 pts worse
81.7%
0.8 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-19 · Fire 2025-06-19

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-05-09 · Fire 2024-05-09

14 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

18 health deficiencies

Top issue: Resident Rights (5 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-06-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-25

D · Potential for more than minimal harm 2025-06-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-25

C · Minimal harm 2025-06-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-30

D · Potential for more than minimal harm 2024-05-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-05-28

D · Potential for more than minimal harm 2023-03-16

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-03-28

D · Potential for more than minimal harm 2023-03-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-28

D · Potential for more than minimal harm 2023-03-16

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-03-28

D · Potential for more than minimal harm 2023-03-16

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-03-28

D · Potential for more than minimal harm 2023-03-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-02-13

E · Potential for more than minimal harm 2025-06-19

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-07-10

E · Potential for more than minimal harm 2025-06-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-10

E · Potential for more than minimal harm 2025-06-19

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-07-10

E · Potential for more than minimal harm 2025-06-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-19

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-05-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-27

F · Potential for more than minimal harm 2024-05-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-09

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-09

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-09

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-09

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-09

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-09

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-09

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-09

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-03-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-15

D · Potential for more than minimal harm 2024-02-20

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-04-01

D · Potential for more than minimal harm 2023-12-15

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-03-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-04-07

E · Potential for more than minimal harm 2023-03-16

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2023-04-07

E · Potential for more than minimal harm 2023-03-16

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-04-07

E · Potential for more than minimal harm 2023-03-16

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-04-07

E · Potential for more than minimal harm 2023-03-16

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-16

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-04-07

Penalties and ownership

What sits behind the stars

Ownership

Adventist Health System/West

Operational/Managerial Control · Organization

0% 4 facilities 1980-06-16
Freedman, John

Corporate Director · Individual

0% 4 facilities 2016-09-26
Gabriel, Melody

Corporate Director · Individual

0% 2 facilities 2015-06-01
Graham, Ricardo

Corporate Director · Individual

0% 2 facilities 2015-06-01
Heinrich, Kerry

Corporate Director · Individual

0% 4 facilities 2014-12-16
Innocent, Larry

Corporate Director · Individual

0% 5 facilities 2015-06-01
Jahn, Andrew

Corporate Officer · Individual

0% 1 facilities 2014-02-03
Jahn, Andrew

W-2 Managing Employee · Individual

0% 1 facilities 2011-08-08
Jobe, Meredith

Corporate Officer · Individual

0% 4 facilities 2014-03-31
Mcculloch, Gregory

Corporate Officer · Individual

0% 1 facilities 2014-05-05
Mcculloch, Gregory

Contracted Managing Employee · Individual

0% 1 facilities 2014-05-05
Mcculloch, Gregory

W-2 Managing Employee · Individual

0% 1 facilities 2014-05-05
Pedersen, James

Corporate Director · Individual

0% 2 facilities 2017-01-16
Reiner, Brian

Corporate Director · Individual

0% 2 facilities 2011-05-13
Reiner, Brian

Corporate Officer · Individual

0% 2 facilities 2014-03-14
Reiner, Richard

Corporate Director · Individual

0% 5 facilities 2017-01-16
Rippey, Wesley

Corporate Director · Individual

0% 2 facilities 2015-06-01
Salazar, Velino

Corporate Director · Individual

0% 4 facilities 2015-09-15
Wagner, Jack

Corporate Officer · Individual

0% 3 facilities 2014-03-31
Wing, Billy

Corporate Director · Individual

0% 3 facilities 2014-03-31
Wing, Billy

Corporate Officer · Individual

0% 3 facilities 2014-03-31

Nearby options

Other facilities in reach

#1

Golden Sonora Care Center

Sonora, CA

1-star overall rating with 2-star inspections with $93,308 in total fines with 27 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$93,308
#2

Golden San Andreas Care Center

San Andreas, CA

1-star overall rating with 1-star inspections with $91,172 in total fines with 20 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$91,172
#3

Oakdale Nursing And Rehabilitation Center

Oakdale, CA

4-star overall rating with 3-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
5 / 5
Fines
$0

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