Sonora, CA
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
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
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
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
1.43
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.00
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.20
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.20
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.20
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.97
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.50
CMS adjusted RN staffing hours
Adjusted total hours
5.49
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
95%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
93%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
286
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
74.49
Composite VBP score used to determine payment impact.
Payment multiplier
1.0243
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
8.28
Baseline 47.69% · Performance 29.85% · Measure score 8.28 · Achievement 8.28 · Improvement 7.31
Adjusted total nurse staffing
6.62
Baseline 3.86 hours · Performance 4.96 hours · Measure score 6.62 · Achievement 6.62 · Improvement 5.23
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
No data were submitted for this measure. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 2.08% |
8.2%
6.1 pts worse
|
Numerator 4 · Denominator 192 |
| Staff flu vaccination coverage | 54.58% |
42%
12.6 pts better
|
Numerator 161 · Denominator 295 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
Quality measures
| 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 · Adjusted 1.0 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| 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 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 98.3% · Q4 100.0% · 4Q avg 99.6% |
| 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 · 4Q avg 100.0% |
| 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 · Q1 6.9% · Q2 8.8% · Q3 3.4% · Q4 0.0% · 4Q avg 4.9% · Used in QM five-star |
| 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 · Q1 5.4% · Q2 1.9% · Q3 0.0% · Q4 2.0% · 4Q avg 2.3% |
| 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 · Q1 5.2% · Q2 7.1% · Q3 14.0% · Q4 8.3% · 4Q avg 8.7% |
| 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 · Q1 24.1% · Q2 28.6% · Q3 29.8% · Q4 22.9% · 4Q avg 26.5% |
| 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 · Q1 18.4% · Q2 21.3% · Q3 24.4% · Q4 21.4% · 4Q avg 21.3% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| 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 · Q1 24.3% · Q2 4.3% · Q3 3.8% · Q4 31.0% · 4Q avg 15.3% · Used in QM five-star |
| 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 · Q1 26.5% · Q2 16.0% · Q3 14.0% · Q4 24.4% · 4Q avg 20.1% · Used in QM five-star |
| 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 · Q1 3.2% · Q2 4.5% · Q3 6.4% · Q4 3.3% · 4Q avg 4.4% · Used in QM five-star |
| 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 · Q1 1.7% · Q2 0.0% · Q3 1.7% · Q4 4.0% · 4Q avg 1.8% · Used in QM five-star |
| 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 · Q1 25.6% · Q2 9.7% · Q3 21.7% · Q4 26.5% · 4Q avg 20.8% |
| 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 · Q1 4.5% · Q2 2.4% · Q3 6.3% · Q4 2.2% · 4Q avg 3.9% · Used in QM five-star |
| 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 · Q4 100.0% · 4Q avg 80.9% |
Survey summary
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)
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 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
Install corridor and hallway doors that block smoke.
Corrected 2025-06-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-28
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-28
Fire Safety
Use approved construction type or materials.
Corrected 2023-03-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-28
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-03-28
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-03-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-03-28
Inspection history
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
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-10
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
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-07-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-27
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
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-07
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-07
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
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-07
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
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
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-06-07
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
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-07
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-06-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-15
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-04-01
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
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-07
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-04-07
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
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
Health
Implement a program that monitors antibiotic use.
Corrected 2023-04-07
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-07
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-04-07
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-07
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-07
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-04-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-07
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-07
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-04-07
Penalties and ownership
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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
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
Oakdale, CA
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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