Federal inspection record · CMS data as of October 1, 2026
Golden Sonora Care Center
19929 Greenley Road, Sonora, CA · (209) 533-2500
- Certified beds
- 210
- Residents per day
- 188
- Ownership
- For-Profit
- Chain
- Golden SNF Operations
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 15, 1999
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Golden Sonora Care Center carries 166 inspection points. That is fewer than 15% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
90 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
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.
Everything else, by area of care
Quality of Life and Care26E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate foot care.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate foot care.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights18E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
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.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- E
Honor the resident's right to manage his or her financial affairs.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
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.
Resident Assessment and Care Planning16E
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service12E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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
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
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Nutrition and Dietary9F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Infection Control5E
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2025-08-07
29 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-06-20
22 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2023-06-22
39 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (14 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 5 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
4 h 5 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 53% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$56,843 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-26 | Fine | $56,843 |
| 2024-02-26 | Payment Denial · 21 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.9 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts worse | 3.0 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts worse | 89.2% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.5 pts better | 99.4% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts worse | 5.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.4 pts better | 0.2% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 4.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts worse | 20.3% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts worse | 17.8% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened19.9 pts worse | 28.8% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.8 pts worse | 26.0% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.9% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.8% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15 pts worse | 24.8% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.7% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts worse | 82.6% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9 pts worse | 20.1% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.2 pts worse | 82.9% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts worse | 23.8% | 22.6% | 23.4% |
·
Who owns and runs it
35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sonora Operations Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Ch Cafive Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 25% | 4 facilities |
| Cw Cafive Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 25% | 1 facilities |
| Barias, Karen | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Barias, Karen | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Barias, Karen | Adp Of The SNF · Individual | 0% | 4 facilities |
| Ch Cafive Holdings LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cw Cafive Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Earl, Steven | Managing Control - Governing Body · Individual | 0% | 24 facilities |
| Earl, Steven | Operational/Managerial Control · Individual | 0% | 24 facilities |
| Earl, Steven | Adp Of The SNF · Individual | 0% | 24 facilities |
| Herzka, Yisroel | Adp Of The SNF · Individual | 0% | 75 facilities |
| Leininger, Genesis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Leininger, Genesis | Adp Of The SNF · Individual | 0% | 1 facilities |
| Meador, Daniel | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Meador, Daniel | Adp Of The SNF · Individual | 0% | 3 facilities |
| Sonora Opco Manager LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sonora Opco Manager LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sonora SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sonora SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sonora SNF Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sonora SNF Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sonora SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Spielman, Shimon | Corporate Officer · Individual | 0% | 48 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Veritas Health Solutions LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Veritas Health Solutions LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Witzcorp LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Wolofsky, Chava | Adp Of The SNF · Individual | 0% | 10 facilities |
| Yenowitz, Yitzchok | Corporate Officer · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
·
Fire safety
33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- C
Install a fire alarm system that can be heard throughout the facility.
- F
Properly provide smoke detection systems in areas open to corridors.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems8E
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Miscellaneous6E
- E
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Provide a written emergency evacuation plan.
- D
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services3E
- E
Have elevators that firefighters can control in the event of a fire.
- D
Have elevators that firefighters can control in the event of a fire.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction2D
- D
Use approved construction type or materials.
- D
Use approved construction type or materials.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
·
Other homes nearby
-
Adventist Health Sonora - D/P SNF
Sonora, CA · Adventist Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 49 min
- Fines
- $0
-
Golden San Andreas Care Center
San Andreas, CA · Golden SNF Operations
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 7 min
- Fines
- $66,534
-
Oakdale Nursing And Rehabilitation Center
Oakdale, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0