Inspection citations
17’23
15’24
6’25
1’26
39 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jan 23, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 19, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jun 19, 2025 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Jun 19, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 19, 2025 | E · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Jun 19, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| May 20, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| May 9, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 9, 2024 | D · potential | 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. | Routine |
| May 9, 2024 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| May 9, 2024 | E · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| May 9, 2024 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| May 9, 2024 | D · potential | 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. | Routine |
| May 9, 2024 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| May 9, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 9, 2024 | E · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| May 9, 2024 | E · potential | 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. | Routine |
| May 9, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 9, 2024 | D · potential | Provide or get specialized rehabilitative services as required for a resident. | Routine |
| May 9, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 21, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 20, 2024 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Complaint |
| Dec 15, 2023 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Dec 15, 2023 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Mar 16, 2023 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 16, 2023 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Mar 16, 2023 | E · potential | Honor the resident's right to manage his or her financial affairs. | Routine |
| Mar 16, 2023 | D · potential | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Routine |
| Mar 16, 2023 | D · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| Mar 16, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 16, 2023 | E · potential | 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. | Routine |
| Mar 16, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Mar 16, 2023 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Mar 16, 2023 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Mar 16, 2023 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Mar 16, 2023 | D · potential | 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. | Routine |
| Mar 16, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 16, 2023 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Mar 16, 2023 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Adventist Health Sonora - D/P SNF
179 South Fairview Lane, Sonora, CA 95370 · (209) 536-3779
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555209
- Certified beds
- 68
- Legal owner
- Sonora Community Hospital
- Part of
- Adventist Health
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
Is this your business, or is something wrong? Request a correction. It's free, and we never charge to be listed.
Other nursing homes in Sonora
- Golden Sonora Care Center1 of 5 stars overall